I discovered Clark's story in another group & got his permission to reprint some of it here. This is the first time I've read of a "muscle specific CT scan" used to diagnose PS.
"my Sciatic [RT leg] had been mis-diagnosed for 3 years and I was referred to a psyc for evaluation. It was
obvious to the psyh that there was a physical problem that had not addressed. My GP ordered
additional imaging MRI and CT studies. The studies came back NORMAL. I was pissed to say the least. For the next 2 days I went on a internet vinge doing research . At the end of the second night I hit pay dirt...Piriformis Syndrome."
"Now, I know exactly when and what happened to me that caused my injury. I was washing my camper slipped and fell onto the toung of the trailer hitch. There was not a bruise what so ever.
My research also led me to the type of doctor generally treats this type of condition. A medical rehabliation physician is the speciality that can help. Upon seeing the doctor he ordered a "Muscle Specefic"
CAT scan to image the left and right Piriformis muscle.
Upon reading the report and viewing the muscles there was no dought what the problem was. The left side was normal size and within correct dementions, However the right side muscle was drawn so tight
and squeezing the sciatic nerve. You could even see the coagulated [blood] that surounding the Sciatic nerve as it passed through the muscle and turned down the leg.
BINGO So how do you fix this was my next question. I underwent 3 months of physical thearepy massage with ultrasound 3 days a week. It took a lot of time and drugs to get through this , it was not
pleasant at all.But it worked.
When you have a condition like this you are constantly looking for a position of comfort or anything to get some releif. Allthough the nerve was damaged and I still have some problems with it I feel that I recovered about 75 percent and I have identified things that I need to stay away from such as sitting for over 30 minutes and taking a break from driving prolonged times."
My research also led me to the type of doctor generally treats this type of condition. A medical rehabliation physician is the speciality that can help. Upon seeing the doctor he ordered a "Muscle Specefic"
CAT scan to image the left and right Piriformis muscle.
Upon reading the report and viewing the muscles there was no dought what the problem was. The left side was normal size and within correct dementions, However the right side muscle was drawn so tight
and squeezing the sciatic nerve. You could even see the coagulated [blood] that surounding the Sciatic nerve as it passed through the muscle and turned down the leg.
BINGO So how do you fix this was my next question. I underwent 3 months of physical thearepy massage with ultrasound 3 days a week. It took a lot of time and drugs to get through this , it was not
pleasant at all.But it worked.
When you have a condition like this you are constantly looking for a position of comfort or anything to get some releif. Allthough the nerve was damaged and I still have some problems with it I feel that I recovered about 75 percent and I have identified things that I need to stay away from such as sitting for over 30 minutes and taking a break from driving prolonged times."