Comments on: Piriformis Syndrome. http://blog.olivierlaude.com/archives/144 Illic ego est, vestri deus quod dominum. Mon, 06 Feb 2012 20:35:12 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Jon Field http://blog.olivierlaude.com/archives/144/comment-page-2#comment-33561 Jon Field Mon, 06 Feb 2012 20:35:12 +0000 http://blog.olivierlaude.com/archives/144#comment-33561 I have been fighting the Piriformis pain for almost 3 months now.This is the punishment I get for all the years of basketball,jogging,and snowboarding with minimal warmups and stretching.After reading all of these posts,I feel really defeated.My doctors are worthless in diagnosing and treating the unbearable pain I live with daily.I can no longer drive a car because I cant sit .I wake every morning at 4 am with the pain in my left buttock that brings me to tears.My stretches actually seem like they make it worse and leave me with a "raw"feeling in my muscles.My life is at the mercy of this pain.I am trying to get the botox or steroid shot for now so that I can at least make it to work and to PT.How can something so simple hurt so bad?I need help and there seems to be no solution in sight. I have been fighting the Piriformis pain for almost 3 months now.This is the punishment I get for all the years of basketball,jogging,and snowboarding with minimal warmups and stretching.After reading all of these posts,I feel really defeated.My doctors are worthless in diagnosing and treating the unbearable pain I live with daily.I can no longer drive a car because I cant sit .I wake every morning at 4 am with the pain in my left buttock that brings me to tears.My stretches actually seem like they make it worse and leave me with a “raw”feeling in my muscles.My life is at the mercy of this pain.I am trying to get the botox or steroid shot for now so that I can at least make it to work and to PT.How can something so simple hurt so bad?I need help and there seems to be no solution in sight.

]]> By: Alison Pierce http://blog.olivierlaude.com/archives/144/comment-page-2#comment-31956 Alison Pierce Fri, 06 Jan 2012 06:10:05 +0000 http://blog.olivierlaude.com/archives/144#comment-31956 2 years and 8 months ago I had a severe fall on concrete that resulted in crippling low back pain and sciatica that went into my foot. >My local doctors in Washington state pushed me off on pain clinics that seemed to take endless shots in the dark.(ESI'S, facet blocks, ect) A periformus injection was tried..Effective for a short time but the relief wouldn't last. My pain specialist said,"I'm sorry but nothing I try seems to work." And then he said to go back to my Primary care Dr. for more direction. At this point I began to advocate for myself. My inlaws live in California so I flew in to Santamonica to seek treatment at the UCLA comprehensive Spine Center. I met with a Dr. A Nick Shamie who was spot on with his diagnosis from the first time I met with him. When I fell I damaged the ligaments that held the SI joint in place which resulted in sacroilitis and a Periformus syndrome. Long story short-he ended up doing a minimally invasive si fusion with ifuse screws. Afterwards he referred me to Dr. Aaron Filler in August of 2011. After a very thorough initial patient exam I returned to Washington state with orders for MRN imaging and a second botox injection. UW in Seattle,WA has MRN imaging so I made the 3 hour trip there to get the MRN. When the pictures came back severe inflammation was seen around the siatic notch. This confirmed Dr. Fillers diagnosis so surgery was scheduled for November 10 of 2o11 at Cedars Sianai hospital in la (WILL write more later) Ally 2 years and 8 months ago I had a severe fall on concrete that resulted in crippling low back pain and sciatica that went into my foot. >My local doctors in Washington state pushed me off on pain clinics that seemed to take endless shots in the dark.(ESI’S, facet blocks, ect) A periformus injection was tried..Effective for a short time but the relief wouldn’t last. My pain specialist said,”I’m sorry but nothing I try seems to work.” And then he said to go back to my Primary care Dr. for more direction. At this point I began to advocate for myself. My inlaws live in California so I flew in to Santamonica to seek treatment at the UCLA comprehensive Spine Center. I met with a Dr. A Nick Shamie who was spot on with his diagnosis from the first time I met with him. When I fell I damaged the ligaments that held the SI joint in place which resulted in sacroilitis and a Periformus syndrome. Long story short-he ended up doing a minimally invasive si fusion with ifuse screws. Afterwards he referred me to Dr. Aaron Filler in August of 2011. After a very thorough initial patient exam I returned to Washington state with orders for MRN imaging and a second botox injection. UW in Seattle,WA has MRN imaging so I made the 3 hour trip there to get the MRN. When the pictures came back severe inflammation was seen around the siatic notch. This confirmed Dr. Fillers diagnosis so surgery was scheduled for November 10 of 2o11 at Cedars Sianai hospital in la (WILL write more later)
Ally

]]> By: noel briggs http://blog.olivierlaude.com/archives/144/comment-page-2#comment-31847 noel briggs Wed, 04 Jan 2012 15:51:23 +0000 http://blog.olivierlaude.com/archives/144#comment-31847 I have been suffering from piriformis syndrome for over 7 years. therapy has only made my pain worse,. allergic to steroids. Oct 31, 2011. I finally got my Dr. to give me my first botox injection. I went from barely moving to volunteering at an animal shelter 2 hrs. a day. I was in heaven. then my worst nightmare happened. The injection wore off. it seemed to happen very fast, not slowly and it didn't last the three months as expected. now I'm in pain again counting the hours until i am able to get the next shot. (like a drug addict) Is it etched in stone that the injections be spaced 3 months. I've gone from being productive and worth something, making a difference to worthless. And my dr doesn't give a crap. Does anyone have any information about how long these injections last? I have been suffering from piriformis syndrome for over 7 years. therapy has only made my pain worse,. allergic to steroids. Oct 31, 2011. I finally got my Dr. to give me my first botox injection. I went from barely moving to volunteering at an animal shelter 2 hrs. a day. I was in heaven. then my worst nightmare happened. The injection wore off. it seemed to happen very fast, not slowly and it didn’t last the three months as expected. now I’m in pain again counting the hours until i am able to get the next shot. (like a drug addict) Is it etched in stone that the injections be spaced 3 months. I’ve gone from being productive and worth something, making a difference to worthless. And my dr doesn’t give a crap. Does anyone have any information about how long these injections last?

