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martyjommartyjo Posts: 64
HELP! Anyone out there with this condition? I have had two back surgeries and with the first I was in horrible pain. I'm fused L2-S1 ( 2010 and 2013) Anyway, over the past 2 weeks I've gotten Piriformis Syndrome. At first I just noticed electric shocks on both sides at my top of mu butt. I attributed this to the 4 1/2 hour car ride and some killer 2 flight of stairs I went up and down for 2 days. When I came home the pain was like nothing else. I have Norco 7.5 and Flexoril and Aleve. Believe me I've taken them all. It feels like someone is tearing my butt apart as well as my hip.

I have numbness and tingling and spasm along the outerside of my right leg. My toes are tingly. The muscles along my outer right leg are so sore. It seems they are just waiting to go in full spasm,.So painful to sit bend over or do anything but lay on the opposite side. Am I crazy to think that taking 4 Norco 7.5 and 2 Flexoril with 2 aleve is alot of medication. I'm in agony. My doc is on vacation but he did call me in an order for PT which I start in 2 days.
I think because of the way I walk with my right foot sorta turned outwards has thrown my whole back dynamics out of whack as I have muscle pain in my mid back and higher up also,.

I've tried some of the Piriformis stretches I've seen and done before but they are way way too painful now.

Any help from fellow sufferers would be greatly appreciated as well as what pain medication seems to help this as mine is barely working.



  • My husband is a sufferer. Firstly, have they done the usual diagnostic tests to rule out the possibility that your spine is causing this pain? I have to ask because all too often Piriformis muscle is just the first 'educated guess' to explain sciatica symptoms.

    Every time it flares he goes to the doctor. Gets a prescription for an anti inflammatory & a muscle relaxant. Does the exercises & stretches that physical therapy taught him. Starts to feel better (rarely completely) & stops doing the therapy & it flares again! In the past he has kept it at bay for a long time by religiously stretching & frequently doing the exercises. I think this time (it's flaring) he's going to opt for injections. We're going to try the belt...if you search there's information & discussion on the subject here. There are other forms of therapy chatted about on the forum. I know the last possible treatment, a long way down the line, is having it cut but he's nowhere near that stage.

    I feel for you, I really do. I know how painful it is. It's a nerve pain so a nerve medication would be better than narcotics to handle the pain enough to start the physical therapy if you can't start the exercises now. I'm sorry but to my knowledge the only way to really manage piriformis problems is to do the exercises. It's a muscle pressing on the sciatic nerve. You need to relax the muscle. Ice & heat is a good way to bring the pain down to stretch. There are OTC creams that could help you get it moving. I'm sorry ;-(
    Osteoarthritis & DDD.
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  • Buy are hard foam roller and sit on that piriformis for at least 10 minutes on each side. Dig as deep into that muscle as you can possibly stand. If you can't do this yourself go see an active release specialist. They can teach you how to breath through it. You will need to do your exercises without fail morning and night for several months to get over this. It's best to walk or get on an exercise bike first to get your body and muscles warmed up. Then spend the time to do the stretches and most importantly dig into those muscles with sustained pressure for several minutes. It is the only way. After the first week or so you will start to feel the muscles relax and get some relief. The exercises will become much less painful too. Go park yourself in a room by yourself and scream your way through it. Maybe alert the neighbors first. Getting past the first week is the hardest. The second week is a nuisance. The third week an after is a manageable inconvenience. You need to keep this up for at least 8 weeks to make a lasting change.
  • I think it is working for me. Terribly painful at first. 
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