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Doctor insights on: Pulled Piriformis Muscle

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Muscle (Definition)

It is a body tissue that has the ability to contract. It shortens and generates force. It relaxes and returns to its original length. Muscles move joints, stabilize the body, move air and food through the organs, act as valves for bladder, bowel and other organs. They control movement of the eyes. They help us express ourselves by changing the shape of our ...Read more


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Can a loose and weak piriformis muscle cause pain? If so what type of pain would it cause. Thanks

Can a loose and weak piriformis muscle cause pain? If so what type of pain would it cause. Thanks

Possible sciatica: If you have problems with the piriformis tendon, it may irritate the sciatic nerve. This in turn may cause pain in the buttock and/or aim down the leg. An evaluation with a good history and physical can help with the diagnosis and treatment.

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What is a therapeutic treatment for piriformis muscle syndrome?

What is a therapeutic treatment for piriformis muscle syndrome?

Many things: First of all it is important to get a good physical examination to confirm the diagnosis of piriformis syndrome. A physiatrist is probably best for this. If it is piriformis syndrome, specific stretching exercises are helpful and then sometimes we will inject the piriformis muscle directly with local anesthetic and cortisone. Sometimes it needs to be done more than once.

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How can you tell if you have a loose piriformis muscle or tight?

How can you tell if you have a loose piriformis muscle or tight?

Hip rotation: Theoretically internal rotation of the hip may help to determine tightness, but this would be nonspecific since there are multiple external rotators of the hip. If the piriformis is felt to be a pain generator for you, my suggestion would be to go ahead and treat the piriformis with stretches and direct modalities (i.e. massage, heat) and see if you have improvement.

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Can extremely tight piriformis muscles cause kyphosis up in the back?

Can extremely tight piriformis muscles cause kyphosis up in the back?

May be related: Piriformis muscles are primarily involved in external rotation and weak abductors of the hip. They do not cross into the back. That being said, increased kyphosis in the thoracic spine can cause a hyper lordosis on the low back and a pelvic tilt which may have other consequences about the hip and pelvis. A detailed exam and radiographs will usually be able to tell the cause/ effect relationship

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Can piriformis sydrome cause sharp stabbing pain in lower back more to side area of back when twisting to the side plus muscle spasms in back at night?

Can piriformis sydrome cause sharp stabbing pain in lower back more to side area of back when twisting to the side plus muscle spasms in back at night?

Yes: Piriformis syndrome describes the set of symptoms that can occur from an abnormal piriformis muscle/tendon. The piriformis begins in the pelvis and inserts on the hip and can cause back, hip, and buttock pain as well as pain that runs down the leg.

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If I have an unstable SI Joint due to stretched ligaments, is it safe for me to still stretch the piriformis muscle or will this make it worse?

If I have an unstable SI Joint due to stretched ligaments, is it safe for me to still stretch the piriformis muscle or will this make it worse?

An unstable SI would: Be from significant injury or connective tissue disease. All U can do is ask Ur provider what Ur limitations R. I would rec 2 ease slowly into a stretching program & Always take a day off 2 C what Ur bodies response is, if ok gradually increase Ur stretching, always waiting a day or 2, 2 C how Ur body reacts 2 the increase.

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I have piriformis syndrome and it has been acting up as I am weaning off of an ssri. The muscles won't stop locking up and my hips hurt again. Help?

I have piriformis syndrome and it has been acting up as I am weaning off of an ssri. The muscles won't stop locking up and my hips hurt again. Help?

Piriformis syndrome: Is usually due to imbalance of your pelvis and altered biomechanics putting constant strain on your piriformis. See an osteopath or a physiatrist or even a podiatrist for another opinion.

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Can piriformis muscle syndrome cause sciatica type symptoms (pain and tingling in legs). Can you suggest anything that may help relieve it?

Suggestions: Yes, if sciatic is caught by buttock muscles, pain can simulate a pinched nerve from the back, BUT you describe issues in "legs", and the bilaterality causes some concern regarding lumbar stenosis vrs peripheral neuropathy. First, get diagnosis confirmed, then if appropriate, try physical therapy or osteopathy.