]]> By: joanie lindsay http://blog.olivierlaude.com/archives/144/comment-page-2#comment-30384 joanie lindsay Sun, 18 Dec 2011 04:15:04 +0000 http://blog.olivierlaude.com/archives/144#comment-30384 I recently had lumbar spinal decompression and was having "barbed wire" pain in my buttocks and down my legs to my knee. As my MRI results seemed to show no nerve restriction, I am being sent to pain management. On my first visit, was prescribed neurontin and given some (5) needle sticks in my buttocks. 5 days later, the pain has gone from prickly pain to severe tightness pain in buttocks, hips down legs, and has now gone into lower part of legs which was the ONLY place I wasn't having pain previously. I went from getting prickly pain after prolonged sitting to now being barely able to sit at all. The injections seemed to make my problem go from bad to worse and seemed to throw the 11 weeks of PT I had down the drain and start me back at worse than square one. I said all this to say be careful of letting someone stick needles in your piriformis as it may elevate your pain. I recently had lumbar spinal decompression and was having “barbed wire” pain in my buttocks and down my legs to my knee. As my MRI results seemed to show no nerve restriction, I am being sent to pain management. On my first visit, was prescribed neurontin and given some (5) needle sticks in my buttocks. 5 days later, the pain has gone from prickly pain to severe tightness pain in buttocks, hips down legs, and has now gone into lower part of legs which was the ONLY place I wasn’t having pain previously. I went from getting prickly pain after prolonged sitting to now being barely able to sit at all. The injections seemed to make my problem go from bad to worse and seemed to throw the 11 weeks of PT I had down the drain and start me back at worse than square one. I said all this to say be careful of letting someone stick needles in your piriformis as it may elevate your pain.

]]> By: olivier Laude http://blog.olivierlaude.com/archives/144/comment-page-2#comment-24805 olivier Laude Fri, 19 Aug 2011 19:38:35 +0000 http://blog.olivierlaude.com/archives/144#comment-24805 Ok folks, I have not chimed in since this post has been up, as it's author I am obliged to keep abreast of it's activity and who visits and their concerned about their chronic pain...which as you all know is a misery as reflected in these comments. Of all the 275 blog entries I have posted since April 2007, none have generated more interest than all my other, more "interesting" posts...and the reason for than is that pain rules most of your lives. I personally have long ago given up on the Piriformis diagnosis and/or spinal herniation and the myriad of what I call "bad spinal" medicine, which seems to be the norm in modern clinical medicine.... a failure of immense proportions...! As it turns out, most chronic pain issues, and especially those which involve the back or legs, neck and arms are due to TMS (Tension Myositis Syndrome) as discovered by a NYU physician called John E.Sarno... Your best bet is to pick up his latest book and read it carefully" The Divided Mind, The Epidemic of Mindbody Disorders" or any of his previous books...all easily found on Amazon... you can also go to this URL http://tmswiki.org/ and find out more about TMS. Chances are you have TMS.... Read his book with an open mind and take the steps to feel better..... Best to all of you..... Ok folks, I have not chimed in since this post has been up, as it’s author I am obliged to keep abreast of it’s activity and who visits and their concerned about their chronic pain…which as you all know is a misery as reflected in these comments. Of all the 275 blog entries I have posted since April 2007, none have generated more interest than all my other, more “interesting” posts…and the reason for than is that pain rules most of your lives. I personally have long ago given up on the Piriformis diagnosis and/or spinal herniation and the myriad of what I call “bad spinal” medicine, which seems to be the norm in modern clinical medicine…. a failure of immense proportions…!
As it turns out, most chronic pain issues, and especially those which involve the back or legs, neck and arms are due to TMS (Tension Myositis Syndrome) as discovered by a NYU physician called John E.Sarno… Your best bet is to pick up his latest book and read it carefully” The Divided Mind, The Epidemic of Mindbody Disorders” or any of his previous books…all easily found on Amazon… you can also go to this URL http://tmswiki.org/ and find out more about TMS. Chances are you have TMS…. Read his book with an open mind and take the steps to feel better….. Best to all of you…..

]]> By: Milton http://blog.olivierlaude.com/archives/144/comment-page-2#comment-24242 Milton Thu, 28 Jul 2011 23:10:19 +0000 http://blog.olivierlaude.com/archives/144#comment-24242 Greetings, lying in bed with heating pad under my buttock, pillow under my knees… thinking; am I going crazy! Is this pain real? Is this a life worth living? How on earth can it hurt so much for so long? Most people don’t understand; just suck it up and live with it! I now have much empathy for my son in-law whom has suffered with chronic back pain for many years; experience is a cruel teacher I feel much sadness reading the stories here of all the painful suffering we are all going though. Thanks for the tips and advice on dealing with this. I’m not sure where I’m heading on my journey with this pain; however now I have some comfort in knowing there are others whom understand what I’m going through. Best wishes for everyone, Milton Greetings, lying in bed with heating pad under my buttock, pillow under my knees… thinking; am I going crazy! Is this pain real? Is this a life worth living? How on earth can it hurt so much for so long? Most people don’t understand; just suck it up and live with it!
I now have much empathy for my son in-law whom has suffered with chronic back pain for many years; experience is a cruel teacher
I feel much sadness reading the stories here of all the painful suffering we are all going though. Thanks for the tips and advice on dealing with this. I’m not sure where I’m heading on my journey with this pain; however now I have some comfort in knowing there are others whom understand what I’m going through.
Best wishes for everyone, Milton

