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Piriformis Syndrome

A few months back I recently went through an episode of disc herniation on my L5/S1. My lower back has gotten better but as a result of the disc herniation it also caused my piriformis muscle to severely tighten. No matter what exercise I perform (hamstring stretch, pigeon stretch etc. ice, anti-inflammatory) to loosen up the area every morning it tightens up again. It feels like a knot! Can anyone elaborate on what else this can possibly be?

BTW, I did go to physical therapy and they were the ones who diagnosed the piriformis but again even the mild stretches they had me doing was not enough to permanently relief the situation.

Any thoughts are welcomed!

Thanks,

Santi
Santiago Cortes Jr.
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Comments

  • I had Periformis issues for a year or more. What helped me the most was laying on the floor on my back and rolling around on a tennis ball right on the painful knot. Good luck.
    Artificial disc at L5S1 for 10 years. Had 3 Level lumbar fusion and Laminectomy on Sept 27, 2013. It was an OLIF (Oblique Lumbar Interbody Fusion) with cages, BMP, rods & screws. Norco, Plaquenil
  • Definitely stick with the PT, those exercises are important in helping you deal with piriformis syndrome. Also, a good pain management doctor can also attempt a piriformis block - this is a high skill level block not done by the average pain doctor though. Improvement after block, even temporary, would help confirm the diagnosis. There is an nuclear study, MRN, or neuroradiogram, that claims it can too, but at $5000 and not covered by insurances I would try to find a doc who can do a block.
  • Thank you for all your responses. I will keep on stretching and research the "piriformis block" a bit further.
    Santiago Cortes Jr.
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