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I had piriformis surgery 5 months ago I still have severe sciatic pain, the surgeon removed the whole body of the muscle, I just started phys therapy?

I had piriformis surgery 5 months ago I still have severe sciatic pain, the surgeon removed the whole body of the muscle, I just started phys therapy?

See below: Not sure I can encourage you, as my experience with surgery to relieve piriformis syndrome problems has always been disappointing. Would get an opinion from an experienced osteopath, who works with sacro-iliac problems as omt is better suited to help you rehabilitate. Would also consider updated EMG to check status of sciatic nerve.

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Can piriformis syndrome cause muscle twitches in leg? If it's bothering the sciatic nerve or nerve?

Not seen that but...: I am not aware of leg twitches as being part of the complaints seen in patients with true piriformis syndrome. Pain, numbness, tingling, difficulties with ambulaton are the predominant symptoms reported as well as weakness in the leg. In women pain on sexual relations can also be seen. However, I've seen leg muscle spasms so I could believe twitches if you've been correclty diagnosed.

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Can inflammation around the si joint cause sciatica pain? Or muscle spasms of piriformis muscle?

Can inflammation around the si joint cause sciatica pain? Or muscle spasms of piriformis muscle?

Yes/No: Rare that the SI joint can cause true sciatica, however it can cause a referred pattern of pain that is known to radiate down the back of the leg up to about the calf. Traditionally SI Joint pain most often causes tenderness and pain in the buttock area. Piriformis muscle may cause sciatica, but that is also not common. Suggest seeing a spine specialist to determine which is occurring.

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Can tight hamstrings cause sciatica without any involvement of the piriformis muscle? (pain in the upper part of my leg after sitting over 3 hours)

Can tight hamstrings cause sciatica without any involvement of the piriformis muscle? (pain in the upper part of my leg after sitting over 3 hours)

Opposite: It is actually more likely the. Other way around. Chronic "sciatica" will cause a person to lean forward and not fully straighten out at the hip and knee which can potentially lead to hip flexor and knee flex ion (hamstring) contractures; not typically the other way around.

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Pain and weakness in the back of my left leg, mostly calve muscle. Is it piriformis sydrome or more likely l5/s1 disc bulge pressing on s1 nerve root?

See your doctor.: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively.

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Had pain in bum piriformis muscle I think but last started to get tight painful calves and burn and sore arches in feet what's happenin?

Not Good: 40 yo man describes acute buttock pain followed by burning pain both calves & soreness both plantar arches. Neurophysiology supports neural impingement occurring in distal spinal cord; proximate to cauda equina & occurring in midline; affecting both right & left exiting spinal nerves; likely a L-5 lesion. Best candidate for injury mechanism is protruding central disk; possibly a metastatic mass.

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I had a right inguinal hernia repair with mesh plug and patch. I developed back pain that caused by my psoas and piriformis muscles that are always in?

I had a right inguinal hernia repair with mesh plug and patch. I developed back pain that caused by my psoas and piriformis muscles that are always in?

Hard to connect: Psoas and piriformis are quite far away from the inguinal hernia repair. More likely to be separate pathology. Need more investigation into back.

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What is piriformes muscle?

What is piriformes muscle?

Deep Buttock Muscle: Anatomically, the piriformis muscle lies deep to the gluteal muscles. It originates from the sacral spine and attaches to the greater trochanter of the femur, which is the big, bony "bump" on the outside top of the thigh. The sciatic nerve usually passes underneath the piriformis muscle, but in approximately 15% of the population, it travels through the muscle. It is thought that acute or chronic.

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What causes imbalance in the periformis muscle? Where it is located?

Butt cheek: The pirifoemis muscle layes under each butt cheek. It helps turn the leg outward. So driving with the right foot turned out can imbalance the piriformis from the left side. The muscle sits on top of the sciatic nerve, and imbalance can cause pain all the way down the leg.