]]> By: Will http://blog.olivierlaude.com/archives/144/comment-page-2#comment-24226 Will Wed, 27 Jul 2011 19:04:43 +0000 http://blog.olivierlaude.com/archives/144#comment-24226 Sorry to hear about your problems. Hang in there as with persistence you can find a solution. ART is active release therapy where you try and break up the scar tissue/adhesions that have formed over time. ART alone didn't work for me and seemed to aggravate the condition as one guy was very aggressive - I used to get brutal spasms in the glute at 4am which was totally misery. PT and chiro didn't work for me either - then I added a good deep tissue massage therapist to buttocks and lower back, as well as psoas muscle, IT band - but I think butt/low back did the trick together with a chiro adjustment. Took at least 5 visits twice a week. I had chronic butt pain with left foot numbness for almost 10 years. I sit a lot myself as an IT programmer - I often cross my left leg over and other things that don't help. My feeling is get rid of the pain first before you do PT (strengthen abs, etc). Hope it helps! Sorry to hear about your problems. Hang in there as with persistence you can find a solution. ART is active release therapy where you try and break up the scar tissue/adhesions that have formed over time. ART alone didn’t work for me and seemed to aggravate the condition as one guy was very aggressive – I used to get brutal spasms in the glute at 4am which was totally misery.

PT and chiro didn’t work for me either – then I added a good deep tissue massage therapist to buttocks and lower back, as well as psoas muscle, IT band – but I think butt/low back did the trick together with a chiro adjustment. Took at least 5 visits twice a week. I had chronic butt pain with left foot numbness for almost 10 years. I sit a lot myself as an IT programmer – I often cross my left leg over and other things that don’t help. My feeling is get rid of the pain first before you do PT (strengthen abs, etc). Hope it helps!

]]> By: Pat http://blog.olivierlaude.com/archives/144/comment-page-2#comment-22692 Pat Sat, 11 Jun 2011 16:51:45 +0000 http://blog.olivierlaude.com/archives/144#comment-22692 I have been in the same pain for a year and a half and I cannot believe others are experiencing this also. I have pain bilaterally - down both legs and both buttocks. It started with severe pain down both legs and sitting was impossible. It is now a year and a half later and I find I can sit for about an hour now without the tingling and pain down both legs but I can't work still and I'm frightened of my future. It made me sad to see others are feeling so desperate and I too have thought of suicide as a way out but I don't think I could do it either. I still have hope some days and I've tried accupuncture, PT for months, chiropractic, and nothing really helped significantly although I think they all helped a little. My doctor wants me to have a nerve block on my right leg as I have a nerve that seems to be irritated on the inner thigh that we both think is possibly a separate issue. I wold consider the botox as I think it could be piriformis since i sat VERY long hours for years before this all happened daily. I worked too much and now i am not working at all which is scary. I jumped through hoops to get the MRI Neurography approved by my doctors and health insurance here in Massachusetts but so far I can't get it covered - and this is after months of convincing my doctor to give me the order so it's been a ridiculous waste of time. I cannot say enough how much I think the healthcare industry is so poor despite the fact that I have the best health insurance around (or one of the best). There is an MRI neurography here in MA and I would like to do it at some point but I need a doctor who can help me get it approved. nobody believes in piriformis either so it's hard to get help for this but I can't go on much longer like this either - it's just misery. I'm glad I found this page. thank you and hope to hear from others about what helped them. I read somewhere that Myotherapy helps so that is what I'm going to try next. OH and what is ART therapy? I looked it up and only found art therapy which I don't think is what people mean here! I have been in the same pain for a year and a half and I cannot believe others are experiencing this also. I have pain bilaterally – down both legs and both buttocks. It started with severe pain down both legs and sitting was impossible. It is now a year and a half later and I find I can sit for about an hour now without the tingling and pain down both legs but I can’t work still and I’m frightened of my future. It made me sad to see others are feeling so desperate and I too have thought of suicide as a way out but I don’t think I could do it either. I still have hope some days and I’ve tried accupuncture, PT for months, chiropractic, and nothing really helped significantly although I think they all helped a little. My doctor wants me to have a nerve block on my right leg as I have a nerve that seems to be irritated on the inner thigh that we both think is possibly a separate issue. I wold consider the botox as I think it could be piriformis since i sat VERY long hours for years before this all happened daily. I worked too much and now i am not working at all which is scary. I jumped through hoops to get the MRI Neurography approved by my doctors and health insurance here in Massachusetts but so far I can’t get it covered – and this is after months of convincing my doctor to give me the order so it’s been a ridiculous waste of time. I cannot say enough how much I think the healthcare industry is so poor despite the fact that I have the best health insurance around (or one of the best). There is an MRI neurography here in MA and I would like to do it at some point but I need a doctor who can help me get it approved. nobody believes in piriformis either so it’s hard to get help for this but I can’t go on much longer like this either – it’s just misery. I’m glad I found this page. thank you and hope to hear from others about what helped them. I read somewhere that Myotherapy helps so that is what I’m going to try next. OH and what is ART therapy? I looked it up and only found art therapy which I don’t think is what people mean here!

]]> By: Richard Clarke http://blog.olivierlaude.com/archives/144/comment-page-2#comment-21863 Richard Clarke Tue, 17 May 2011 11:06:58 +0000 http://blog.olivierlaude.com/archives/144#comment-21863 Hi guys and gals Had the same problem for six years now, no permanent relief in sight, the UK health service cannot cope with this problem. Just a small piece of information though - for those having trouble sitting, a kneeling chair / stool has reduced sitting pain symptoms dramatically for me as it unloads the glutes and reduces the pressure on the already pressured sciatic nerve. Was worried at first as it hurt my knees for the first few days, but am now used to it and the knees are fine. Even driving now is less painful due to reduced pain generally, I suspect the reduced load is allowing things to heal a bit. Hope this helps Rich Hi guys and gals

Had the same problem for six years now, no permanent relief in sight, the UK health service cannot cope with this problem.

Just a small piece of information though – for those having trouble sitting, a kneeling chair / stool has reduced sitting pain symptoms dramatically for me as it unloads the glutes and reduces the pressure on the already pressured sciatic nerve. Was worried at first as it hurt my knees for the first few days, but am now used to it and the knees are fine. Even driving now is less painful due to reduced pain generally, I suspect the reduced load is allowing things to heal a bit.

