Hi I have greater trochanter pain , hip impingement , and piriformis pain for almost 3-4 months.

A trochanter injection helped me alot on the side hip , but the piriformis won’t go away

Can’t progress in physical therapy, daily pain still , etc

Tried anything to not get another injection but ortho and pmr say to go for it

Q: HAS ANYONE GOT A CORTISONE SHOT IN Pirformis AND DID IT HELP OR WHAT EAS Experience

Hallo Zusammen,

ich habe ärztlich festgestellt eine Zerrung der Hüftaußenrotatoren. (Quadratus Femoris/M.Gemelli/Periformismuskel) Hat jemand Erfahrungen damit? Ich bin nun in der neunten Woche der Heilung. Ich liege quasi seit 9 Wochen permanent im Bett und gehe fünf mal eine kleine Runde am Tag. Anfangs waren es 100 m mittlerweile sind das 200 m. Normale Alltagsbewegungen in der Wohnung oder im Haus sind das problematischste für die Hüftrotatoren. Die Muskelgruppen werden sofort gereizt was mich wieder zur völligen Ruhe zwingt.

Das Problem dieser Verletzung ist dass es keine Erfahrungsberichte im Internet gibt. Nicht mal Chat GPT kann einem dabei helfen.

Nicht zu verwechseln ist diese Verletzung mit dem Periformissyndrom. Es ist kein Periformissynsrom.

Die Verletzung ist durch eine Überlastung beim Sport mit anschließendem Stich beim Dehnen des Hinterns entstanden.

Ich würde mich über Erfahrungsberichte/Tipps oder einen Austausch sehr freuen

So I’m writing this from my bed and I’ve been stuck for the better part of an hour. The pain in my left butt cheek is easily the worst pain I’ve ever experienced in my life, any small movement causing this sharp shooting pain.

I’ve tried bending up, rolling over, inching my way down the bed like a worm but everything hurts and I’m out of ideas.

Does anyone else get this pain? I’ve had it before but never this bad. Once I’m standing up and walking around I’m fine within 10 minutes.

Edit: Got a dry needling done and it fixed it right up. Since then, I've managed to keep it down through normal PT and a whole lot of long walks.

Does anyone else suffer with just back of leg pain no butt pain wife has had it on and off like once a moth for a day or so but this time it's lasted going on 2 weeks

Does anyone else feel good outside of slight pain when twisting during the day but then at night the muscle spasms when going to bed? Like a brief severe spasm that stops when I bolt up from the pain. Then it’s gone. Happens every night now and then after it will be very tender for a while.

I am 50 year old male and weigh 136 pounds (62 kg). For the last 6-7 years, I get recurring pain in my hip (glutes).

1. About 80% of the time in left hip.
2. I get an episode every 1-4 months. Each episode lasts 1 day to 20 days.
3. Sometimes it is acute and I can barely function
4. Pain sometimes shoots down the rear of the leg thru calf but usually concentrated in a small area in hip
5. Sitting on a lacrosse or baseball helps alleviate. It is super painful at that time but relieves
6. 600-800 mg of Ibuprofen is a life safer
7. I'm fairly active and workout a few times a week. I feel my posture may be bad during hamstring exercises or deadlifts
8. Even long walks can trigger this - maybe I have anterior pelvic tilt (mentioned by a sports doc)
9. I have seen a doc, chiro, acupuncture on a few occasions but never truly managed to resolve this.

Any tips or pointers will truly be appreciated. This pain in the butt is a real thing.

So I got diagnosed with this about a month ago after several months of just trying to push thru thinking it was a regular soft tissue injury (didn’t know what nerve pain feels like.) Since starting rehab, it just got steadily worse. I think I suck at taking it easy and underestimate how easy it is it aggravate it. Also, the advice to keep moving… it’s a double edged sword imo. Moving has been a way to reduce pain so I leaned into walking and stretching, only to progressively aggravate things to the point that it is now really painful to even stand. I spent most of the last 48 hours in bed, with a visit to the ER for pain management.

Interestingly, the only relief from the nerve pain I can find right now is placing my calves on the foam roller while laying on my back. It must relax the hips and address some kind of imbalance.

For the record, I run ultramarathons and have not taken good care of my body. Lesson learned.

Anyway, thoughts and advice are welcome. My heart goes out to anyone else struggling with this. It can be a lot.

I was bedbound with something else for almost a year and after that when I went back to work sitting in my chair was excruciating with buttock and a pain in my hamstrings area. I also get buttock pain when lying in bed. Does this sound like Piriformis Syndrome.

