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#1266 From: "Pegi Spencer" <Yellmouth@...>
Date: Sat Nov 5, 2005 6:42 am
Subject: Re: well
pakasfriend
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--- In piriformissyndrome@yahoogroups.com, jerseylillie@w... wrote:
>
> I got this off the web search and it pretty well says what I
have...I
> never had a real name for it....but this nerve in my buttocks is
> defently just like this discribes......
> Piriformis Syndrome
> The piriformis is a small muscle in your buttock, which has many
actions
> to help movement to occur at the hip. The sciatic nerve is a large
nerve
> that travels from the lower back and down the back of the leg to
supply
> lots of muscles in the leg and foot. The sciatic nerve passes
underneath
> the piriformis muscle so if this muscle is tight or injured, it
will
> pinch the nerve and cause pain, tingling, or numbness in the
buttock and
> down the rest of the nerve path. These symptoms may be more obvious
> during activities such as squatting, sitting, running and lifting
heavy
> objects.
> A physical therapist can help to teach you how to decrease your
pain and
> increase your healing. After the initial injury is healed, a
physical
> therapist can teach you how to stretch your piriformis muscle and
other
> muscles that can be pinching the sciatic nerve. The physical
therapist
> can also decrease your risk of developing "sciatica" again by
teaching
> you what positions and movements that should and should not be
> performed.
>
> I did a scaitic nerve search on yahoogroups and it gave me this
> group....Im glad  you gave  your option on his book though....I
can send
> it back unread when it comes this week........my repressed anger
is when
> Ive eaten a few too many fresh baked Choc..chip
cookies...:>)....BonnieW
>
Hi Jersey, I found an article about that nerve many,many yrs ago,it
was in 'JMA' magazine, something like that,I have no idea how I
found this magizine.Thats not the right name for it,but I'll look it
up this weekend, I know i have in my 'pain' file, let me see what it
says but I remember it saying that this muscle is one the Drs.
ignore & something on how to get to it. So I hope I don't hurt to
much to find it for you,I'll copy what I can of it then send it to
you, I'am in So.Calif so don't worry about me showing up at your
door step,my pain stared at age 10,its been 24/7 over 30+yrs now, so
going food shopping layes mye up for a few days.I was going down
my 'Favorits' list, & forgot I put tis site in, but glad I did cause
now I found Mary,I talked to her on a few other sites,now I'am going
to send her a post, maybe she has some idea to get my Ins. to pay
for another IDET. I had one in June 04,but have fell twice since,the
bad one was on the Garage floor,took me 3 wks. to sit,walk or even
sleep,without 'Screaming pain', then it finally started going away,
the 2nd. fall was in the tub of course, about 3-4 wks ago. So thats
why I said if Iam not in alot of pain,I see my Dr. next Fri. so my
supply of meds is low. Aren't you tired of living your life around
when you can get meds. to calm your pain down,I'am so sick of it,
the 'War on Drugs' has hit us painers hard, but were easy targets,I
don't know if you take meds or not, but i have done 'the Natural
Way' a few times, only to not function at all,I missed so much of my
kids young life,like going to Disneyland, the park or just being
with them. Yes I have had P.T. so many times, but she was the only
one my Ins. would pay for & she was terrible,I always left in more
pain, for longer & longer,I knew I would hurt cause I excepted to
use muscles, or streath[?] then out but thought she would help me
get them to work better. No she would hand me a sheet of pictures &
say go to that corner & do these, not telling me how many or if I
was doing them right, she wouldn't do pool therapy with me cause I
didn't have a pool,to keep them up,but I heard many of the others,
say they had no pool either, I finally told my Dr. I'am not going
back for the 6th section, or wks. of P.T. I'am still trying to stay
away from the 'surgey circle,' But glad I found Mary again,she helps
so many people, maybe she can give me some pointers & I'll mail you
when I find that article. Hugs, Pegi

#1265 From: Mary Smith <filmfest12@...>
Date: Mon Oct 17, 2005 11:41 pm
Subject: Re: [Piriformis syndrome] Many Many Thanks Mary
filmfest12
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Glad I could help. We chronic pain patients spend far
too many years wandering around the medical maze.

I want to correct something I said earlier about the
Acive SI belt. I said it was worn above the buttock
crack. But while putting it on the other day, I
realizes it is worn lower (going around the hips), so
it might provide you with some support. But I still
don't know for sure.

Good luck & "happy landings". Mary



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#1264 From: jerseylillie@...
Date: Sat Oct 15, 2005 3:48 pm
Subject: Many Many Thanks Mary
jerseylillie...
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I Thank you so very much for the extent of which you have gone to help
me get help..and useful info I can use..I do think that the sports meds
dignoses will be my way of dealing with all my jumble of pains and
weaknesses...I do belive thats something I can afford in terms of a
follow threw....yes I did get some new excersises to do in stretching
with the flex bands from my chiorprator on thursday..along with a mesage
theropist...but as you strongly suggested he is going to be limited in
just what he can and cant do for me......youve given me new
hope:>)......I Cant Thank You enough and am printing out on my computer
and keeping all the advice so I wont get confused in my go ahead
program............Ill let you no how I proceed..........All My Thanks
and To You I hope you get continue pain relief........BonnieWalker

#1263 From: Mom2TMT@...
Date: Thu Oct 13, 2005 6:52 pm
Subject: Hey, I am still around~
mom2tmt
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I started the Physical Therapy, as I have exercises, walking the  treadmill,
moist heat, cold pack, and ultrasound on my left side.  I  also just started
to do Yoga with an instructor, as I always did it at home,  before I hurt
myself.  Then I see the Chiropractor.   Well............I am in pain, but I
think
it is everything I am doing, plus  we are having a lot of rain, this past week
and I feel the worse.  I  don't want to take my pain meds, too much, but I
have to this week.