Hope this helps

Rich

]]> By: Will http://blog.olivierlaude.com/archives/144/comment-page-2#comment-21420 Will Fri, 06 May 2011 19:28:12 +0000 http://blog.olivierlaude.com/archives/144#comment-21420 Okay guys it's Will, I'm baaaaaack! :0 Sorry to hear that some of you still have pain and while everyone might have different issues I have learned a few things since I last posted. Like I said above I've done everything from chiro, ART, IMS, botox, prolotherapy, nerve root blocks, physio, stretching, sitting on a dog ball (trigger points), ice, heat, blah blah blah. The last time I got relief I couldn't figure out exactly what it was but I started doing ART yet again but slightly different (not as aggressive for one), but then I added massage and some chiro. That did the trick for 6 months after stopping treatment. Then we moved to the east coast and it started up again in sept 2010 when I was sitting a lot for my day job. At the time the pain improved I was also taking glucosamine and calcium so I wasn't sure. So out here I thought it's probably the massage since I had never done that before so I started massage only. It didn't help. So it took awhile but I found a chiro who does a little ART but also has a deep tissue massage therapist on staff. So I started doing both and voila the pain was gone after a few visits. I still have some numbness but the pain is gone. It mostly came when I stood up, you get that nagging jab in your butt. This time I wasn't really taking anything. For massage make sure you get a deep tissue massage therapist who knows his/her stuff. Mine has science degrees and differentiates herself from those who 'push hard' to use her words. Surprisingly there is little pain when she does her thing - she focuses on the glutes (both sides as you usually compensate by leaning on your right side) as well as the lower back, really sensitive spots in the center between the verterbrae it seems. It's really hard to believe I was able to first get relief after many many years of grief, and when it came back, to find another set of folks who could replicate what I did. Don't be doing physio at first when you are in pain, as you need to relieve the pain first, usually there are lots of adhesions and scar tissue in the muscle. Then after the trigger points and scar tissue are gone, you work to stretch and then strengthen the muscles. So many people try to stretch and strengthen right away which only aggravates the condition or is ineffective. Hope that helps! Okay guys it’s Will, I’m baaaaaack! :0

Sorry to hear that some of you still have pain and while everyone might have different issues I have learned a few things since I last posted. Like I said above I’ve done everything from chiro, ART, IMS, botox, prolotherapy, nerve root blocks, physio, stretching, sitting on a dog ball (trigger points), ice, heat, blah blah blah.

The last time I got relief I couldn’t figure out exactly what it was but I started doing ART yet again but slightly different (not as aggressive for one), but then I added massage and some chiro. That did the trick for 6 months after stopping treatment. Then we moved to the east coast and it started up again in sept 2010 when I was sitting a lot for my day job. At the time the pain improved I was also taking glucosamine and calcium so I wasn’t sure.

So out here I thought it’s probably the massage since I had never done that before so I started massage only. It didn’t help. So it took awhile but I found a chiro who does a little ART but also has a deep tissue massage therapist on staff. So I started doing both and voila the pain was gone after a few visits. I still have some numbness but the pain is gone. It mostly came when I stood up, you get that nagging jab in your butt. This time I wasn’t really taking anything.

For massage make sure you get a deep tissue massage therapist who knows his/her stuff. Mine has science degrees and differentiates herself from those who ‘push hard’ to use her words. Surprisingly there is little pain when she does her thing – she focuses on the glutes (both sides as you usually compensate by leaning on your right side) as well as the lower back, really sensitive spots in the center between the verterbrae it seems.

It’s really hard to believe I was able to first get relief after many many years of grief, and when it came back, to find another set of folks who could replicate what I did. Don’t be doing physio at first when you are in pain, as you need to relieve the pain first, usually there are lots of adhesions and scar tissue in the muscle. Then after the trigger points and scar tissue are gone, you work to stretch and then strengthen the muscles. So many people try to stretch and strengthen right away which only aggravates the condition or is ineffective. Hope that helps!

]]> By: Anne Chaisson http://blog.olivierlaude.com/archives/144/comment-page-2#comment-19494 Anne Chaisson Sat, 26 Mar 2011 18:04:48 +0000 http://blog.olivierlaude.com/archives/144#comment-19494 I feel like I've just found a lost family. I am lying in bed with a heating pad and an iPad because I can't sit at all. It's been a year and a half but I'm starting to lose it and am glad to know I'm not crazy, just in unbearable pain. Thanks for the helpful advice as I will start a few today. I feel like I’ve just found a lost family. I am lying in bed with a heating pad and an iPad because I can’t sit at all. It’s been a year and a half but I’m starting to lose it and am glad to know I’m not crazy, just in unbearable pain. Thanks for the helpful advice as I will start a few today.

]]> By: Mamainpain http://blog.olivierlaude.com/archives/144/comment-page-2#comment-18930 Mamainpain Tue, 15 Jun 2010 04:24:46 +0000 http://blog.olivierlaude.com/archives/144#comment-18930 I've had buttock pain on and off for a long time. I ran and biked alot. Now i do yoga but a few weeks of hiking and spinning and it's turned into major sciatica. I sleep so nicely and it feels great. But then it kills as soon as I stand up. Forget about sitting. I actually set the floor for dinner and my spouse lays on the floor with me to eat together. To go on an outing together, I lay in the back of our wagon. When I must drive I have found that sittin on a small plastic binders helps some. So does vocalizing ( scream, yell, sing or whistle. I'm doing accupunture (not helping) and seeing a chiropractor that also does message. In all my research I plan to use massage, trigger point therapy, a good diet, releasing pent up emotions, creating positive affirmations, rest, and most importantly muscle balance therapy. It's the recipe I'm working on anyway. Hope that helps. I’ve had buttock pain on and off for a long time. I ran and biked alot. Now i do yoga but a few weeks of hiking and spinning and it’s turned into major sciatica. I sleep so nicely and it feels great. But then it kills as soon as I stand up. Forget about sitting. I actually set the floor for dinner and my spouse lays on the floor with me to eat together. To go on an outing together, I lay in the back of our wagon. When I must drive I have found that sittin on a small plastic binders helps some. So does vocalizing ( scream, yell, sing or whistle. I’m doing accupunture (not helping) and seeing a chiropractor that also does message. In all my research I plan to use massage, trigger point therapy, a good diet, releasing pent up emotions, creating positive affirmations, rest, and most importantly muscle balance therapy. It’s the recipe I’m working on anyway. Hope that helps.

