San Diego Doctor of Chiropractic – specialty pinched nerves, nerve pain, disc bulge, disc herniation, sciatica, piriformis syndrome.
www.paininfo4myback.com for free patient guide and DVD
Duration : 0:7:15
Long story short… In a car accident 2 yrs. ago. Have pain on right side only in the T-12 region, hip/butt/low back. Occasionally sciatic nerve aggervated. And the muscles into the groin area flare up. Diagonis have been Myofasial pain and sacroilialiitis. But I’m thinking it may be something more or something else going on. I’ve had cortisone injections in my piriformis, illopsoas, near and in my S.I. Joint, the gluteous medius, the muscle by my hip and a sciatic nerve block. I still have muscle spasms and weakness in those areas. I’ve gone to the chiropractor, and a PT. What the heck is going on?? Why am I having all these problems? Is there something that I am or the doctor is missing?? I need some suggestions on what I should or shouldn’t be doing. This is really got me annoyed to put it mildly
i too was in a car accident but closer to 3 yrs ago and still have pain which ive been told i will always have. I get sciatica on a regular basis and after all their injections and medications and crap i found the best way to fix it is hot packs, anti-inflam cream and a over the counter anti inflam pain relief gel cap called act-3. that with a couple of days rest and then getting up and stretching did me the world of good.
For ur muscle pain the only things i can suggest besides regular heat packs is to strengthen them…from what i was told(as u have probably too) after we do a serious injury and dont use that muscle for some time it loses condition and it deteriorates so even though it hurts a bit we have to get it moving…walking in a swimming pool might be a easy place to start…i hope this helps…it did me when i lost complete use of my arm and had 8months of hell to make it work again.
Many people diagnosed with “sciatica” – pain that runs from their buttocks to their feet – may actually have piriformis syndrome. Dr. Aaron Filler of the Institute for Nerve Medicine in Santa Monica, California (www.nervemed.com), explains the key differences between these two afflictions, their respective treatments, and how piriformis syndrome can be alleviated with open-MR guided injections as opposed to painful, invasive back surgery.
Duration : 0:10:54
Dr. Steven Hoffman from Core Wellness shows correct way to stretch your piriformis without hurting yourself. Amazing and often immediate relief from back pain, hip pain, and sciatica.
Duration : 0:3:40
I am a 57 year old woman in a lot of pain. They gave me gabarten
and told me not to sit much That hard as I am an accountant
please help
please can i ask were you are from just the country…
my wife has plyneuopathy and has had since 2001. i must say that it affects people in different ways. so don’t be alarmed.
my wife and i are from Ireland it took allot of time for her to be diagnosed with polyneuopathy about 2years. back and forth it this hospital,seeing this Dr and that Dr. finally she was sent to pain clinic. and bingo polyneuopathy Finlay just having a name for it was great.
then followed the problems, the first years or two where not bad just allot of pain and the pins and needles, but then we seen big changes every year. we used to say at the begin of each year (god that was a bad year hope this year will be better) but who are kidding each year is worst.
well my wife is know in a powerwheel chair. she has lost her voice, and she seems to be lossing the use of her left arm.
she is on allot of medaction which seem to help but who`s too know if it is or not.
lyrica (pregabalin)
lamictal (lamotrigine)
amitripeyline
oxycontin
valium
there is allot of information on the net about polynueopathy, but i think people can get draw in to worst cases.
and think o my god im going to die or im going to loss my legs. as i said people have diffrent symtoms.im sure some people aren`t as bad as my wife but in sure there is people worse than my wife.
if your polynueopathy affects your feet i would say look after you feet well. keep them clean and dry.
as for your piriformis i found this on the net
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Treatment usually begins with stretching exercises and massage, and the avoidance of contributary activities such as running and bicycling. Some clinicians recommend formal physical therapy, including the teaching of stretching techniques, manual massage, and strengthening of the core muscles (abs, back, etc.) to reduce strain on the piriformis muscle. Recommended stretching exercises will usually target the piriformis muscle, but may also include the hamstrings and hip muscles, in order to adequately reduce pain and increase range of motion.
Patients with piriformis syndrome may also find some pain relief from ice and heat. Ice can be helpful right when the pain starts or immediately after an activity that usually causes pain (e.g., going up stairs). The ice may be in the form of an ice pack held to the area or an individual ice cube used in combination with a massaging motion. A heating pad may be alternated with the ice for relief from the pain.
Anti-inflammatory drugs (such as ibuprofen or naproxen) and/or corticosteroid injections can be used. Occasionally surgery may be recommended. The prognosis with treatment is generally good. Custom foot orthotics also help with the treatment and prevention. By correcting a persons gait, the use of the piriformis muscle is greatly reduced allowing the muscle to relax and heal itself. Ultrasound is another option for treatment as it speeds up the healing precess.