Just wondering if anyone else does Yoga and how they like it  and does it or
did it help them at all?

Thanks a bunch and hope to hear from you soon!

Hugs,
Dawn





[Non-text portions of this message have been removed]

#1262 From: Mary Smith <filmfest12@...>
Date: Thu Oct 13, 2005 3:16 am
Subject: Re: on pain location
filmfest12
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Bonnie- I didn't get your last email till I got home
from PT, so I couldn't include the info when I talked
to her.

Bear in mind, my PT can only speculate -  not
diagnosis you. Here are some of her thoughts.

Because you landed with your leg externally rotated,
she wonders in you tore one of your internal hip
rotators as you were stretching. It sounds like, if
your hip was out, then there was some femoral head
compression on some of  the nerve complexes that are
just underneath the hip joint there, which is why your
adductors (inner thigh muscles) were so atrophied. And
with all the instability in your hip, that could cause
the sciatic nerve irritation that is causing some of
your other pain. Because the hip is unstable, you
could be getting traction forces on the sciatic nerve
from movement &  walking.

This may have happened with either the first or second
injury - hard to tell. Given your injuries, you are
going to have some Piriformis  symptoms, but that does
not necessarily mean you have Piriformis Syndrome.
Sciatica gives you a lot of the same symptoms, but
that does not tell you where the nerve is irritated
at.

Typically, chiropractors just mobilize joints & heat
muscles with ultrasound or some kind of heat. And a
Rolpher cannot help you strengthen muscles.

She would try to get some stability for that hip
(usually through appropriate exercises). She doesn't
know if wearing a pelvic/sacral belt would help or not
to provide some stability for your hip.

I wear a sacral (SI) belt for getting in & out of
cars. I have tried many belts, but the only good one I
have found is the "Active SI belt" see  page 3 of
http://www.centurymedical.com/Download/Back_Supports.pdf
It is worn around the pelvis just above the buttock
crack. Because it was designed to support another
area,  I suspect it would not give you the kind of hip
support you need. Or it might be better than nothing.
Don't know.

If you have weakness, you have instability. If you
continue to do inappropriate activities, that can
cause a lot of traction, tension, injuries, wear &
tear on muscles.

You really need to have it diagnosed professionally (a
good diagnostic workup), so they know what to treat.
This means going to a Physiatrist or a PMR doctor
(Physical Medicine & Rehab). These are two different
names for the same medical specialist. A good PMR will
look for function more than other doctors like an
orthopedist.

Most likely, this kind of doctor would recommend PT
treatment. But since your insurance doesn't cover PT,
rather than spending money on a chiropractor & rolfer,
you might do the following:
  Go to a recommended PT once & get the necessary
information from a professional - tell her your
history, this is my pain, this is what the Phystatrist
said, & that you don't have the money for continuing
PT -Ask for a program you can do at home. Ask her to
help you understand what is going on with your body.
And go back to the PT once  every (month, two months,
whatever you can afford) to have her reassess the
situation, upgrade the exercises, tell her if anything
else is happening.

For what it is worth, here is "my two cents"
(otherwise known as "in my humble opinion").  Given
your situation, I think if you can get a good PMR
doctor & a home PT program, you will make more
progress & get more for your money than going to a
chiropractor or Rolfer.

I sincerely hope you find something that helps your
pain. But I think Piriformis Syndrome is the wrong
diagnosis for you. Good luck in finding help. Best
wishes, Mary

P.S. I am appalled by the way the medical doctors have
treated you. You deserve better doctors, who at least
have more knowledge.



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#1261 From: jerseylillie@...
Date: Wed Oct 12, 2005 9:41 pm
Subject: Re: on pain location
jerseylillie...
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There was one other place I forgot to mention..right under the
buttock..right...or the upper thigh..throbing.....stiff...I use to bend
over a year or so after my self injury and if I could snap.or
pop....that tendon or ligement...and sometime it was in 2 places on the
right leg/an thigh..the pain would sese.....as if I were putting
something back in place...it does not do that now....but at that time it
was the only way I could get relief...I couldnt do it every day..but a
few times a week...BonnieWalker

#1260 From: jerseylillie@...
Date: Wed Oct 12, 2005 12:03 am
Subject: pain as discribed
jerseylillie...
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But I need more information.
1- When you were bending your head toward your knees - were you knees &
feet staight?  Yes knees straight.......  Feet wide apart or nornal
standing position?
Feet wide apart
2-When you fell - what part of your body did you land on?
  I just went down on my back holding my leg close to me ....to my
stomach and literliy crying out in pain.....for a good 10 minutes
3- Please describe where your pain is.
  I have in my buttocks on the right side that tingling sometimes
throbbing pain..in the middle..its a stabbing pain.when it gets really
bad is when I get out the knotted rope or tennis ball and roll out the
pain.... sometimes ive knotted up a huge rope and rolfed out the pain
myself..as if to break it up..
  If leg - where in leg.
  the back on the upper leg thigh going out to the right outside....l...I
use to think thats what id done..pulled a hamstring but its defently
that long tendon in the back of the upper thigh..attached to the
buttocks,,then it runs down the lower leg to the tendon that is behind
the heel..its not a heal spur...
  What does the pain feel like - achy, burning, pins& needles, hot-
swelling, or other?
  The pain throbs......and aches....like a tooth ache......like today ive
been on my feet all day cleaning and now....its
hurting...throbbing..drawing up..becoming stiff..the whole leg but in
those sections......Ill take an Aleve'and that will help...but it never
goes complelty away...Thank you for asking your PT...I no now what to
tell my chiopractor and on Thursday ill see what he says.....the
weakness in my hip and leg is ongoing as ive aged and probabaly not used
my leg the right way..it wo uld be a miricale to think that maybe after
all this time I could get some relief.......Thank you....So Very
Much....BonnieWalker
Thanks, Mary
__________________________________

#1259 From: Mary Smith <filmfest12@...>
Date: Tue Oct 11, 2005 7:21 pm
Subject: Re: treatment and more info
filmfest12
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You have a very unusual case. I see my PT on Wednesday
& I'll ask her what she would advise you to do. But I
need more information.

