TWO MORE VIDEO TESTIMONIALS
PIRIFORMIS SYNDROME is a pain in the butt. No; literally it's a pain in the butt. And those of you who have been through it realize that it's no laughing matter. When the Piriformis Muscle (see pictures below) puts pressure on the Sciatic Nerve, ugly things can happen. Although there are many reasons that this pressure can occur at the Piriformis Muscle, two of the most common are FASCIAL ADHESIONS & TENDINOSIS. Julie's Piriformis Syndrome was the typical female scenario: it started after the birth of her first child several years ago. Thomas's case was a bit different. He was hit in the butt by a large tree limb and has struggled with buttock pain and Sciatica (pain in the leg) ever since. The limb literally 'exploded' his fascia!
WHAT IS PIRIFORMIS SYNDROME?
The Piriformis Muscle lies underneath the much larger Gluteal Muscles. It is smack dab in the middle of the group of small muscles known as the "Hip Rotator Cuff". Due to many different reasons, including severe trauma, the Piriformis Muscle can go into tension / spasm. When this occurs, pressure is put on the Sciatic Nerve. The result is a dull, nagging ache in the buttocks that can become severe. Piriformis Syndrome can occur with or without the pain into the leg (Sciatica). It is important to note that this Sciatica can manifest in about a hundred different ways.
A QUICK RANT ABOUT PAIN CLINICS & PIRIFORMIS SYNDROME:
Pain Clinics are a terrible option for people with Piriformis Syndrome. Why? Because goal of the Pain Doctor has nothing whatsoever to do with actually solving the problem at hand. In fact, once you enter the realm of the "Pain Clinic", underlying mechanical dysfunctions are not even addressed. What sort of treatments do people get for Piriformis Syndrome at the Pain Clinic? Injections! Although these shots may contain a hodge-podge of different medicines, they are almost always based on cortico-steroids. If you know anything about corticosteroid injections, you should know one thing. Whether or not they help relieve pain, they are massively degenerative ---- eating up bone, cartilage, ligaments, tendons, and muscles in the process (HERE). Don't believe me? Just ask your doctor. Or better yet, make sure you get the truth by looking at the studies themselves. It's common sense people: any treatment that addresses pain without doing anything to address the underlying cause of the pain leads to DEGENERATION! Look for a future Blog Post devoted to this issue.
Anyway, this gentleman had been to several different doctors and specialists, including the pain clinic, and among other things, was told that his reflexes (knee) were normal. These doctors were either all wrong, or he had gotten worse since he last saw them. His right reflex, while present, was markedly diminished compared to his left. Why would this be? The Piriformis was "pinching" his Sciatic Nerve --- the nerve that controls the vast majority of the lower limb. After about 45 minutes of treatment, he could not reproduce any of his buttock pain. None. Zilch. Nada. But even more remarkable, his reflexes were now strong and equal bilaterally. Time will tell as far as any long term results are concerned, but I am very hopeful.
BOTH IMAGES ARE OF A RIGHT BUTTOCK
RIGHT: The Gluteus Maximus has been peeled back to reveal the Piriformis Muscle in red. Notice the small window just underneath the Piriformis Muscle. This is the notch that the Sciatic Nerve comes through.
BELOW: Notice that the hemostat is underneath the Piriformis Muscle. You can see the Sciatic Nerve (in three parts) running down the back of the leg from this point.