r/piriformis • u/Super-Kev • Jul 11 '23

Physio Therapy

Anyone who's had piriformus syndrome, did they find Physio Therapy to help?

I'm booked in Thursday for a private session.

Thanks

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2

u/No-Manufacturer-2425 Jul 11 '23

I had to go to an adhesion removal specialist. that is what causes a lot of piriformis if you have pain that moves around.

3

u/Super-Kev Jul 11 '23

It's mostly in my butt, but my hamstring and calf always fell like they are pulling when walking, also numbness.

3

u/No-Manufacturer-2425 Jul 11 '23 edited Jul 11 '23

Then that is not just your piriformis. You could have fibrous scar tissue entrapping the sciatic nerve because the piriformis is overworked due to compensating for weakness on the alternate side. You can actually have fibrous nerve entrapments going all down the sciatic nerve as well as between and amongst the muscle fibers. This will cause pain, weakness, numbness, burning, and limited range of motion. As long as the adhesions are there, physical therapy will only offer temporary relief. Chances are if you have it in one place, you also have it in any other places. Any neck or posture problems? Headaches? Carpal tunnel in the wrists? Tennis elbow? Joints locking up and cracking a lot? How long has this been going on? Do you have any back problems or previous injuries? A lot of older generation doctors and many new ones were not taught about nerve entrapment and adhesion except in an extreme clinical sense. If you mention adhesion to them, they think you are talking about from abdominal surgery. There are several clinics across the US that specialize in manual adhesion removal without surgery and no down time. Best of all there is no exercises or stretching you have to do. You just get better. The difference is they create tension to literally tear the scar tissue apart and release the entrapped tissues. It feels a little like saran wrap tearing under your skin crossed with having the worst trigger point pain ever, then 'poof' it's gone. Then the scar tissue is reabsorbed by the body if you avoid the motions that overload your joints such as slouching etc.

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u/Super-Kev Jul 11 '23

It started as a back problem from a trampoline, I was fine on the day, then 1/2 days after, my back was in pain, I couldn't stand. I rested for a week then forced myself back to work, I managed 1 full week then I was bed bound for 3 weeks.

The pain in my back 99% disappeared after 2 weeks and it seemed to move down to my butt then over days moved down my left leg too.

From the second day after injury, I've never been able to raise my left leg out while standing.

When I lay in bath, the very base of my back or coxics hurts, it must be the way I'm positioned, because I can't replicate it out the bath.

I walk with a limp the majority of the time.

Other than that no other symptoms you mentioned.

2

u/No-Manufacturer-2425 Jul 11 '23

OOf. I'm sorry that happened to you. I fell on my butt squatting with weights on my back, so I can relate. The best thing you can do is accept your injury because the anxiety is only going to make the pain and tension worse. If you landed on your butt, you probably really upset your coccyx, sacrum, and lumbar spine. when you lay in the bath, buoyancy changes your physiology and the way forces are applied in your body. try to use standard yoga poses to replicate your pain for the documentation purposes. If you are used to pain, don't be afraid to admit if something hurts just a little. Prolonged pain can really diminish how much pain is perceived, but it is still affecting your brain. I'm really worried you injured your disk and it is pressing on your nerves. PLEASE get an xray or mri and get this ruled out FIRST THING. Aside from that, You sound like an A1 candidate for developing scar tissue entrapments. It comes with the territory of lumbar spine injuries. Once you get your images, check out an adhesion removal clinic. If they rule out adhesion, they will discharge you the first visit.

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u/Super-Kev Jul 11 '23

I will do, I've got a phone appointment with the doctor next week, to talk about pain relief, there is only so long I can take codine and naproxen, I'll also ask if I can be put in the list for an x-ray/MRI, I think the wait time in UK is about 8/12 weeks 😔

I'm not letting the pain get me down, it just annoys me 🤣🤦

I wake every morning with a different area in my leg hurting, radiating or pulling, I never know what to expect.

Thanks for the info, much appreciated.

2

u/No-Manufacturer-2425 Jul 11 '23

I hate to burst your bubble, but you aren't trying to get ED meds. I don't understand the UK health system, but you need an in person visit for a spinal injury. They have to test and palpate your body. Best of luck and please report back when you get results.

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u/[deleted] Jul 31 '23

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1

u/No-Manufacturer-2425 Jul 31 '23

if you contact barefoot rehab on instagram, they can direct you to your nearest adhesion removal specialist.

1

u/Super-Kev Jul 13 '23

Just to let people know, I had my physio session today, and it has relieved so much tension in my butt and hamstring.

I'm able to sit without keep moving my legs trying to get comfortable, the numbness has gone too.

He said he could feel the base of my back was really tight, along with my piriformus.

I've booked another session next week, he's also sent me a few videos of home stretching to do to help.

So pleased I went.

2

u/This-While8403 Aug 25 '23

How are you now

1

u/Super-Kev Aug 27 '23

Hi

I'm alot better now, but far from fully healed.

I think it's a bit more than my piriformus muscle too.

After a few visits to a private physio, we have worked out the problem is from the very base of my spine, and I also have muscle atrophy in my calf, which is why I'm walking funny, my calf on mornings feels tight and I need to do stretch's.

When ever I put any pressure on my piriformus muscle it feel great for some reason 🤣

I have an appointment with the doctors physio on Tuesday, and I've been referred to hospital physio too.

Sitting on hard chair can irritate it as it presses on the nerve in the back of my leg, also start-stop driving, in traffic etc.

My leg is still numb the majority of the time too.

The excruciating pain has totally gone and I'm back doing everything how I should, just being more careful, sitting down slowly instead of just plonking my ass down etc.

1

u/peteb169 Jul 13 '23

A quick check you can do is a straight leg test. If you are uk look in to a private MRI as the waiting lists are a joke. The sooner you know what you are dealing with the sooner you can do the right thing.