1- When you were bending your head toward your knees -
were you knees & feet staight? Feet  wide apart or
nornal standing position?

2-When you fell - what part of your body did you land
on?

3- Please describe where your pain is. If leg - where
in leg. What does the pain feel like - achy, burning,
pins& needles, hot- swelling, or other?

Thanks, Mary



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#1258 From: jerseylillie@...
Date: Tue Oct 11, 2005 6:40 pm
Subject: Re: treatment and more info
jerseylillie...
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I just go to the chiopractor...now that I have more info..on what all
this is called and I dont have to lump it all into sciatic nerve.....I
have more info...Im going Thursday....I go once a month......My
insurance wont pay for a PT....it wont pay for my chiopractor either but
hes not as expensive.......im going to ask him about this............
see in 1986.....I was a stay at home mom....we lived way back off the
road in a rented cottage and the land had been sold to
developers......so if I didint get out of my driveway before 9am I was
stuck home until after 6pm...........due to construction......I was
35yrs old then and did lots of excersises with the videos ....well after
one day of finishing up after 3hrs..yes...the day that I wish I could go
back and change.....I was stretching my head downward to my knee and
something in my buttocks on the right side.....and
my.leg.......snapped.......I thought id broke my leg..it sounded like a
small tree snapping....down to the floor I went....and after that I co
uldnt set down....litterly for over 3 to 6 months..........I could nt
ride in the car.......for over 10 minutes....my whole leg.....was
shot.....but the buttocks...is where the pain started....its like if I
could have taken my leg off at my hip and re attached it...it pointed
outwards......my Dr..didint care.......he didint do or give me anything
for it....laughted and let it go...so by self treatment and
time......Ive learned to cope and its much better but it will never be
the same......when ive discribed this pain to anyone.......its oh you
have sciaitic nerve...well........now I no I have something
else......and im going to go threw all this now with my new
chiopractor..if he says for me to go to PT and possible have the
roulfing massage....which im going to ask about......Im doing
it........all this info has been a god send......I really thank you all
so much........BonnieWalker

#1257 From: piriformissyndrome@...
Date: Tue Oct 11, 2005 5:20 am
Subject: Groundbreaking new eBook eliminates fears, guilt, addiction and more
piriformissyndrome@...
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[Non-text portions of this message have been removed]

#1256 From: Mary Smith <filmfest12@...>
Date: Mon Oct 10, 2005 4:39 am
Subject: Re: [Piriformis syndrome] Re: well
filmfest12
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Yes, the definiton from the web is correct. If you
think it accurately describes your condition, you
should have the diagnosis confirmed by a PT or
chiropractor & get treatment.

MDs will put you through extensive, high tech tests.
But there a is simple manual exam that that PTs &
chiros do that is sufficient to begin the usual
treatment. Might as well start there & save your
health insurance money.

If the usual PT stretching treatment doesn't work, you
can go back for a more extensive medical workup.

Are you in PT now?




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#1255 From: jerseylillie@...
Date: Sun Oct 9, 2005 9:28 pm
Subject: Re: well
jerseylillie...
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I got this off the web search and it pretty well says what I have...I
never had a real name for it....but this nerve in my buttocks is
defently just like this discribes......
Piriformis Syndrome
The piriformis is a small muscle in your buttock, which has many actions
to help movement to occur at the hip. The sciatic nerve is a large nerve
that travels from the lower back and down the back of the leg to supply
lots of muscles in the leg and foot. The sciatic nerve passes underneath
the piriformis muscle so if this muscle is tight or injured, it will
pinch the nerve and cause pain, tingling, or numbness in the buttock and
down the rest of the nerve path. These symptoms may be more obvious
during activities such as squatting, sitting, running and lifting heavy
objects.
A physical therapist can help to teach you how to decrease your pain and
increase your healing. After the initial injury is healed, a physical
therapist can teach you how to stretch your piriformis muscle and other
muscles that can be pinching the sciatic nerve. The physical therapist
can also decrease your risk of developing "sciatica" again by teaching
you what positions and movements that should and should not be
performed.

I did a scaitic nerve search on yahoogroups and it gave me this
group....Im glad  you gave  your option on his book though....I can send
it back unread when it comes this week........my repressed anger is when
Ive eaten a few too many fresh baked Choc..chip cookies...:>)....BonnieW

#1254 From: Mary Smith <filmfest12@...>
Date: Sun Oct 9, 2005 5:14 am
Subject: Re: Intro
filmfest12
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Bonnie _ I think you have this group confused with
another. I went through our archives and didn't find
any mention of the Sarno or his books. Also, you have
not mentioned anything about your Piriformis. This
group is for people with problems with Piriformis
Syndrome.

Sciatica has many, many causes & we can't address most
of them here. You don't say, but it kind of sounds
like you are trying to treat yourself or follow
exercises by Sarno. I can't help you in either case.
The closest I found in the archives is Message #
1223.(which I suggest you read)

I looked up Sarno on the web & personally, I would not
waste any money on his stuff. Because of your fall,
you, undoubtedly, have biomechanical problems that
effect your hip & other areas. These are real physical
problems that are not a result of repressed anger.

If anything, I would suggest advanced Sacral
mobilization work as mentioned in message #1223.
Problem is there are very few PTs trained to do it.

