5/24/11

piriformis or glute problem?


piriformis or glute problem?Back in September 08 I was curling weights of around 60 lbs with my roommate, and being the dumbass I was I was trying to keep up with his body size and was swinging my hips really bad to get the last few reps up and I felt something funny in my right glute/piriformis area. The next day I woke up with an achy spot right in that general area and I completely ignored it until I started getting leg pain. I went and seen a PT and he gave me Mcenzie exercises to do outside of the clinic and he hooked me up with electric probes which stimulated the area (he thought I had a bulged disk) and I literally felt a really sore muscle deep within that area jiggle around. I went quite a few times and it felt alot better (I don't think the exercises helped but the stimulation did because future MRI's showed very minor disk degeneration and nothing else, which I obviously had before the lifting injury with no problem). Here is what aggrevated it a lot. Sitting, wallet in pants, sitting/laying down on a very unfirm surface, and jumping, I also noticed at work while I'm on a pallet rider I use my hips to turn it which will also aggrevate it a little bit. When I ran sometimes I could literally feel a "knot" like feeling in that area and felt something move around a bit, and it would get a lot more tight than my left side. My chiropractor told me to lift my leg and I felt discomfort, he lifted it without me interviening and I felt practically nothing, he said it was a hip flexor. Here is what I have been doing and showed a ton of improvement.

Various stretches to the piriformis area along with the tennis ball trick (WOW that freaking hurt the first few times but it has gotten quite a bit better painwise recently (have been doing it about 1 1/2 weeks now).

Do any of you have any advice or suggestions for this? Is this a piriformis, glute, or hip flexor condition in your opinions? Thanks,

Dan
The tennis ball massage is popular for people that have piriformis syndrome. All you do is literally sit as much as you can on the tennis ball where it hurts and deeply massage the troubled area, also with crossing one leg on top of the opposite knee, this has been helping quite a lot. The discomfort is about a 2in radius in my gluteus maximus/piriformis region

creed
don't get how you can do the tennis ball on the piriformis;; but anyhow, the piriformis is deep, the glut & abductors are relatively more surface level;; the piriformis is also more anterior while the others are more lateral & posterior;; could be your back;; could be radiating symptoms;; could be your iliopsoas;; best bet is to get in touch with an orthopedic doc, who specializes in hips...good luck, but you're looking @ really totally different compartments of the hip...may help if you actaully just locate the area of pain than try to describe it using anatomy terms, cuz a couple of these things just don't make sense...

well, the best I can tell ya is that the hip flexor would be right in the front of your hip;; the piriformis is DEEP in the pelvic hip region, & helps you externally rotate your hip;; the glut max helps you extend & laterally rotate your hip on the "surface level", while the glut medius (a little further deep) helps with abduction of the hip;; @ work, it's most likely the planting of the foot that causes the disturbance;; so say the pains in your R cheek, you would turn toward your left & brace your R foot to manage the support mechanisms, then ya feel the pain;; so all in all, lotta muscles in that area, can rule out the hip flexor;; if the guy asked you to raise your leg adding resistance, you'll feel pain almost anywhere in hip that is weakened, so I think that's where he got the hip flexor idea, but you can also get the same response from a back injury or nerve involvement;; so hopefully, with the information I gave you, you can isolate the movement & attempt to figure out the "muscle" that is causing your problem;; or you can just cont with treatment as is & decrease the activities that cause symptoms;; cuz it could actually be a couple of muscles, or even tendons or ligaments causing the problem;; seems like an MRI MAY be the diagnostic tool...good luck, wish I could help ya, but location is funny to express sometimes in words...

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