Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

The main site has all the formal medical articles and videos for you to research on.

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!


Santiago Cortes Jr.


  • 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.
  • advertisement
  • Thank you for all your responses. I will keep on stretching and research the "piriformis block" a bit further.
    Santiago Cortes Jr.
Sign In or Register to comment.