Hope you find something that helps. Good luck, Mary




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#1253 From: jerseylillie@...
Date: Sat Oct 8, 2005 10:55 pm
Subject: Re:intro
jerseylillie...
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its the book on back pain by John Sarno..I got the one Healing the
Body...only reading it wil let me no if it works for me or not..and far
as my pain..its sciatic nerve..I have a right hip that dislocates very
easily...so far ive not found a way to keep it in place so im going to
do some more strengthing excersises since I can move one more..it makes
the inside of my thigh muscle very sore and when it was out for over 2
years that muscle atrophy and shrank ..it took me 2 yrears to get it
back where I could use it...so now the pain seems to be located in my
heal tendon....yesterday was the first day since June I could stretch
out my leg with some flex bands.....and as they say..now it hurts so
good.....its just another way of feeling my age...50+ in
years..........BonnieWalker

#1252 From: Mary Smith <filmfest12@...>
Date: Fri Oct 7, 2005 1:55 am
Subject: Re: [Piriformis syndrome] Im new to the group
filmfest12
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Hello Bonnie! Sorry - I didn't quite follow your
message. What book are you asking us about? And what
diagnosis (or diagnoses) have the chiropractors given
you? Mary




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#1251 From: jerseylillie@...
Date: Thu Oct 6, 2005 11:12 pm
Subject: Im new to the group
jerseylillie...
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Im new to this group...but not to sciatic nerve pain.....Ive always
suffered from a tricky right hip but in 98 I feel on the ice and
refused.....for 2 yrs until I literely couldnt walk to seek treatment
then my Dr. sent me to some idiot  specialist who told me to get a cane
and learn to live with the pain.....so I went off to a chiorpractor..who
relieved my pain after months....of times a week and take these
pills......some medication is fine but...I wont go into details.....Id
since found a chiopractor I could work with when I felt the need to go
but..hes been in practice for so long he does the same thing and
sometime it works and sometimes it dont...Ive since found another
younger chiorpractor who is very good..affordable...but as anyone nos I
suffer daily...24hrs a day 7 days a week in pain.........I was reading
some of the back posts on a book that some really belived helped...after
reading the reviews on amazon.com....I wondered if the book was as
helpful for sciatic nerve as it seemed in backpain.......I do the
excersises to keep my leg stretched out..when my hip is not out but once
again since June I stumbled and my hip was out until I went a month ago
to get it put back in......if something happens..its always on the weak
side.....and its neverending.....now im using my Glider with tension for
about 7 minutes to stretch out the leg..and that relieves some of the
pain for awhile....but this will be the way I live for the rest of my
life.....I no some on the list are in much more pain than I am...so Im
stopping and not adding anything else to my intro post...Thank you for
having this list.....BonnieWalker

#1250 From: Mary Smith <filmfest12@...>
Date: Sun Sep 11, 2005 4:44 pm
Subject: re:fusion, SI dysfunction, Piriformis Syndrome
filmfest12
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Joyce - Thanks for the feedback. Half of what I wrote
was speculation. So I am glad to learn my speculation
was accurate.

But unfortunately, you are left in a terrible
situation. I hope you get some relief from the
injections.

Please keep us informed on your medical odyssey. I
don't know what your options are, at this point. And I
am most interested to learn what doctors can offer you
now other than drugs.

I really hope you can find something to reduce the
pain. Good luck, Mary

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#1249 From: "Joyce Zannoni" <jaymzed@...>
Date: Sun Sep 11, 2005 11:46 am
Subject: Re: [Piriformis syndrome] fusion, SI dysfunction, Piriformis Syndrome
j_cezanne
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Dear Mary

Thanks for your support and detailed notes ref L5/S1 fusion and outcomes.  You
have absolutely hit the nail on the head here. Surgeons are not always aware of
body mechanics whereas Chiros are.

I had my metalwork removed 1 year post fusion - the surgeon thought the titanium
might be contributing to the pain but 2 weeks after removal the pain got
consistently worse, especially through loading.  I.e. sitting, standing in a
static pose and so on.

My Chiropractic told  me exactly what you have reported.  The load at the sacrum
is increased by the welding etc. and other muscles are put under considerble
strain including sacroiliac slip.

Although Chiropractic manipulations, traction, exercises have helped
considerably (my sacroiliac joint was pretty much non-functioning a year ago)
there's not much more he can do for me.

Have been offered piriformis release by another specialist in the UK but
declined the op as my Chiropractic warned me of the possible consequences on
muscle and pelvic stability.

I am due to have root nerve injections at L5 S1 and S2 level but the question of
the fusion being absolutely solid is now also under scrutiny.  I'm like a dog
chasing my own tail!!  I never want to undergo that surgery again!

Jo
   ----- Original Message -----
   From: Mary Smith
   To: piriformissyndrome@yahoogroups.com
   Sent: Saturday, September 10, 2005 9:44 PM
   Subject: [Piriformis syndrome] fusion, SI dysfunction, Piriformis Syndrome


   Joyce  & Jamie- here are some thoughts that I wrote on
   a previous back pain group. I'm posting it here in
   case it might be relevant to your situations.

   " According to my Physical Therapist, 95%
   of of L5-S1 fusions fail.  This means that at some
   point the hardware comes loose. Once that happens you
   will have pain just from the hardware & possible
   disk/nerve pain again. So they have to go back in
   tighten the screws again. It probably won't happen for
   years, but with a 95% failure rate, you can bet it
   will eventually happen to you.

   The reason for the failure is the location. L5-S1 is
   THE major point of motion transferring from the lower
   to upper body & vice versa. Although, they use
   Titanium parts, you can not rewrite the laws of
   physics, and that motion has to be transferred. So the
   sheer force of the movement will eventually loosen the
   hardware.