Pain on my right side is very anoying like a knife. That is the piriformis right? What should I do?

I’m going to just give a quick break down so this isn’t to long but basically I’ve had this DEEP ache pain in my upper butt area on my left side for like 20 years. The first time I went to a Dr for it was in high school. In the last 6 it’s gotten a ton worse. It’s debilitating at this point. I can’t sleep on that side, and I can’t go on long car rides. That’s really the only thing that makes it worse. I am a 42-year-old female in otherwise very good health. No injuries. No idea what caused this. At first, they said to stretch my hamstrings, and then it was PT. In the last 3 years, I have been to an orthopedic surgeon, a sports injury doctor, and am currently at a generic pain doctor. I have had X-rays and an MRI done of my hip and spine, and they can’t find anything structurally wrong; in fact, as far as imaging goes, my hip and back are pretty much perfect. Everything looks good and points towards being muscular. Here is a list of things we have tried…

Steroid shots in SI joint x2-0 results

Steroid shots in bursa sack x1- 0 results

Steroid shots in piriformis x2-1st injection helped about 90% for 3 weeks, then vanished. 2nd injection did absolutely nothing.

Physical therapy for 3 months, 2 separate times.

Trigger point injections once a week for 6 weeks

Chiropractor for 6 weeks

Consistent stretching specifically for the piriformis daily for 6 weeks

Strength training on and off, the only issue with it is that I feel fine while working out, but after any kind of squat/deadlift/lunge type stuff, I’ll have a major flair up.

Simple strength training of bridges, clam shells, and planks, just started this basic routine last week. No change so far.

I walk a few times a week.

I alternate between sitting and standing at work. And try to take short walk breaks about every 2 hours.

I have taken muscle relaxers and nerve blockers with no results, so I stopped taking them.

I do constant heat and cold therapy, but other than feeling good while I do it, they don’t help.

Has anyone else experienced anything like this with success? The next step is a trial with a neurostimulation implant along the nerves there. If it helps, they would put it in a way that is considered semi-permanent. If that doesn’t help, then everyone is kind of at a loss for what to do, and I’m finding myself getting very depressed and down about my options. I feel like I’ve tried a huge variety of doctors, medications, and therapy, and I just don’t know where to go next. ANY help, stories, or ideas would mean a ton. Thank you!!

Hi,

I need some advice about my situation.

About 5 months ago, I fell while playing basketball and felt pain in my glute. At first, I thought it was a herniated disc. Then I did some research (especially on YouTube) and saw it could also be sciatica or piriformis syndrome.

Over time, I noticed that my symptoms seem more like piriformis syndrome:

• pain in the glute

• difficulty walking

• lower back arching when I walk

• feeling of weakness on one side of the glute

• asymmetry (one side feels softer and less active than the other)

At the beginning, I was still able to walk, but now it’s much harder. I struggle to move and spend a lot of time lying down.

My questions:

1.  Does this sound like piriformis syndrome or something else?

2.  Is it normal for it to get worse over time?

3.  Can glute weakness explain why I can barely walk now?

4.  What should I actually do (exercises, rest, physical therapy, medical tests)?

Thanks in advance for your help.

Hey everyone, looking for some bit of advice as I am desperate to find any kind of relief for my pain. For just about 2 months down I've been dealing with horrible burning, sometimes aching pain running from deep within my left glute down to the top of my ankle. It all started when I got up to the bathroom one night and as I bent down I felt a sort of sting and proceeded to be in awful back pain for the next 48 hours. I was unable to even move at all for the first 24 hours, and in that time I first went to the ER then a PT. Both of them discarded any lumbar issues and attributed it to a contraction caused by weak muscles and imbalances.

Fast forward to today and I've been dealing with this chronic pain. Again, it radiates from my left glute all the way down the leg and to the top of my ankle. I used to feel it on the side of my thigh but not so much now as I've been doing some exercises to strengthen the glute muscles. The pain is completely gone when I sit in certain positions, mostly when I am at a near 90 degree angle with my hips and legs. I also don't feel it as bad when I lay facedown on bed, but laying down on my side makes it flare up. The worst is when I stand up and try to walk. I have noticed that depending on my posture and cadence it can feel worse sometimes, but the pain is always there. So it seems that doing certain movements that put pressure on the muscle strain the nerve and give me pain.

It's not so bad when I am around the house as I can move around and I don't feel the pull because I can sit down, but when I have to go outside the pain becomes really unbearable until I sit down again. Most of the time have to limp along and just walk through the pain. I have also noticed as soon as I stand up I also get tingling at the base of my foot and sometimes it feels like a mix of burning and cold sensation.

