Piriformis syndrome Optimum rehab ?

[topbluenose]

the stretch quoted above of flexion, adduction and internal rotation makes sense.
However, bringing the foot of the affected side, over the opposite knee is external rotation.

Wonder if someone could clear this up please?

[ginger]

my guess is that sdkashif is fond of pasting pieces out of outdated and poorly written texts.
What text was it kashif?

[wkriski]

I've been suffering with lower back pain since early 2002 and over time it's been eventually diagnosed as piriformis syndrome. I've had physio, acupuncture, active release therapy, stretching, core strengthening, IMS, prescription drugs, chiropractic, tennis ball/trigger point massage, and it has degraded to a daily pain cycle. During ART I actually started getting spasms which are horrifically painful and emotionally draining.

You get to a point after spending thousands of dollars and hours getting ongoing physio and other treatments where you need a more effective solution.

Also, there doesn't seem to be a very good systematic process for diagnosing back pain and escalating treatments along a path. It is very haphazard and is usually because there is no one overseeing specialist that tracks the progress. At least that's my experience in Calgary. I am hopefully getting botox soon. One surgeon thought it was an cycle of inflamed joint and muscle tightness/spasm so to me the treatment should be to reduce inflammation at joint and relax the muscle so that it has time to break out of the cycle.

We're at 7 years now with this and the last 2 years have been brutal. At some point I think more aggressive/effective treatments need to be sought.

[IceMan]

the stretch quoted above of flexion, adduction and internal rotation makes sense.
However, bringing the foot of the affected side, over the opposite knee is external rotation.

Wonder if someone could clear this up please?

For the purpose of keeping things simple lets assume you're stretching the right piriformis. If you're in a hook/crook lying position and bring your right foot up (flex the right hip) and across the left knee/distal thigh and just let the knee "hang out" laterally yes the hip would be externally rotated. Using the left hand to pull the right knee internally rotates and adducts the hip and stretches the piriformis.

[john lee]

Please Help....I have been having this lower back pain and leg pain for over 3years now. The lower back pain has stopped. But the last year I have been having this leg type pain which is hard to identify. Whenever I put weight on the one leg it gives me this sharp pain inside the leg. Not all the time though. Just certain weird movements will aggravate this sharp pain down the leg. It seems to switch from right leg to left leg. Just the other day. After sitting on the computer....I try getting up and one leg I can't put any weight on it without having this sharp pain down the leg. I have tried many things. chiropractor for 3years...back inverter, etc. The best way I can describe it is: Certain bending movements is hard to get up. So, if anyone can please advise and help. I would really appreciate anything. Thanks in advance

[ATTIreland]

Please Help....I have been having this lower back pain and leg pain for over 3years now. The lower back pain has stopped. But the last year I have been having this leg type pain which is hard to identify. Whenever I put weight on the one leg it gives me this sharp pain inside the leg. Not all the time though. Just certain weird movements will aggravate this sharp pain down the leg. It seems to switch from right leg to left leg. Just the other day. After sitting on the computer....I try getting up and one leg I can't put any weight on it without having this sharp pain down the leg. I have tried many things. chiropractor for 3years...back inverter, etc. The best way I can describe it is: Certain bending movements is hard to get up. So, if anyone can please advise and help. I would really appreciate anything. Thanks in advance

Hi John,
The first thing that springs to mind is that you may have a lumbar disc bulge. This would explain the back pain, radiating pain and the difficulty with bending movements. Due to the severity and duration of symptoms I would recomend an MRI of your lower back to investigate it fully.

Have you gotten a diagnosis of what was wrong before (I take it the chiropractor explained what he thought it was)?