]]> By: Melissa http://blog.olivierlaude.com/archives/144/comment-page-2#comment-18913 Melissa Mon, 14 Jun 2010 19:44:25 +0000 http://blog.olivierlaude.com/archives/144#comment-18913 I am glad I stumbled across this site...it is refreshing and yet difficult to hear of many others who are suffering and not finding relief. I have been in pain that has increased across the last 11 months...it started as a slight pain and has moved to a constant all day, every day no matter what I do. I was training for a marathon when the pain first started and had to postpone that...I ran a half marathon this weekend after taking a little break the past couple months from doctors/therapy/chiro/etc. I have tried ART therapy, traditional therapy, chiro and nothing has worked. I live in a super small town and acu/massage is not really available...I drive 90 miles one way to get to my docs! I was wondering if anyone has tried the wedge device?? Also I am scheduled in two weeks for RF ablation on the L5-S1 area to see if that will relieve the low back, sciatic, piriformis pain. I guess I am still lucky because my pain is limited to the low back, piriformis, hamstring areas...has yet to go down past my knee. The pain in the piriformis is so bad that I often stand all day sitting on that tennis ball is worse than a visit to the dentist for a root canal...I hate the tennis ball!!!! Any feedback on the wedge or the RF ablation would be appreciated!! I am glad I stumbled across this site…it is refreshing and yet difficult to hear of many others who are suffering and not finding relief. I have been in pain that has increased across the last 11 months…it started as a slight pain and has moved to a constant all day, every day no matter what I do. I was training for a marathon when the pain first started and had to postpone that…I ran a half marathon this weekend after taking a little break the past couple months from doctors/therapy/chiro/etc. I have tried ART therapy, traditional therapy, chiro and nothing has worked. I live in a super small town and acu/massage is not really available…I drive 90 miles one way to get to my docs! I was wondering if anyone has tried the wedge device?? Also I am scheduled in two weeks for RF ablation on the L5-S1 area to see if that will relieve the low back, sciatic, piriformis pain. I guess I am still lucky because my pain is limited to the low back, piriformis, hamstring areas…has yet to go down past my knee. The pain in the piriformis is so bad that I often stand all day sitting on that tennis ball is worse than a visit to the dentist for a root canal…I hate the tennis ball!!!! Any feedback on the wedge or the RF ablation would be appreciated!!

]]> By: Linmarie http://blog.olivierlaude.com/archives/144/comment-page-2#comment-17843 Linmarie Tue, 25 May 2010 16:38:56 +0000 http://blog.olivierlaude.com/archives/144#comment-17843 Will, I'm happy to hear you are better. I've also been having alot of massage therapy & sitting on a tennis ball at times. I have to be careful with the stretches, they exacerbate the pain. Yesterday, I tried the piriformis stretches again & they really increase my pain. So, I agree with you that my pain is not necessarily piriformis or I'm hurting it someway with the stretches. Other glute stretches don't hurt as much. I've decided against the botox (for now). I'm thinking about contacting the doc in Santa Monica that specializes in the area. The massage therapist does help. I am going to try a hot springs spa again tomorrow. Last time I went, I felt better everywhere except the ischium (inflammation?) Hope your pain doesn't come back this time. Linmarie Will, I’m happy to hear you are better. I’ve also been having alot of massage therapy & sitting on a tennis ball at times. I have to be careful with the stretches, they exacerbate the pain. Yesterday, I tried the piriformis stretches again & they really increase my pain. So, I agree with you that my pain is not necessarily piriformis or I’m hurting it someway with the stretches. Other glute stretches don’t hurt as much. I’ve decided against the botox (for now). I’m thinking about contacting the doc in Santa Monica that specializes in the area. The massage therapist does help. I am going to try a hot springs spa again tomorrow. Last time I went, I felt better everywhere except the ischium (inflammation?) Hope your pain doesn’t come back this time.
Linmarie

]]> By: Will http://blog.olivierlaude.com/archives/144/comment-page-2#comment-17332 Will Thu, 13 May 2010 14:01:28 +0000 http://blog.olivierlaude.com/archives/144#comment-17332 To those who think they have piriformis syndrome, you may not so be careful. I had botox in piriformis and it didn't work. There are many muscles in the glute/hip area. I just wanted to give another update that things have improved and are still doing okay. Still some issues and numbness in left foot at times but much preferred over pain. I can't explain exactly what happened to help it but I took calcium nitrate (apparently helps heal tendon injuries), had ART and massage. I did ART before and it caused spasms so I was skeptical but this time it was much more gentle. Now I sit on a dog ball and lean back and move my leg around, cross it, etc to hopefully break up any scar tissue. It's hard to believe it's better after 8+ years of pain and it always comes back so we'll see. To those who think they have piriformis syndrome, you may not so be careful. I had botox in piriformis and it didn’t work. There are many muscles in the glute/hip area.

I just wanted to give another update that things have improved and are still doing okay. Still some issues and numbness in left foot at times but much preferred over pain.

I can’t explain exactly what happened to help it but I took calcium nitrate (apparently helps heal tendon injuries), had ART and massage. I did ART before and it caused spasms so I was skeptical but this time it was much more gentle.

Now I sit on a dog ball and lean back and move my leg around, cross it, etc to hopefully break up any scar tissue. It’s hard to believe it’s better after 8+ years of pain and it always comes back so we’ll see.

