Hi,

It is better when the doctor does not do anything then doing the wrong thing!
Pain killers don't help much unless you get lidocaine injections directly into
the area (trigger points). I am told that there are lidocaine pads in U.S. ask
your doctor for one.

There is something you can do on your own, I can advise from my experience; get
your own Electronic Pulse Stimulator (It is used in Physical Therapy) and use it
on the tight and painful areas, especially at night to be able to fall asleep.
It gets numb after some time, less side effects than chemicals. It is also a
good treatment, try to stretch it after it is warm and relaxed with EPS. Do
priformis stretching, but not to much. Do not listen to anyone who tells you do
not mind the pain and keep exercising, rest it gets worse. I know it is very
hard when you have a baby but do not lift anything heavy, this is very
important. It gets harder to recover if you force it now. Priformis muscle tends
to get thick on one side because your pelvic is out of alignment, and therefore
carrying more load. Pregnancy might have put more load on it plus ipriformis
muscle is very near to ovaries I read that it can be felt from inside the vulva,
pain gets worse before the monthly periods as well. When you feel your sciatica
is tight rest till it eases if you are thinking now that you have to work must
do this and that. All I can tell you is you will regret later when it gets
chronic and more complicated .

I have reported all the treatment I had before with many references check the
archives of the group for different experiences all of them seem to be different
from the first trigger conditions to how you treat yourself after you've got it.

Nilgun

----- Original Message -----
From: Melissa A. Powell
To: piriformissyndrome@yahoogroups.com
Sent: Friday, April 28, 2006 3:44 PM
Subject: Re: [Piriformis syndrome] Newly diagnosed


Thanks Mary! I need to get on finding a PT. I am having a huge battle with my
ortho right now. It seems as if he just doesn't want to give me pain meds or
muscle relaxers anymore. I wonder if I should find a Pain Management doctor.

Melissa

----- Original Message -----
From: Mary Smith
To: piriformissyndrome@yahoogroups.com
Sent: Friday, April 28, 2006 1:33 AM
Subject: [Piriformis syndrome] Newly diagnosed


Hi Melissa. Piriformis syndrome is problematic. In my
opinion, the recovery rate varies tremendously. Here
are my observations based on being in the group a few
years. (I am not a doctor or PT, by the way). There
seems be to 3 or 4 distinct groups of people:
1- Runners, athletics, etc which develop this from
overuse.
2- People who fall on their butt
3-People who developed this from way too much sitting
or have an unknown cause of the problem.
4-People who have had some kind of back surgery,
usually an L5 S1 fusion.

Runners seem to have the highest recovery rate. Good
PT from a therapist specializing in Sports Medicine
often works well.

For the other groups, it is a much longer road.
Generally, the longer you have had the problem, the
harder it is to resolve. A year & a half probably
seems like a long time to you, but many people here
went years & years w/o accurate diagnosis.

The people with L5 S1 fusions have terrible problems
because their pelvis is locked in an abnormal position
causing muscles to to compensate thus causing more
pain & problems elsewhere.

I'm a big believer in good PT, but it is hard to find
PTs with advanced manual skills & training. You
really need someone who understands the bio-mechanics
of the pelvis because the Piriformis Syndrone might be
caused by another problem(s) in pelvic muscle
imbalance.

About 70% of PTs only know enough to give ultrasound,
massage, e-stim, stretching & strengthening exercises.
With long standing cases, that is probably
insufficient treatment. The ultrasound, massage,
e-stim feel good, but really don't do anything other
than eat up your insurance benefits.

At a minimum, your PT should check the position of
your pelvis at the beginning of each session and have
many yrs experience using Myeo Fascial Release
therapy.

Hope you can find a good PT - don't just take the
first person you can get an appointment with. If
possible, get recommendations from PTs. Ask them who
has really good manual skills & success treating this
kind of thing.

Good luck, Mary

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