I was diagnosed with piriformis syndrome in 10/04 after 8 months of pain. I have had botox injections, SI injections, physical therapy and was told because of chronic health problems - fibromyalgia, osteoarthritis, essential tremor that I was not a candidate for surgery. I sat and did medical transcription for 13 years, which the doctor believes caused the problem. What are my options - the pain is terrible. I take tramadol and sometimes Tylenol and ibuprofen. I am 55 years old and weigh 145 pounds and am 5'5". I have very tight muscles. I also take Lyrica as a muscle relaxer.