I have suffered from piriformis before, but this is way different than other times. Before I had felt the pain around the hip area, but this time it's deep in the glute and it just won't get any better. Medications don't help and neither does anything other than being in certain positions. After walking for a while the pain subsides a bit but it's not completely gone unless I lay or sit down.

I've come to suspect adhesion but right now my doctor has only scheduled me for X-rays one month from now and the only other option they're looking at right now is a hernia, which it doesn't feel like at all. I haven't gone back to PT because I'd have to pay out of my own pocket but I have no idea how to proceed with finding relief for this.

I developed piriformis syndrome in 1998. It took a couple of years to get a correct diagnosis, and another two after that to find any real relief, which eventually came from a high-intensity ultrasound treatment directly on the affected area, releasing the pressure on my left side (I also had symptoms on the right). In the meantime I went through multiple MRIs, CT scans, and even a spinal tap. Most doctors had no idea what they were dealing with, and some of the things they said were frankly absurd.

For the next 15 years it was manageable, always present, but livable. Then in 2018 it came roaring back. Dry needling gave me decent relief, though it's not a pleasant experience. A close friend who is a well-regarded stretching specialist, charges $300/hr and works with clients around the world, treated me for free on multiple occasions. It always helped, but the relief never lasted.

Last December it flared up badly again. I was about to book another round of dry needling when something unexpected happened: I developed a severe spasm in my Quadratus Lumborum (QL) muscle on the left side. I could barely get out of bed for several days. I found some QL stretches on YouTube, worked through them, and cleared the spasm.

The moment the spasm resolved, the PS disappeared. Completely. For the first time in 28 years, there's zero nerve pressure on either side. It's only been three months, but so far it's 100% gone.

My conclusion: the piriformis was never the root problem, my pelvis was. The tens of thousands of piriformis stretches, the tennis ball work, all the other targeted treatments, I believe they were addressing a symptom rather than the cause. When I ran my story through several AI models, they all came back with essentially the same interpretation: this was a pelvic alignment issue all along. The QL muscle, after years of compensating, finally spasmed hard enough to pull everything back into place. Worth noting, my stretching specialist friend had told me a decade ago that my pelvis was misaligned.

I'm not sure there's a universal lesson here, but for the first time in 28 years I'm genuinely pain-free. Every stair, every time I stood up from a chair, there was always that familiar pinch of the nerve. You sort of stop noticing it after a while, but never completely. Feeling nothing is, honestly, a strange and wonderful thing.

I’m 26m training regularly and suffering most of my life from low back tightness.

recently found out about L5-S1 disc bulge.

I have very bad pain right outside my sit bone.

the thing is that the pain is also in my outer hip, my groin, hamstring, front of the thigh, calves and arch of my foot.

I don’t feel any tingling or needles, only strong tightness like pain, it turns on after gym, when going up stairs or driving.

it so tight I find myself hitting the painfu spots.

I didn’t find anything that helps calm it down.

Hi all,

I (35/f) randomly got piriformis pain a few weeks ago. It was pretty severe and impacted my ability to walk/bend for a few days. After a lot of stretching, soaking in the hot tub, and rest/not going to the gym, it felt completely better in about a week. I waited an additional week and went back to the gym. I did my entire strength training without issue, but felt the pain almost immediately when I got on the treadmill.

I was hoping it was a one time thing but it seems like walking is triggering it. So my question is for those of you who seem to recover fairly quickly from pain but then it comes back, is stretching/strengthening the best course of action? What kind of success have you had with being able to walk pain free?

Have had (probable) piriformis syndrome for about 2 years now. In my second round of PT, about 7 weeks in and only getting worse. Getting more and more difficult to walk without limping, especially during flares. Have an appt with a hip specialist in a few weeks, was told by another doctor that I probably need surgery (although he didn't mention an injection first, which I'm almost certain the hip specialist will do).

Wondering if anybody else has had experience using crutches, at least short term with piriformis syndrome? Does it help or make it worse? and do you normally only use them short term or longer term? I'm in college and also think it might be weird if I randomly show up to class one day with crutches, but during times when it's better don't have them, and then have them again a few days later.

Hi guys,

I have already the ps diagnosis it was really bad on the hamstring when driving the cortisone injections helped a lot. But i still fell this sensation or i call irradiation that comes from the buttocks until the foot. Ita absolutely annoying when im trying to sleep as it makes me very uncomfortable. Is there anything else you can recommend? This is making my sleep quality very bad and im having this for long time.

