Piriformis muscle question.

[TheMadMan]

WHY is this area debatable? Why is there not enough education about the piriformis muscle which creates A LOT OF PAIN. I found a doctor who has heard of this muscle but why is treatment debatable? I just don't understand why the medical community is ignoring this issue. I have had this ongoing issue for years and usually have to get a RFA (nerve block) but it did not take this time. What are my other options?


This discussion is related to Is hip complications possible cause????.

[TheMadMan]

I am also 'attempting' to get my pm doctor to talk to my orthopedic surgeon who knows my medical history. I don't know how successful I will be, but a good try is all I can do at the moment and hope they actually pay attention.

[TheMadMan]

Once I get the pain under reasonable control I would like to return to the Pilates exercises I used to do which were helpful. It is just getting this pain under manageable control for me to move forward with. I am doing walking exercises but that is still rough on me but I am doing what I can at the moment. Thanks for the advise and will keep you posted.

[S. Kaul, MD]

Hi there!

While milder forms of pyriformis syndrome can be managed by conservative measures such as stretching exercises, muscle strengthening, anti-inflammatory/ pain medications; severer forms may require steroid/ anesthetic shots. Prognosis is generally good and nerve destruction procedures are seldom used. I would suggest consulting an orthopedician for a detailed evaluation and suggestion of an appropriate management plan.
Hope this is helpful.

Take care!