]]> By: Ellen http://blog.olivierlaude.com/archives/144/comment-page-2#comment-17064 Ellen Thu, 06 May 2010 23:30:41 +0000 http://blog.olivierlaude.com/archives/144#comment-17064 I have had classic piriformis syndrome for almost a year. Once it had set in, I could hardly sit for more than a few moments, so I worked with my laptop standing all day. Car rides were the worst. Sciatic-like tingling, or pins and needles, down to the calf/ankle from the trapped nerve. Continued light exercise but nothing too straining. ART and massage aggravated the spasm, so I stopped that. Had all the classic stuff--cortisone site injection, epidural injection around L4-L5, etc. Did the stretches, the tennis ball. Micro-disectomy, finally, for what was seen as a small disc protrusion. To the person who said their piriformis was worse after surgery, indeed. Finally, I just had the botox injection. It's still not common for this condition, so am not sure how soon to expect to feel or not feel the muscle and/or how soon to start gentle stretching and/or massage. Any thoughts? Am not going back to PT because I think I could teach a class on piriformis streches and pelvic stability at this point. But will start stretching soon and consider ART again. Massage, for sure. But when? Thank you in advance. I feel for all in this thread. It's a difficult thing to deal with, much less explain to someone who has never experienced. I have had classic piriformis syndrome for almost a year. Once it had set in, I could hardly sit for more than a few moments, so I worked with my laptop standing all day. Car rides were the worst. Sciatic-like tingling, or pins and needles, down to the calf/ankle from the trapped nerve. Continued light exercise but nothing too straining. ART and massage aggravated the spasm, so I stopped that. Had all the classic stuff–cortisone site injection, epidural injection around L4-L5, etc. Did the stretches, the tennis ball. Micro-disectomy, finally, for what was seen as a small disc protrusion. To the person who said their piriformis was worse after surgery, indeed.

Finally, I just had the botox injection. It’s still not common for this condition, so am not sure how soon to expect to feel or not feel the muscle and/or how soon to start gentle stretching and/or massage.

Any thoughts? Am not going back to PT because I think I could teach a class on piriformis streches and pelvic stability at this point. But will start stretching soon and consider ART again. Massage, for sure. But when?

Thank you in advance. I feel for all in this thread. It’s a difficult thing to deal with, much less explain to someone who has never experienced.

]]> By: Lisa http://blog.olivierlaude.com/archives/144/comment-page-2#comment-15675 Lisa Thu, 25 Mar 2010 01:13:40 +0000 http://blog.olivierlaude.com/archives/144#comment-15675 I have given birth to two children, and my piriformis pain rivals labor pain. I do not know how the folks have lived with this pain for so long. I believe I came into my piriformis syndrome from an overdone yoga pose, but have had great curative results from yoga. Four or five times a day I apply heat then do stretching exercises which include Pigeon pose (hold for a minute-takes that long for stretch in piriformis to occur), and Cow faced pose. I have read that also Bound half lotus is great, but have been in too much pain to go there yet. I found four other stretches on internet sites that seem to be working well too. My son's acupuncturist tells me that she treats this often, so I am going to her tomorrow. I'll weigh back in on how that goes, but she seemed pretty confident. Finally, in yoga we learn to be aware of posture, and to think of "stacking the spine" in your pelvis. I've been trying to be mindful of that concept, and can feel relief in the pressure on that painful area when I sit up very straight, shoulders back. I'm only on day 5 from onset, and I can once again drive the car without crying from pain. I know these things sound so simple as to be lame, but I feel like it is all working. Oh, and sleeping with pillows under my knees to slightly elevate the pelvis has helped me get through the night! I have given birth to two children, and my piriformis pain rivals labor pain. I do not know how the folks have lived with this pain for so long. I believe I came into my piriformis syndrome from an overdone yoga pose, but have had great curative results from yoga. Four or five times a day I apply heat then do stretching exercises which include Pigeon pose (hold for a minute-takes that long for stretch in piriformis to occur), and Cow faced pose. I have read that also Bound half lotus is great, but have been in too much pain to go there yet. I found four other stretches on internet sites that seem to be working well too. My son’s acupuncturist tells me that she treats this often, so I am going to her tomorrow. I’ll weigh back in on how that goes, but she seemed pretty confident.
Finally, in yoga we learn to be aware of posture, and to think of “stacking the spine” in your pelvis. I’ve been trying to be mindful of that concept, and can feel relief in the pressure on that painful area when I sit up very straight, shoulders back.
I’m only on day 5 from onset, and I can once again drive the car without crying from pain. I know these things sound so simple as to be lame, but I feel like it is all working. Oh, and sleeping with pillows under my knees to slightly elevate the pelvis has helped me get through the night!

]]> By: Debbie http://blog.olivierlaude.com/archives/144/comment-page-2#comment-15654 Debbie Tue, 23 Mar 2010 17:39:42 +0000 http://blog.olivierlaude.com/archives/144#comment-15654 I have had chronic pain in my hip area for about 18 years. I've tried everything including exercise, pain management, physical therapy, massage, anti-inflammatory drugs, acupuncture, chiropracty, neurosurgeons, back surgeons, etc. I am a teacher and I live in constant pain. Bad pain. You know how it is. The kind of pain that takes your life away. I have read about a doctor in Santa Monica (I live in Texas)who does a special surgery (I think it is an outpatient procedure) to relieve periformis syndrome which I believe I have. I have had a physical therapist and an acupunturist tell me this is what I have, anyway. I have been to a neurosurgeon who could find nothing wrong, he said, except a little scoliosis and age-related spinal stenosis. I've been to other doctors who find nothing "significant." My pain is more than significant. I believe my spine is rotating due to scoliosis and pulling on the tendon that connects the periformis to the hip bone, thus constricting the muscle and causing the sciatic nerve to be severely pinched. Anyway, I cannot remember the doctor's name in Santa Monica but I'm going to check the internet. No, I can't afford to go to California and I'm not even sure my insurance will cover it, but maybe they will know someone closer to home who performs the surgery. I have even considered suicide as a way out of this pain, but of course that's not the answer for me. I am chronically depressed and have been on anti-depressants all these years. I think if I didn't have this pain I wouldn't be so depressed. If any of you out there know of a surgeon who does the periformis syndrome surgery, please let me know what you have learned. I have had chronic pain in my hip area for about 18 years. I’ve tried everything including exercise, pain management, physical therapy, massage, anti-inflammatory drugs, acupuncture, chiropracty, neurosurgeons, back surgeons, etc. I am a teacher and I live in constant pain. Bad pain. You know how it is. The kind of pain that takes your life away. I have read about a doctor in Santa Monica (I live in Texas)who does a special surgery (I think it is an outpatient procedure) to relieve periformis syndrome which I believe I have. I have had a physical therapist and an acupunturist tell me this is what I have, anyway. I have been to a neurosurgeon who could find nothing wrong, he said, except a little scoliosis and age-related spinal stenosis. I’ve been to other doctors who find nothing “significant.” My pain is more than significant. I believe my spine is rotating due to scoliosis and pulling on the tendon that connects the periformis to the hip bone, thus constricting the muscle and causing the sciatic nerve to be severely pinched. Anyway, I cannot remember the doctor’s name in Santa Monica but I’m going to check the internet. No, I can’t afford to go to California and I’m not even sure my insurance will cover it, but maybe they will know someone closer to home who performs the surgery. I have even considered suicide as a way out of this pain, but of course that’s not the answer for me. I am chronically depressed and have been on anti-depressants all these years. I think if I didn’t have this pain I wouldn’t be so depressed. If any of you out there know of a surgeon who does the periformis syndrome surgery, please let me know what you have learned.

