Hey guys. I'm 24 male from Australia, very fit play a lot of sport and hit the gym often. 8 months ago out of nowhere I noticed pain while sitting. Everyone's bum gets sore when they sit too long so I though nothing of it. The next day I sat down and in one minute my ass was killing me. It has not left since. I have no back pain at all but do get achy legs easily. I've had MRI scans of both hamstrings and piriformis areas and my spine. All showed I was fine. (very frustrating). I've had cortisone shots into hamstring attatchment areas in my bum and another set in the piriformis muscles. They did nothing. I've had endless physio/massage/chiro/warm bath. Nothing conventional works.
Why can I not sit down without excruciating muscle pain? Pain killers like strong amounts of codeine/endone (oxycontin) take all the pain away but the best that works is Valium due to it's muscle relaxant properties. Obviously these wear off though and the pain comes back.
This is why I believe it is piriformis syndrome despite scans not showing it. Because when the piriformis relaxes it doesn't hurt to sit on.
I'm 24 and struggling to get my head around why this has suddenly happened to me considering I'm a teacher and sit down far less than many others. I'm about to try my last diagnosis possible and have seen every doctor in the state. I'm doing a nerve transmission test in the buttocks to determine if the nerve endings are firing slower than normal which would Mean that they are being compressed by muscles. My doc (the best in the state) feels this would be enough evidence to take to a surgeon and get a release surgery in the piriformis area. Has anyone had this surgery? This has been a nightmare that won't end. There has to be an answer?