   I was thinking about the after effects of an L5-S1
   fusion on the pelvis. Once the fusion is done, the
   sacrum cannot be moved relative to the L5 vertebrae.
   (in effect, you "welded" the sacrum in a certain
   position)

   If the pelvis was not in the correct neutral position
   at the time of surgery, this will create &/or
   perpetuate  problems in pelvis mechanics, which will
   result in pain elsewhere.

   Once fused, manual techniques will be limited in their
   ability to re-balance the pelvis. The therapist will
   only be able to adjust the other pelvic bones in
   relation to the sacrum, but not the sacrum itself.

   While the surgery may stop pain at the disk level, it
   will perpetuate problems in the pelvis.

   For example, this may explain why one person said the
   fusion worked but he has pain from sitting.

   Therefore, it is extremely important the pelvis be in
   the correct position during surgery. But the odds of
   that happening are reduced by two factors. 1- the
   muscle compensations resulting from pain, pull the
   pelvic bones out of position long before surgery
   happens & 2- Surgeons, in  particular, are
   underinformed about the dynamics of pelvic
   biomechanics.

   Unfortunately, I suspect most of  your doctors
   have no idea what I'm talking about. A chiropractor
   would understand though."

   In other words, one of many possible long term effects
   of having an L5/S1 fusion could be Piriformis Syndrome
   or other low back problems because  the surgery has
   created a permanent pelvic imbalance that can not be
   completely created manually.

   Thinking out loud - if one then has surgery to relieve
   the Piriformis Syndrome - I wonder what other back
   pain problems will be created down the road.

   __________________________________________________
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#1248 From: Mary Smith <filmfest12@...>
Date: Sat Sep 10, 2005 8:44 pm
Subject: fusion, SI dysfunction, Piriformis Syndrome
filmfest12
Offline Offline
Send Email Send Email
 
Joyce  & Jamie- here are some thoughts that I wrote on
a previous back pain group. I'm posting it here in
case it might be relevant to your situations.

" According to my Physical Therapist, 95%
of of L5-S1 fusions fail.  This means that at some
point the hardware comes loose. Once that happens you
will have pain just from the hardware & possible
disk/nerve pain again. So they have to go back in
tighten the screws again. It probably won't happen for
years, but with a 95% failure rate, you can bet it
will eventually happen to you.

The reason for the failure is the location. L5-S1 is
THE major point of motion transferring from the lower
to upper body & vice versa. Although, they use
Titanium parts, you can not rewrite the laws of
physics, and that motion has to be transferred. So the
sheer force of the movement will eventually loosen the
hardware.

I was thinking about the after effects of an L5-S1
fusion on the pelvis. Once the fusion is done, the
sacrum cannot be moved relative to the L5 vertebrae.
(in effect, you "welded" the sacrum in a certain
position)

  If the pelvis was not in the correct neutral position
at the time of surgery, this will create &/or
perpetuate  problems in pelvis mechanics, which will
result in pain elsewhere.

Once fused, manual techniques will be limited in their
ability to re-balance the pelvis. The therapist will
only be able to adjust the other pelvic bones in
relation to the sacrum, but not the sacrum itself.

While the surgery may stop pain at the disk level, it
will perpetuate problems in the pelvis.

For example, this may explain why one person said the
fusion worked but he has pain from sitting.

Therefore, it is extremely important the pelvis be in
the correct position during surgery. But the odds of
that happening are reduced by two factors. 1- the
muscle compensations resulting from pain, pull the
pelvic bones out of position long before surgery
happens & 2- Surgeons, in  particular, are
underinformed about the dynamics of pelvic
biomechanics.

Unfortunately, I suspect most of  your doctors
have no idea what I'm talking about. A chiropractor
would understand though."

In other words, one of many possible long term effects
of having an L5/S1 fusion could be Piriformis Syndrome
or other low back problems because  the surgery has
created a permanent pelvic imbalance that can not be
completely created manually.

Thinking out loud - if one then has surgery to relieve
the Piriformis Syndrome - I wonder what other back
pain problems will be created down the road.

__________________________________________________
Do You Yahoo!?
Tired of spam?  Yahoo! Mail has the best spam protection around
http://mail.yahoo.com

#1247 From: Mary Smith <filmfest12@...>
Date: Fri Sep 9, 2005 5:55 pm
Subject: re:Doctor Visit Update
filmfest12
Offline Offline
Send Email Send Email
 
It is so nice to hear good news these days -
especially from you, Carol.
Best wishes & good luck finding the right kind of job. Mary




______________________________________________________
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http://store.yahoo.com/redcross-donate3/

#1246 From: "Joyce Zannoni" <jaymzed@...>
Date: Fri Sep 9, 2005 3:10 pm
Subject: Re: [Piriformis syndrome] Doctor Visit Update
j_cezanne
Offline Offline
Send Email Send Email
 
For Carol

This is fantastic news Carol - I wondered where you had got to.  The thought of
being able to work would fill me with great joy and I'm sure this has given you
much hope.  Can you drive yet?  I'm still battling with getting treatment,
injections to L5, S1, S2 nerve roots is on the list next month.  ? Sacroiliac
joint dysfunction is also under scrutiny but things move very slowly here in the
UK I'm afraid.
Keep us all posted and keep up the progress.

Jo (UK)
   ----- Original Message -----
   From: Carol
   To: piriformissyndrome@yahoogroups.com
   Sent: Friday, September 09, 2005 3:51 PM
   Subject: [Piriformis syndrome] Doctor Visit Update


   Hello Everyone,

   Just a quick note to let everyone know my neurologist is so happy he
   will let me take a part-time job around 10-15 hours.  Something light
   in a office.  Anyway on that note it should be interesting to see if
   it will be possible to find one with that kind of criteria?  I see my
   surgeon at the end of the month.  I look forward to get his opinion.