]]> By: Linmarie http://blog.olivierlaude.com/archives/144/comment-page-2#comment-15634 Linmarie Mon, 22 Mar 2010 19:52:35 +0000 http://blog.olivierlaude.com/archives/144#comment-15634 I'm wondering if any of you have tried acupunture. I've had injections into the SI joint & ischium that gave me a little relief for awhile but the pain is back as bad as ever. I've been getting massages (some temporary relief) & do stretches every day. My chiropractor & pain management doctor think my problem is muscle spasms. Since I don't know what else to try I'm considering acupunture. I really appreciate this forum. Linmarie I’m wondering if any of you have tried acupunture. I’ve had injections into the SI joint & ischium that gave me a little relief for awhile but the pain is back as bad as ever. I’ve been getting massages (some temporary relief) & do stretches every day. My chiropractor & pain management doctor think my problem is muscle spasms. Since I don’t know what else to try I’m considering acupunture. I really appreciate this forum.
Linmarie

]]> By: Will http://blog.olivierlaude.com/archives/144/comment-page-2#comment-15245 Will Thu, 04 Mar 2010 17:18:00 +0000 http://blog.olivierlaude.com/archives/144#comment-15245 I just wanted to report some good news finally. My pain has substantially subsided as of late! The three basic things I started doing was ART, massage therapy and taking calcium citrate. Calcium citrate - someone mentioned on a forum that the repair of tendons which are close to the bone come from calcium in the bones so common blood tests might not detect issues with calcium in the bones. This coincided with the pain relief after 3-4 weeks. ART - I had this before but they were much more aggressive in the past and actually caused spasms. The current doctor also stretches and works on the psoas muscle which I never had worked on before. After about 4 or so treatments it still wasn't any better so I was about to give up on it. Massage therapy. Some really sore spots all over like in IT band, calves, hamstrings, etc. Thumb massage in upper left glute near bone. I noticed my left upper glute seems to be much less toned probably because I've been putting more weight on the right side. There is a really sensitive spot in there that I massage myself. Foam roller - rolling around on my quads, IT band and recently inner thigh, found some really sore spots. One great theory I heard was that I might have had some disc irritation at first years ago then that resulted in the tilting of my pelvis to avoid pain. I've definitely lost the usual curve in the lower back. So I was told to stretch the hip flexors, psoas and quadratus lumborum to allow the pelvis to return to natural position. I'm not out of the woods yet and have had occasional numbness in my left foot as well. Hope that helps someone! I just wanted to report some good news finally. My pain has substantially subsided as of late! The three basic things I started doing was ART, massage therapy and taking calcium citrate.

Calcium citrate – someone mentioned on a forum that the repair of tendons which are close to the bone come from calcium in the bones so common blood tests might not detect issues with calcium in the bones. This coincided with the pain relief after 3-4 weeks.

ART – I had this before but they were much more aggressive in the past and actually caused spasms. The current doctor also stretches and works on the psoas muscle which I never had worked on before. After about 4 or so treatments it still wasn’t any better so I was about to give up on it.

Massage therapy. Some really sore spots all over like in IT band, calves, hamstrings, etc.

Thumb massage in upper left glute near bone. I noticed my left upper glute seems to be much less toned probably because I’ve been putting more weight on the right side. There is a really sensitive spot in there that I massage myself.

Foam roller – rolling around on my quads, IT band and recently inner thigh, found some really sore spots.

One great theory I heard was that I might have had some disc irritation at first years ago then that resulted in the tilting of my pelvis to avoid pain. I’ve definitely lost the usual curve in the lower back. So I was told to stretch the hip flexors, psoas and quadratus lumborum to allow the pelvis to return to natural position.

I’m not out of the woods yet and have had occasional numbness in my left foot as well. Hope that helps someone!

