piriformis sydrome

water43

water43

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piriformis syndrome has anybody heard of this.....sucks very painful after hip injuries too ,does anybody have a thought to any weighted exercises I can do actualy this involves my hip and glute muscles thanks
 
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Sports Medicine
Piriformis Syndrome - Causes, Prevention, and Treatment
Cause and Treatment of Piriformis Syndrome

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woman doing piriformis stretch outside on grass
Angelita Niedziejko/Moment/Getty Images




By Elizabeth Quinn
Updated August 26, 2016

Piriformis syndrome is neuromuscular condition that occurs when the muscle of the same name compresses the sciatic nerve.

Everyone has a flat, band-like muscle located in the buttocks near the top of the hip joint. This is the piriformis muscle. It stabilizes the hip joint and lifts and rotates the thigh away from the body when we walk, shift our weight from one foot to another, and helps maintain balance.

Because it is involved in every lower body motion, it is an important muscle.

The sciatic nerve is a nerve that passes alongside or goes through the piriformis muscle, travels down the back of the leg, and eventually branches off into smaller nerves that end in the feet.
How Piriformis Syndrome Occurs

Specifically, when the piriformis muscle becomes tight or cramps, pressure can be put on the sciatic nerve. Typically this pain increases when the muscle contracts, when sitting for an extended time, or direct pressure on the muscle. Gluteal (or buttock) pain is common. Pirformis syndrome is also a common cause of sciatica.
Piriformis Syndrome Causes

Shortening of the muscle and compression of the nerve is the most common cause of piriformis syndrome, but overuse of the glutes and other muscles in the hip can also cause muscle spasms of the piriformis. Other factors in this syndrome include poor body mechanics and posture, gait problems.

Pain can also be caused by prolonged external rotation of the hip, something that is common in ballet dancers so that the piriformis muscle is shortened. If the sciatic nerve is compressed for a long time there may be aching in the leg and pain in the low back.

Stretching and strengthening are the best treatments for piriformis syndrome.

This muscle rarely gets stretched, so a simply stretching routine can often work wonders.
Preventing and Treating Piriformis Syndrome

The easiest way to treat the pain of piriformis syndrome is to avoid positions or activities that cause it, such as prolonged sitting, walking with turned out feet, or walking up stairs. You may be able to alleviate the pain with rest, ice, and heat. Your doctor or physical therapist may recommend stretches which can help reduce the pressure on the sciatic nerve.

One could be the Piriformis Stretch. To do so, lay on your back, bend your knees and cross your right leg over your left so your right ankle rests on your left knee in a figure four position. Bring your left leg towards your chest by bending at the hip. Reach through and grab your left thigh to help pull things towards your chest.

If this doesn?t help relieve the pain go away, osteopathic manipulative treatment is an option as well as anti-inflammatory medications, muscle relaxants, or injections with a corticosteroid or anesthetic.

Other therapies tried by some doctors are iontophoresis, which uses a mild electric current, and botox injections. Using the paralytic properties of the botulinum toxin, botox injections is thought by some to relieve muscle tightness and sciatic nerve compression to minimize pain.

If none of these things work, surgery may be recommended as a last resort.
 
That's one of the stretched my physio gave me for my back but I don't have sciatica. I think it helps though. Looking at the muscle that's exactly one of the muscles that is tight on me.

2014-07-23-piriformis.jpg
 
do not get the surgery, my wife had it done and it didnt do shit. Find a good massage therapist that can release it. Basically you have to find someone that can stick their elbow on that spot then move your leg in a certain way and it will help it. Hard to find that person though. Everyone thinks they can do it but she only had one guy that could. The other option is active release technique. Or art they are usually in a chiropractic office. They may be able to help it. Its a bitch i know that she fought it for years then had the surgery.
 
I fought this for over a year until it finally got so bad I could barely walk; nearly cost me my job. After 9 months of intense PT and Graston technique I got to a point where I could manage it myself. Some of the worst pain and physical limitation I've ever experienced.

That was a couple years ago and I'm 100%. It still gets triggered. When I feel the signs I hit the dense foam roller and specific stretches hard.
 
Glycomann said:
That's one of the stretched my physio gave me for my back but I don't have sciatica. I think it helps though. Looking at the muscle that's exactly one of the muscles that is tight on me.

2014-07-23-piriformis.jpg
Click to expand...


Dense foam roller hits that to the point of grinding your teeth. Life saver.
 
any body think that gear squats leg extensins stretch the shit out these fkrs and then eat more pain meds icy cold shower to help circulation could work ?
 
water43 said:
any body think that gear squats leg extensins stretch the shit out these fkrs and then eat more pain meds icy cold shower to help circulation could work ?
Click to expand...

No. It will cause further inflammation. Pain meds will only dull the pain not resolve the issue. Slow stretching specifically targeting the piriformis followed by hot-cold therapy will help release it and reduce inflammation. It's not an over night fix. It takes time. I was out of the gym for months.
 