   Hope everyone is doing well and we do not have anyone living where
   Katrina hit.

   Carol
   Charleston, SC




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#1245 From: "Carol" <lakriskonfekt@...>
Date: Fri Sep 9, 2005 2:51 pm
Subject: Doctor Visit Update
lakriskonfekt
Offline Offline
Send Email Send Email
 
Hello Everyone,

Just a quick note to let everyone know my neurologist is so happy he
will let me take a part-time job around 10-15 hours.  Something light
in a office.  Anyway on that note it should be interesting to see if
it will be possible to find one with that kind of criteria?  I see my
surgeon at the end of the month.  I look forward to get his opinion.

Hope everyone is doing well and we do not have anyone living where
Katrina hit.

Carol
Charleston, SC

#1244 From: "Joyce Zannoni" <jaymzed@...>
Date: Sat Sep 3, 2005 1:41 pm
Subject: Re: [Piriformis syndrome] Update (Joyce)
j_cezanne
Offline Offline
Send Email Send Email
 
For James
I have good vibes about this James.
Joyce
   ----- Original Message -----
   From: james weber
   To: piriformissyndrome@yahoogroups.com
   Sent: Saturday, September 03, 2005 2:31 PM
   Subject: Re: [Piriformis syndrome] Update (Joyce)


   Hi Joyce,

   It is a Bakers cyst. It is 4.5cm x 1.5cm x 0.7 cm.
   There is also patellar bursitis. As I said before it
   could be the cause of the sciatic pain in that area
   then again it could be totally unrelated. At least it
   is a glimmer of hope that it is related and that they
   can do something about it. If I had not had a blood
   clot in the same area (back of the knee)in 97 the
   diagnosis would be more exciting, but it could be that
   it is related to poor circulation in that area and
   that it is not the cyst that is causing the problem. I
   will have to wait and see what the orthopaedic surgeon
   has to say. Evidently the guy I am going to see is one
   of the best in this area.
   James.



   --- Joyce Zannoni <jaymzed@...> wrote:

   > For James
   > Let's keep fingers crossed that this is indeed the
   > case - has your specialist indicated that this might
   > be a Baker's cyst?
   > Joyce
   >   ----- Original Message -----
   >   From: james weber
   >   To: piriformissyndrome@yahoogroups.com
   >   Sent: Saturday, September 03, 2005 12:25 AM
   >   Subject: Re: [Piriformis syndrome] Update (Joyce)
   >
   >
   >   Hi Joyce, The cyst could be causing the problem,
   > then
   >   again it might not. At least they have finally
   > found
   >   something !
   >
   >   James.
   >
   >   --- Joyce Zannoni <jaymzed@...> wrote:
   >
   >   > Hi James
   >   > That's really good news that something's been
   > found.
   >   >  At least your doctor knows it's not all in your
   >   > head!  Good luck with the orthopaedic specialist
   > -
   >   > hope he/she cane help you.  Good luck. Jo
   >   >   ----- Original Message -----
   >   >   From: james weber
   >   >   To: piriformissyndrome@yahoogroups.com
   >   >   Sent: Thursday, September 01, 2005 10:41 PM
   >   >   Subject: [Piriformis syndrome] Update
   >   >
   >   >
   >   >   Hello All,
   >   >
   >   >   I received the results of the knee MRI I had
   > in
   >   > July
   >   >   yesterday. I have a cyst at the back of the
   > knee
   >   > where
   >   >   the sciatic pain is now centred. I had an
   >   > operation in
   >   >   April 2004 to remove vein "leashes" around the
   >   > sciatic
   >   >   nerve at the top rear of my leg.
   >   >   I was convinced the Piriformis was causing the
   >   > problem
   >   >   but it turned out to be something else.
   >   >   Only exploratory surgery confirmed that and
   > the
   >   >   "leashes" were removed. I was much improved
   > after
   >   > that
   >   >   surgery but still not where I wanted to be ie
   > able
   >   > to
   >   >   sit for more than an hour.
   >   >
   >   >   After the discovery of the cyst on the MRI and
   >   > meeting
   >   >   with the surgeon yesterday who removed the
   >   > "leashes"
   >   >   he has now referred me to an orthopaedic
   > surgeon
   >   > to
   >   >   see if he thinks the location of the cyst to
   > the
   >   >   sciatic nerve could be causing the ongoing
   > sciatic
   >   >   problems.
   >   >
   >   >   The MRI of the knee is the first test in 5
   > years
   >   > of
   >   >   testing (MRI's,
   >   > Veinograms,Arteriograms,Ultrasounds,
   >   >   Neurography etc etc) that has actually showed
   >   >   something wrong !
   >   >
   >   >   James.
   >   >
   >   >
   >   >
   >   >
   >   >
   >   >
   >   >
   >   >
   > ____________________________________________________
   >   >   Start your day with Yahoo! - make it your home
   >   > page
   >   >   http://www.yahoo.com/r/hs
   >   >
   >   >
   >   >
   >   >
   >
   >
   ------------------------------------------------------------------------------
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   > on
   >   > the web.
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   >   >     b..  To unsubscribe from this group, send an
   >   > email to:
   >   >
   > piriformissyndrome-unsubscribe@yahoogroups.com
   >   >
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   > the
   >   > Yahoo! Terms of Service.
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   >   >
   >   >
   >
   >
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   >   >
   >   >
   >   >
   >   > [Non-text portions of this message have been
   >   > removed]
   >   >
   >   >
   >
   >
   >
   >
   >
   > ____________________________________________________
   >   Start your day with Yahoo! - make it your home
   > page
   >   http://www.yahoo.com/r/hs
   >
   >
   >
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   >     a..  Visit your group "piriformissyndrome" on
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   >
   >