]]> By: olivier http://blog.olivierlaude.com/archives/144/comment-page-2#comment-15012 olivier Sun, 14 Feb 2010 02:29:16 +0000 http://blog.olivierlaude.com/archives/144#comment-15012 Donna- Have you given pain management any thought? Methadone in small doses is a very effective synthetic narcotic...They prescribe it to pain patient and it helps a lot, it does not have the stigma that it once had.... I know they give it to recovering addicts but it was and is mostly a pain pill and a good one at that..Of course you should really look into it and inform yourself, it is not a small decision to make as it is a REAL bitch to kick if you ever get rid of the pain...but in the meantime it will, if you respond well, be a great pain management drug. Look into it, ask your doctor, a good doc, one who understand pain medecine... Donna- Have you given pain management any thought? Methadone in small doses is a very effective synthetic narcotic…They prescribe it to pain patient and it helps a lot, it does not have the stigma that it once had…. I know they give it to recovering addicts but it was and is mostly a pain pill and a good one at that..Of course you should really look into it and inform yourself, it is not a small decision to make as it is a REAL bitch to kick if you ever get rid of the pain…but in the meantime it will, if you respond well, be a great pain management drug. Look into it, ask your doctor, a good doc, one who understand pain medecine…

]]> By: Donna http://blog.olivierlaude.com/archives/144/comment-page-2#comment-15011 Donna Sun, 14 Feb 2010 02:01:56 +0000 http://blog.olivierlaude.com/archives/144#comment-15011 I have been suffering 5 years from Piriformis syndrome but have not found anyone who gives a rats ass or believes in it. My right SI joint is fused from a pool diving accident in the 80's and I am in pain all the time. My rt buttock, outer hip flexor and hamstring hurt all the time. I have had ESI's, SI injection, PT, chiro, Meds, Massage therapy, prednisone packs, no relief. I am in agony. I live in SC and if any one knows who I can go to please let me know. I am suffering bad. I am taking Yoga and it hurts me too. I cannot cycle, run, walk, and am pretty athletic and need help. I will about do anything, no matter the cost to get me out og this misery. My family has no idea what kind of pain I am in and tells me I have to just deal with it. Well, it's hard and I see why people want to kill themselves to keep from suffering their pain all the time. I see why cancer patients do this. I know now. Help! I have been suffering 5 years from Piriformis syndrome but have not found anyone who gives a rats ass or believes in it. My right SI joint is fused from a pool diving accident in the 80′s and I am in pain all the time. My rt buttock, outer hip flexor and hamstring hurt all the time. I have had ESI’s, SI injection, PT, chiro, Meds, Massage therapy, prednisone packs, no relief. I am in agony. I live in SC and if any one knows who I can go to please let me know. I am suffering bad. I am taking Yoga and it hurts me too. I cannot cycle, run, walk, and am pretty athletic and need help.
I will about do anything, no matter the cost to get me out og this misery. My family has no idea what kind of pain I am in and tells me I have to just deal with it. Well, it’s hard and I see why people want to kill themselves to keep from suffering their pain all the time. I see why cancer patients do this. I know now.
Help!

]]> By: Will http://blog.olivierlaude.com/archives/144/comment-page-2#comment-14759 Will Fri, 22 Jan 2010 14:53:59 +0000 http://blog.olivierlaude.com/archives/144#comment-14759 I've been posting here on occasion. Going to try to get an MRN if I can here in Calgary, Canada. Seems it should show which nerve is irritated and possible entrapment and hopefully what is causing it. Recently I had an s1 nerve root block and it relieved the pain instantly but it only lasted a day. So that would indicate it's probably the miracaine that is added to the injection. Going to try some ART again and masssage to see if there is any entrapment at least but sometimes I feel this is just irritating the nerve more. I’ve been posting here on occasion. Going to try to get an MRN if I can here in Calgary, Canada. Seems it should show which nerve is irritated and possible entrapment and hopefully what is causing it.

Recently I had an s1 nerve root block and it relieved the pain instantly but it only lasted a day. So that would indicate it’s probably the miracaine that is added to the injection.

Going to try some ART again and masssage to see if there is any entrapment at least but sometimes I feel this is just irritating the nerve more.

]]> By: olivier http://blog.olivierlaude.com/archives/144/comment-page-2#comment-14661 olivier Thu, 14 Jan 2010 02:27:31 +0000 http://blog.olivierlaude.com/archives/144#comment-14661 I have not commented for a long time but for those of you who might think that you have Piriformis make sure you turn every stone before taking drastic measures... Check out Discogenic pain...google it and learn about it...here is a quick link. http://www.uclahealth.org/body.cfm?xyzpdqabc=0&id=502&action=detail&ref=95# I have not commented for a long time but for those of you who might think that you have Piriformis make sure you turn every stone before taking drastic measures… Check out Discogenic pain…google it and learn about it…here is a quick link.

http://www.uclahealth.org/body.cfm?xyzpdqabc=0&id=502&action=detail&ref=95#

]]> By: nick horniman http://blog.olivierlaude.com/archives/144/comment-page-2#comment-14627 nick horniman Sat, 09 Jan 2010 10:18:55 +0000 http://blog.olivierlaude.com/archives/144#comment-14627 This blog encourages me. I live in Mauritius and five years ago after some 9 months of using a treadmill excessively I developed intense pain in the right buttock brought on by walking on hard surfaces. 9 holes of golf ie walking on grass is sometimes ok. My othopod here diagnosed osteo arthritis of the hip after looking a x-rays and eventually gave me a Birmingham hip resurfacing in 2006. No help at all. He then said get a MRI of spine and see a neurosurgeon. Two of these later I had a lumbar decompression 2008 in Mumbai - again lots more pain but no help. My physio has suggested piriformis syndrome so I have been researching this - stretching techniques, MR Neurography ie Dr Aaron Filler, injections etc. I would like to be properly diagnosed but cannot find a MRN scanner anywhere near me. Costs about £1000 in London. Does anyone know of whereabouts of this machine in say Reunion Island or SA? This blog encourages me. I live in Mauritius and five years ago after some 9 months of using a treadmill excessively I developed intense pain in the right buttock brought on by walking on hard surfaces. 9 holes of golf ie walking on grass is sometimes ok. My othopod here diagnosed osteo arthritis of the hip after looking a x-rays and eventually gave me a Birmingham hip resurfacing in 2006. No help at all. He then said get a MRI of spine and see a neurosurgeon. Two of these later I had a lumbar decompression 2008 in Mumbai – again lots more pain but no help. My physio has suggested piriformis syndrome so I have been researching this – stretching techniques, MR Neurography ie Dr Aaron Filler, injections etc. I would like to be properly diagnosed but cannot find a MRN scanner anywhere near me. Costs about £1000 in London. Does anyone know of whereabouts of this machine in say Reunion Island or SA?

]]>