Im telling you look up Active Release Technique in your area call the guy and see if he can release the piriformus. If he can its completely worth it. If he sounds fishy dont do it but if you can find someone it is night and day difference. Not going to fix it but over time with all the stretching and stuff it will get better. Got to release that thing though
 
i'm wondering if I could have caused this by after a hip/femur injury I realy hit my hamstrings on a cycle a year later and they realy responed but then the pain came from the pirifomis/sciatic maybe I didn't stetch enouf
 
After wide squatting I used to HAVE to (and still should) do that stretch where you pull your knee across your chest. I would start with my other foot straight out. Then I'd pull that other foot all the way to my butt. Then I'd move it half way between. This was a must or I'd have trouble sleeping comfortably (on my side) that night.

You can also find a lacrosse or tennis ball and mash the fuck out of it. Set a timer or you'll never do it for a full minute, and there might be tears. But not the kind that make you a pussy, the kind like when you get punched in the nose. So it's okay.

If the problem is that bad, I'd do both the above every. Single. Day. If the ol' test-retest shows improvement when you're done with the stretch/mash, you're on the right track.

If not, fuck it, listen to someone else.
 
The tennis ball/lacrosse ball is effective.

However, I had better results with a high density foam roller because it hit the piriformis in it's entirety better.

It has to be the hard (dense) smooth foam roller.

Sit on it, place your feet firmly on the floor, take the ankle of affected side and place it on the thigh of your opposite leg. Balance yourself while leaning slightly into the tender piriformis as you subtly rock back and forth. Very small movements. Just enough to grind​ that bitch as tears fill your eyes.

After, do ice for 10 minutes. Heat 10 minutes. Repeat 2-3 times.
 
blm said:
The tennis ball/lacrosse ball is effective.

However, I had better results with a high density foam roller because it hit the piriformis in it's entirety better.

It has to be the hard (dense) smooth foam roller.

Sit on it, place your feet firmly on the floor, take the ankle of affected side and place it on the thigh of your opposite leg. Balance yourself while leaning slightly into the tender piriformis as you subtly rock back and forth. Very small movements. Just enough to grind​ that bitch as tears fill your eyes.

After, do ice for 10 minutes. Heat 10 minutes. Repeat 2-3 times.
Click to expand...
wher did you find this foam roller ,I do have a tennis ball I,m gonna start today with it . its so bad now I cant walk without severe pain from my lower ass down my hammy to the back of my knee
 
BrutalHoney said:
After wide squatting I used to HAVE to (and still should) do that stretch where you pull your knee across your chest. I would start with my other foot straight out. Then I'd pull that other foot all the way to my butt. Then I'd move it half way between. This was a must or I'd have trouble sleeping comfortably (on my side) that night.

You can also find a lacrosse or tennis ball and mash the fuck out of it. Set a timer or you'll never do it for a full minute, and there might be tears. But not the kind that make you a pussy, the kind like when you get punched in the nose. So it's okay.

If the problem is that bad, I'd do both the above every. Single. Day. If the ol' test-retest shows improvement when you're done with the stretch/mash, you're on the right track.

If not, fuck it, listen to someone else.
Click to expand...

hell yes I,m listenin to you and BLM I,m hurtin brutha !
 
Oh! Shit! I forgot!

If you can locate specific muscle knots that never go away that might be the source of your problems, get some lidocaine and inject those fuckers with it. Trigger point therapy, but you decide how to do it, since you're the one in your body. More effective than any of that massage shit, let me tell you.
 
piriformis syndrome requires releasing the muscle in spasm and reducing/removing the inflammation. Lidocaine will take away pain but it won't reduce inflammation or the spasm and can also lead to further injury because you don't feel the pain telling you to stop what you're doing. Cortisone injections, antiinflammatories, physical therapy and massage therapy are often all needed to get it under manageable conditions one it's got to the point of severe pain and limiting mobility.
 
noooo no no. lidocaine isn't about pain at all.

muscles only contract because the CNS tells them to. a trigger point is a little chunk of muscle that won't stop contracting. putting lidocain into that trigger point deadens the nerve (for a while) and the muscle stops contracting. in my experience, when the lidocaine wears off, the trigger point is far, far less than it was before.

again, this is only for muscle knots.
 
Easy killer.

Lidocaine was part of my cortisone injection. I thought it was only for numbing purposes. I just read more about it. Didn't realize it help with contractions by blocking sodium channels as well. Learned something new.
 
so lidocaine is beneficial ,I'll ask my doc if he is including lidocaine in my shot...but do I need to get that knot broken down first b4 I stretch the crap outa the muscle ? and how about some type of power strechs withleg press(weight comes back and pushs your knees to you chest) or weighted cables somehow ? or a decline leg curl negatives ?
 
Ha! Can't believe I didn't remember this link...

www.onlinelidocaine.com

25g for 30 bucks, it'll last you forever.

here's how to make it...

<http://modernsurvivalonline.com/guest-post-how-to-make-injectable-lidocaine-hcl/>

Long story short: you need a precise scale (amazon jewelry scale is cheap), you put 200-300mg lidocaine powder in with 10mL of bac water in a vial... you oven heat to 180~185 to melt the lidocaine (i leave it in a while, like 30-45 minutes to be sure... pro tip: put a needle in the top to relieve the pressure), and you're done.

I put 1 mL in the really big knots, half for lesser ones.
 
water43 said:
piriformis syndrome has anybody heard of this.....sucks very painful after hip injuries too ,does anybody have a thought to any weighted exercises I can do actualy this involves my hip and glute muscles thanks
Click to expand...
I was diagnosed with piriformis syndrome a while ago .... It hurts :(
 
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