Periformis Pain

  • Posted by a hidden member.
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    May 05, 2013 6:38 PM GMT
    Have you had a long-lasting spasm of the periformis muscle?
    I have it now, and it is pressing on my sciatic nerve, and the last time I tried to specifically stretch by crossing my leg over my body, it made the pain much worse. I had an injection of cortisone and lidocaine two weeks ago, and it has helped perhaps 50 percent, but it seems to have stopped improving. I might try physical therapy next, only I think they'll make it worse, based on previous experience. If I take baclofen, a muscle relaxer, two or three times a day, it helps relieve it a little, but it comes right back again.
    Do you have any experience with this condition, and were you able to achieve improvements?
    The periformis is a small muscle that lies over or around the sciatic nerve, located underneath the buttock and all the gluteus muscles. The nerve can run under or even through the muscle.
    I have also been having lower back spasms in my sleep as I'm waking, but it is controlled by mirapex/pramipexole. I understand it is a manifestation of restless leg syndrome, just in another part of the body, which makes it a neurological problem in origin. Mirapex is a dopamine booster. It blocks the pain if not the spasm. But doesn't affect the sciatica.
  • tiger13

    Posts: 49

    Jul 06, 2013 7:47 PM GMT
    Can't tell if you are hidden or no longer a member but -- I have suffered from this as well. I believe it is probably due in large part to poor posture (many years of sitting at computer all day for work).

    Foam roller and tennis ball therapy helps a bit, but the relief is fleeting. Sleeping with support- either a firm pillow under my knees when on back, or between legs if on side - helps a lot.

    The right shoes help a lot too.

    Been on my list of things to work on but I've frankly gotten used to working around the ache!
  • Posted by a hidden member.
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    Jul 06, 2013 7:57 PM GMT
    I was having some trouble with this, but nowhere near as bad as you describe. Have you tried massage? My LMT helped me a lot with my problem.
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    Aug 03, 2013 2:33 PM GMT
    piriformis stretches are a good idea for those who have this problem. They are easy to do and are effective too.
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    Sep 07, 2013 8:46 PM GMT
    I had this earlier this year and what really helped me was doing the piriformis stretch and sitting on a hard ball to massage it every few hours. The hard ball essentially works as a deep tissue massage and is able to reach the piriformis muscle deep in your glutes. You do have to bear with the pain though, but the more it hurts the more effective the massage is.
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    Sep 09, 2013 3:19 PM GMT
    I just found a LMT that knows what the F-ck he's doing when it comes to this!

    Spent 45 mins just on this one area of my body...well worth it!

    This may help: (warning...long presentation video!)

    http://sciaticainstitute.org/piriformis-syndrome-d/


    $69.00 on Amazon http://www.amazon.com/Natural-Sciatica-Relief-System/dp/B00CF48I9Y/ref=sr_1_4?ie=UTF8&qid=1378739823&sr=8-4&keywords=sciatica+dvd
  • tuffguyndc

    Posts: 4437

    Sep 09, 2013 4:25 PM GMT
    try foam rolling your IT bands and hip flexors