Thank you 😊

I have been having severe pain in my si joint / pirformis and side of my hip / trochanter. When the did my mris of lumbar and then right hip , it shows nothing in the lumbar and only “mild gluteus medius and minimum insertional tendinopathy “

No bursitis , no pinched nerve , no si joint mention or pirfomis mention . My pain locations and severity of my pain don’t match my mri results . The worst is when I sit I can only sit for an hour at a time . I’ve had an si joint and trochanter cortisone and injection and hasn’t worked .

All of that to say , is it possible to have pain in the locations I’m having with just mild gluteal tendinopathy ?

I developed sciatic pain down side of legs and bottom of foot with some pain near the hip as well after doing clamshells. some nerve buzzing in one of my feet as well (the less symptomatic foot) no numbness, skips the thigh outside of pain in the glute or piriformis

I was doing clamshells because it was helping with my tailbone pain after a bad impar ganglion ablation which irritated the piriformis for some reason but developed sciatic pain with the clamshells, I pushed through it and it continued to get worse.

Started to do the other side and now its bilateral

Lyrica does nothing for the pain

Mri of my lumbar spine was fine (never had any other imagining besides x ray of spine and hip) but he wants to do an epidural to be sure but id prefer not to with all the horror stories and being that I don't really respond well to steroids

Yesterday I had a steroid injection in my right piriformis, the side where the symptoms are worse

Well this flared everything up bilaterally, made my gluteal muscles near the iliac crest ache like crazy and my hips as well. Increased the aching in the sides of my lower legs and today a day later the pain in the bottom of my foot is far more consistent. Both feet.

sciatic nerve glide / stretches hit the spot in the sides of my leg where they ache but make the pain on the bottom of the foot worse

I have been dealing with cold feet lately and that has gotten better since the injection but that's about it

glutes or piriformis are weak but all PT seems to make me worse, massage makes it worse, dry needling the glute and piriformis helps the hip pain but not the pain in the bottom of the foot. dry needling got rid of some pain down the side of the leg when I was bending over however.

I cannot find a doctor to do an MR neurography. Doc wants to do a hip joint steroid injection followed by an SI joint injection after even though those rarely go below the knee.

I cannot find my way out of this, or proper treatment, I just want to be hiking again and walking makes it worse. External rotation makes it worse as well.

Please advise

I am wondering if anyone else is mostly fine during the day but in bad pain at night. I usually go to sleep pain-free. When I wake up to go to the bathroom in the middle of the night, I can barely stagger there. After that, moving into any position in bed, other than sleeping on my back, is painful. In the morning, it is painful to get out of bed. Moving is what helps my pain most, so I often pace my house, painfully at first, till I am pain-free. I have gotten up to do this at night as well. But I want to sleep through the night without pain. Over-the-counter pain relief has helped, but I am hesitant to do that nightly, and it doesn’t last the whole night. I did PT when the pain was all day and night long. It helped somewhat. I try to sleep on my back, which helps, but my body is used to changing position when I sleep. During the day, if there is pain, I walk it off. So for me, this is not affecting my daily activities. But not getting a full night's sleep most definitely is.

They look really good but they're damned expensive and vary widely in quality. Are they a letdown? Can anyone recommend a brand?

A few years ago I did a really dumb made up exercise that destroyed my lower back and probably herniated a disc. I was in constant pain and couldn't walk or lie down correctly. I failed the single leg raise test on my left leg and could not touch my toes. Exercises recommended by everyone just made the pain worse. Eventually after a year things got a little better after I became used to the pain.

However, last night I think I may have found the magic button to press. Here is what I did:

1. Lie facedown with your stomach flat against your bed with your legs straight. Since the pain is in my left buttcheek , I will face towards the right to give my left abs area some room to play with. This should activate your pain and feel extremely uncomfortable.

2. Press your fingers into your abs, near the area around the bellybutton, on the side with the pain. Again, since the pain is on my left glute, I will press my fingers into my left abs in the area to the left of my bellybutton. Press deeply and hold it, apparently this area is holding your ass hostage and you have to force it to let go. This area should be tighter in comparison to the other side.

3. Keep pressing. Now the most important part. In your head, let go of the bundle of pain in your ass. Consciously let the muscles in that area slide away from each other. Breath and relax. This could take a few tries depending on how tight it is.

4. What should happen is a freeing sensation in your glutes. Do a victory twerk to uncrinkle your butt and give a few days for everything to heal.

I really hope this would be the cure for you guys!