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Doctor insights on: Therapeutic Treatment Piriformis Muscle Syndrome

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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. ...Read more

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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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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. ...Read more

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Piriformis syndrome and sciatic nerve treatment, do you have any recommendations?

Piriformis syndrome and sciatic nerve treatment, do you have any recommendations?

Stretch injury: If your piriformis pain is secondary to pelvic imbalance and it's constantly stretched, the last thing you want to do is stretch your piriformis. It will aggravate even if it feels good stretching it at the time. Find a physical therapist who can do myofascial release or facilitated positional release and teach you relaxing exercises. ...Read more

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I have the symptoms of Piriformis Syndrome. Pain Mgt.Dr rolls his eyes. What treatment is available for this? The pain is severe and I loathe Per10/32

I have the symptoms of Piriformis Syndrome. Pain Mgt.Dr rolls his eyes. What treatment is available for this? The pain is severe and I loathe Per10/32

Who diagnosed ?: Compression or entrapment of sciatic nerve by piriform muscle is called P. synd. usually diagnosis is confirmed by CT , MRI & nerve conduction studies , some times compression could be at inter obturator muscle level , most of time physical therapy , stretching , PT is enough , surgery is rarely done .Speak to your doctor ...Read more

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What is the best treatment for severe hip bursitis and piriformis syndrome?

What is the best treatment for severe hip bursitis and piriformis syndrome?

Bursitis: Rest, ice, anti inflammatory agents such as Ibuprofen ( there are many other similar one's), physical therapy and in resistant or unresponsive cases, local steroid injections are the choices. ...Read more

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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. ...Read more

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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?

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. ...Read more

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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. ...Read more

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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?

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. ...Read more

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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. ...Read more

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What are the most effective treatments for piriformis syndrome?

What are the most effective treatments for piriformis syndrome?

OMM: Piriformis syndrome is caused by a spasm in a muscle called piriformis. This puts pressure on the sciatic nerve, causing the symptoms. Osteopathic manipuation, in skilled hands, can correct the problem causing the spasm and provide great relief for this common complaint. ...Read more

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Will physical therapy help for piriformis syndrome?

Will physical therapy help for piriformis syndrome?

Yes: It will help strengthen and increase range of motion in the area. Also can provide stretching and ultrasound to help with the inflammation. ...Read more

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How is a DX of Piriformis Syndrone made? Is it merely Sciatic Nerve irratation that radiates to buttocks. What is the Treatment?

How is a DX of Piriformis Syndrone made? Is it merely Sciatic Nerve irratation that radiates to buttocks. What is the Treatment?

Exam: The primary diagnostic tool is a detailed exam. A nerve conduction test specifically looking for piriformis syndrome can confirm. An injection in the piriformis area is used and can be both therapeutic and diagnostic. Physical therapy can be helpful in many cases. ...Read more

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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. ...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. ...Read more