Does anyone know about piriformis syndrome?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?
mistify
Piriformis syndrome is a controversial diagnosis...first because it mimics discogenic low back pain as well as a number of other disorders. Second, because there is no gold standard in the diagnosis of piriformis syndrome. Rather, it is a collection of symptoms and physical signs that have poor reliability among testers. However, the piriformis can be a source of symptoms if anatomical variations exist (ie, you have an "abnormally shaped" piriformis so that it interfers with the sciatic nerve (usually referring pain down the leg).
I would assume you have had physical therapy as well...if not, this is usually the standard of care.
Monte Hueftle
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
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