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Glute Medius and Pyriformis Constant Ache

hello!  New to this - I've been hurt since January of this year diagnosed with bulging l4/l5/s1, stenosis, osteoarthritis and gluteal tendinopathy.  I am 32 and very active (my injury straw that broke the camels back (no pun intended) was an assisted forward bend in Pilates).  I've  been through pt, chiropractor, yoga, acupuncture, massage, orthopedic surgeon, physiatrist (still seeing, great guy) anti inflammatory diet, oral steroids, esi (scheduled for #2 in ten days) was taking Percocet and tizanidine during the acute phase but am currently only taking meloxicam (15mg/day) with some natural stuff (omegas, magnesium, turmeric, ginger,  etc).

anyhoo!  I have glute medius pain and pyriformis pain (like a constant never ending non stop deep ache) that just won't give up despite all the stretching and icing and heating in the world, and wanted to ask if anyone had any good advice for getting these muscles to chill the heck out?  My physiatrist says he's certain it's from the nerves so once those calm down the muscles will calm down, and I trust him, but in the meantime any suggestions from those of you who have been dealing with this longer than I have would be much much appreciated.  I'm open to anything, I'll try walking around the neighborhood with my finger on the top of my head and my tongue out if it will get this freaking ache to chill out!!!

nice to meet you all 




  • SavageSavage United StatesPosts: 7,385
    Hello kbbk !
    Welcome to Spine-Health
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    Honorary Spine-Health Moderator
    Please read my medical history at: Medical History

  • smartens162smartens162 Manitoba, CanadaPosts: 447
    what works for me is water-exercise and walking.  It gives my muscles something to do instead of spasm.  I have a prescription for baclofen muscle relaxant for when I just need a break sometimes, but don't like to be on it for too long at a time.  The physiotherapist I go to defines himself rather as an osteopathic therapist, treating with gentle stretching, massage, nerve pressure and chiropractic manipulation as needed.  It is not a cure, but management of the symptoms.  I go to an aquacise class 3X weekly and when I first went it was the only 3 hours of my week where I didn't have excruciating pain.  Being weightless in the water was such a relief.  I hope you find something that works for you
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