Yes, stepping over baby gates for 2+ years could certainly have started your piriformis syndrome! And if you are getting in & out of an SUV or truck, that will not help either. I'm so glad you mentioned the baby gate. That is the kind of repetitive abnormal movement that can result in muscle imbalances & pain.
I looked up the internet reference to baby gates &
piriformis syndrome at:
and I liked what he said about muscle imbalances at
Only one member has reported  using his program. She found it helpful (but not a cure) after her less than successful P.S. surgery. Since you developed the pain by stepping over baby gates, I would think you would be a prime candidate for his methodology. I don't know if it will work for you or not. It seems to me (a non- medical person) that stretches & exercises are not enough. That you would also need someone to do soft tissue work on your muscles to remove restrictions, so muscles can be rebalanced.
Soft tissue work are things like myofascial release, ART, Myofascial Trigger Point Therapy, etc. See our recommended list for practioners near you.
I see Todd has just posted he is getting some improvement with ART. Some people respond well to this type therapy. We have found the best results come from instructors.
I found 5 ART instructors in MO.Â
Dr. Debbie Ducar, DC , St. Louis, MO
Dr. Todd Just, DC, St Peters, MO
Dr. Matthew Lytle, DC  or Dr. Patrick Oberle, DC, Bridgeton , MO
Dr. Clayton Skaggs, DC  Kirkwood, MO
Or look for a provider near you that has taken the most numbers of courses. See
I hope this helps. Please let us know what does & does not work for you. New members always ask "What works for this?" I wish there was a simple answer. Mary