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#1243 From: james weber <redjay25@...>
Date: Sat Sep 3, 2005 1:31 pm
Subject: Re: [Piriformis syndrome] Update (Joyce)
redjay25
Offline Offline
Send Email Send Email
 
Hi Joyce,

It is a Bakers cyst. It is 4.5cm x 1.5cm x 0.7 cm.
There is also patellar bursitis. As I said before it
could be the cause of the sciatic pain in that area
then again it could be totally unrelated. At least it
is a glimmer of hope that it is related and that they
can do something about it. If I had not had a blood
clot in the same area (back of the knee)in 97 the
diagnosis would be more exciting, but it could be that
it is related to poor circulation in that area and
that it is not the cyst that is causing the problem. I
will have to wait and see what the orthopaedic surgeon
has to say. Evidently the guy I am going to see is one
of the best in this area.
James.



--- Joyce Zannoni <jaymzed@...> wrote:

> For James
> Let's keep fingers crossed that this is indeed the
> case - has your specialist indicated that this might
> be a Baker's cyst?
> Joyce
>   ----- Original Message -----
>   From: james weber
>   To: piriformissyndrome@yahoogroups.com
>   Sent: Saturday, September 03, 2005 12:25 AM
>   Subject: Re: [Piriformis syndrome] Update (Joyce)
>
>
>   Hi Joyce, The cyst could be causing the problem,
> then
>   again it might not. At least they have finally
> found
>   something !
>
>   James.
>
>   --- Joyce Zannoni <jaymzed@...> wrote:
>
>   > Hi James
>   > That's really good news that something's been
> found.
>   >  At least your doctor knows it's not all in your
>   > head!  Good luck with the orthopaedic specialist
> -
>   > hope he/she cane help you.  Good luck. Jo
>   >   ----- Original Message -----
>   >   From: james weber
>   >   To: piriformissyndrome@yahoogroups.com
>   >   Sent: Thursday, September 01, 2005 10:41 PM
>   >   Subject: [Piriformis syndrome] Update
>   >
>   >
>   >   Hello All,
>   >
>   >   I received the results of the knee MRI I had
> in
>   > July
>   >   yesterday. I have a cyst at the back of the
> knee
>   > where
>   >   the sciatic pain is now centred. I had an
>   > operation in
>   >   April 2004 to remove vein "leashes" around the
>   > sciatic
>   >   nerve at the top rear of my leg.
>   >   I was convinced the Piriformis was causing the
>   > problem
>   >   but it turned out to be something else.
>   >   Only exploratory surgery confirmed that and
> the
>   >   "leashes" were removed. I was much improved
> after
>   > that
>   >   surgery but still not where I wanted to be ie
> able
>   > to
>   >   sit for more than an hour.
>   >
>   >   After the discovery of the cyst on the MRI and
>   > meeting
>   >   with the surgeon yesterday who removed the
>   > "leashes"
>   >   he has now referred me to an orthopaedic
> surgeon
>   > to
>   >   see if he thinks the location of the cyst to
> the
>   >   sciatic nerve could be causing the ongoing
> sciatic
>   >   problems.
>   >
>   >   The MRI of the knee is the first test in 5
> years
>   > of
>   >   testing (MRI's,
>   > Veinograms,Arteriograms,Ultrasounds,
>   >   Neurography etc etc) that has actually showed
>   >   something wrong !
>   >
>   >   James.
>   >
>   >
>   >
>   >
>   >
>   >
>   >
>   >
> ____________________________________________________
>   >   Start your day with Yahoo! - make it your home
>   > page
>   >   http://www.yahoo.com/r/hs
>   >
>   >
>   >
>   >
>
>
------------------------------------------------------------------------------
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>   >
>   >     a..  Visit your group "piriformissyndrome"
> on
>   > the web.
>   >
>   >     b..  To unsubscribe from this group, send an
>   > email to:
>   >
> piriformissyndrome-unsubscribe@yahoogroups.com
>   >
>   >     c..  Your use of Yahoo! Groups is subject to
> the
>   > Yahoo! Terms of Service.
>   >
>   >
>   >
>
>
------------------------------------------------------------------------------
>   >
>   >
>   >
>   > [Non-text portions of this message have been
>   > removed]
>   >
>   >
>
>
>
>
>
> ____________________________________________________
>   Start your day with Yahoo! - make it your home
> page
>   http://www.yahoo.com/r/hs
>
>
>
>   SPONSORED LINKS Health and wellness  Health
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> wellness
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>
>     a..  Visit your group "piriformissyndrome" on
> the web.
>
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>
>




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#1242 From: "Joyce Zannoni" <jaymzed@...>
Date: Sat Sep 3, 2005 9:46 am
Subject: Re: [Piriformis syndrome] Update (Joyce)
j_cezanne
Offline Offline
Send Email Send Email
 
For James
Let's keep fingers crossed that this is indeed the case - has your specialist
indicated that this might be a Baker's cyst?
Joyce
   ----- Original Message -----
   From: james weber
   To: piriformissyndrome@yahoogroups.com
   Sent: Saturday, September 03, 2005 12:25 AM
   Subject: Re: [Piriformis syndrome] Update (Joyce)


   Hi Joyce, The cyst could be causing the problem, then
   again it might not. At least they have finally found
   something !

   James.