Minimal access surgery using newly reported techniques has also proven successful in a large scale formal outcome published recently
very sorry for the very long reply. please take care.
maurice sheehy
To stretch the bicep (an elbow flexor) you extend the elbow. That is the nature of a stretch.
So logically an external rotator should be stretched using internal rotation, and yet every external rotation stretch is toted as a piriformais stretch.
How has this happened? And yet lots of people feel better when they ER (when they are suffering from, say, sciatica), so what is getting better to relieve their pain?
Hi Emily. It may be a Misnomer when "piriformis stretch" is used when talking about ext. rotation.
In my clinical experience as a Chiropractor, I have treated many cases of "Piriformis Syndrome" (PS) – a condition that entraps the sciatic nerve as it passes through the piriformis muscle and "mimics" a herniated disc (it is often misdiagnosed as a herniated disc!).
Effective relief for the acute symptoms of PS is usually provided by RELAXING the piriformis muscle (vs. stretching it) via abduction and external rotation of the femur (in the prone position). This procedure was called the "SOTO Test" (Step Out, Turn Out test) by one of the modern fathers of Chiropractic , the late Dr. Major Bertrand DeJarnette.
The SOTO test can be very effective in diagnosing PS. If this test (held for about 30 seconds) provides relief of symptoms, it virtually is diagnostic for PS! Then, repetitive use of the procedure can be a vital part of the therapeutic program.
Hope you find this helpful.
Best wishes and good luck.
I have been to sports medicine doctors, a neurologist who said I hav nerve damage in my piriformis area. I have also seen many orthopedists. No one can tell me why my ligament pops over my hip and why I have such severe pain. Does anyone know of a doctor in this region who concentrates their practice in this area?
Here is an alternative diagnoisis for you. I suffered with piriformis for 3 years and had all the physical treatments that did not work. The reason that there is such a mystery around piriformis is that in many, many cases it is not a physical injury or muscle imbalance or nerve degeneration.
It is a physical pain disorder caused by inner stress. The bio-chemical cause of pain is oxygen deprivation to your nerve and muscle tissue. This explains the region or movement of pain to the hip, back, buttocks and leg.
Now here is the challenge for you. In these pain disorders, which are common for Type A Personality Types (worry, striving, perfection, people pleasing, controlling, etc.), you must stop physical treatments and focus on the ways that you are creating this inner stress/tension that your body is now creating pain through oxygen deprivation.
I have been pain free for 7 years and ended all of my back, buttock and sciatica pain by accepting the tension/stress diagnosis.
Good luck, Monte Hueftle
Try this: http://www.spine-health.com/topics/conserv/sciaex/sciaex06.html
It never hurts in my butt or down the back of my leg only the front, can this still be sciatica or piriformis muscle pain ? What do they do for this ?
I have already had spine surgery once with rods & screws in my back.
no. if it was sciatica, it would be down the back or side of your butt being that the area of the piriformis muscle if i recall correctly.
try to stretch out your quads. it may just be a over tighten muscle.
seek out a deep tissue massage therapist if it is a muscle problem. it may be stemming from the back surgery that you had.
THIS HURTS!
What hurts…: My right buttocks.
How you hurt it…: A gradual onset of right buttock pain, it may be related to sciatica. It bothers me when I stand for an extended period of time.
When you hurt it…: I am not exactly sure… when I stand still I experience pressure in my low back, which usually extends to pain in my right buttock region after a period of time.
Your pain level (1 is low, 10 is high pain): when it hurts it can go up to about an 8. The pain sips like an eletrical shock to my upper thigh at times.
Your age and overall health…: Heatlhy, 52 years old female. I go to curves 3 times a week and walk 2 times a week.
YOUR INJURY COULD BE…
Piriformis Syndrome.
REHAB YOUR INJURY BY…
Icing: 15 minutes for 2 to 3 times per day, with at least one hour in-between.
Both Knees to Chest: Lay on your back and pull both your knees towards your chest. Hold this for 15 seconds. Repeat this 2 to 3 times. Your low back should melt into the table or bed you are on.
One Knee to Chest: While on your back, pull your right knee to your chest. Hold this for 15 seconds. Repeat on the opposite leg. Perform this 2 to 3 times on each side.
Cross Knee to Chest: While on your back, cross your right leg over your left leg and draw your left knee towards your chest. Repeat this on the other side. Hold this for 15 seconds on each leg, 2 to 3 times on each side.
Massage: Lay on your side and massage the area of pain. Massage gently, into the area, making sure there is no pain. Over time, you will be able to massage deeper with no pain.
Duration : 0:6:13
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