   --- Joyce Zannoni <jaymzed@...> wrote:

   > Hi James
   > That's really good news that something's been found.
   >  At least your doctor knows it's not all in your
   > head!  Good luck with the orthopaedic specialist -
   > hope he/she cane help you.  Good luck. Jo
   >   ----- Original Message -----
   >   From: james weber
   >   To: piriformissyndrome@yahoogroups.com
   >   Sent: Thursday, September 01, 2005 10:41 PM
   >   Subject: [Piriformis syndrome] Update
   >
   >
   >   Hello All,
   >
   >   I received the results of the knee MRI I had in
   > July
   >   yesterday. I have a cyst at the back of the knee
   > where
   >   the sciatic pain is now centred. I had an
   > operation in
   >   April 2004 to remove vein "leashes" around the
   > sciatic
   >   nerve at the top rear of my leg.
   >   I was convinced the Piriformis was causing the
   > problem
   >   but it turned out to be something else.
   >   Only exploratory surgery confirmed that and the
   >   "leashes" were removed. I was much improved after
   > that
   >   surgery but still not where I wanted to be ie able
   > to
   >   sit for more than an hour.
   >
   >   After the discovery of the cyst on the MRI and
   > meeting
   >   with the surgeon yesterday who removed the
   > "leashes"
   >   he has now referred me to an orthopaedic surgeon
   > to
   >   see if he thinks the location of the cyst to the
   >   sciatic nerve could be causing the ongoing sciatic
   >   problems.
   >
   >   The MRI of the knee is the first test in 5 years
   > of
   >   testing (MRI's,
   > Veinograms,Arteriograms,Ultrasounds,
   >   Neurography etc etc) that has actually showed
   >   something wrong !
   >
   >   James.
   >
   >
   >
   >
   >
   >
   >
   > ____________________________________________________
   >   Start your day with Yahoo! - make it your home
   > page
   >   http://www.yahoo.com/r/hs
   >
   >
   >
   >
   ------------------------------------------------------------------------------
   >   YAHOO! GROUPS LINKS
   >
   >     a..  Visit your group "piriformissyndrome" on
   > the web.
   >
   >     b..  To unsubscribe from this group, send an
   > email to:
   >      piriformissyndrome-unsubscribe@yahoogroups.com
   >
   >     c..  Your use of Yahoo! Groups is subject to the
   > Yahoo! Terms of Service.
   >
   >
   >
   ------------------------------------------------------------------------------
   >
   >
   >
   > [Non-text portions of this message have been
   > removed]
   >
   >




   ____________________________________________________
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   http://www.yahoo.com/r/hs



   SPONSORED LINKS Health and wellness  Health wellness product  Health and
wellness program
         Diet fitness health nutrition wellness  Health promotion and wellness 
Business health wellness


------------------------------------------------------------------------------
   YAHOO! GROUPS LINKS

     a..  Visit your group "piriformissyndrome" on the web.

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[Non-text portions of this message have been removed]

#1241 From: james weber <redjay25@...>
Date: Fri Sep 2, 2005 11:25 pm
Subject: Re: [Piriformis syndrome] Update (Joyce)
redjay25
Offline Offline
Send Email Send Email
 
Hi Joyce, The cyst could be causing the problem, then
again it might not. At least they have finally found
something !

James.

--- Joyce Zannoni <jaymzed@...> wrote:

> Hi James
> That's really good news that something's been found.
>  At least your doctor knows it's not all in your
> head!  Good luck with the orthopaedic specialist -
> hope he/she cane help you.  Good luck. Jo
>   ----- Original Message -----
>   From: james weber
>   To: piriformissyndrome@yahoogroups.com
>   Sent: Thursday, September 01, 2005 10:41 PM
>   Subject: [Piriformis syndrome] Update
>
>
>   Hello All,
>
>   I received the results of the knee MRI I had in
> July
>   yesterday. I have a cyst at the back of the knee
> where
>   the sciatic pain is now centred. I had an
> operation in
>   April 2004 to remove vein "leashes" around the
> sciatic
>   nerve at the top rear of my leg.
>   I was convinced the Piriformis was causing the
> problem
>   but it turned out to be something else.
>   Only exploratory surgery confirmed that and the
>   "leashes" were removed. I was much improved after
> that
>   surgery but still not where I wanted to be ie able
> to
>   sit for more than an hour.
>
>   After the discovery of the cyst on the MRI and
> meeting
>   with the surgeon yesterday who removed the
> "leashes"
>   he has now referred me to an orthopaedic surgeon
> to
>   see if he thinks the location of the cyst to the
>   sciatic nerve could be causing the ongoing sciatic
>   problems.
>
>   The MRI of the knee is the first test in 5 years
> of
>   testing (MRI's,
> Veinograms,Arteriograms,Ultrasounds,
>   Neurography etc etc) that has actually showed
>   something wrong !
>
>   James.
>
>
>
>
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#1240 From: james weber <redjay25@...>
Date: Fri Sep 2, 2005 11:24 pm
Subject: Re: [Piriformis syndrome] Re: Update (Carol)
redjay25
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Thanks for the well wishes !  Hopefully the cyst is
the problem and that it can be removed.
James

--- Carol <lakriskonfekt@...> wrote:

> Hi James,
>
> I'm so happy to read your post.  That your doctor's
> found something on
> the MRI is great.  At least this give hope they will
> be able to treat
> the right area and improve your mobility and pain.
> Please keep us
> posted as to what your doctors recommend.
> Hang in there,
>
> Carol
>
>
>
>
>
>
>





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#1239 From: "Joyce Zannoni" <jaymzed@...>
Date: Fri Sep 2, 2005 10:07 am
Subject: Re: [Piriformis syndrome] Update
j_cezanne
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Hi James
That's really good news that something's been found.  At least your doctor knows
it's not all in your head!  Good luck with the orthopaedic specialist - hope
he/she cane help you.  Good luck. Jo
   ----- Original Message -----
   From: james weber
   To: piriformissyndrome@yahoogroups.com
   Sent: Thursday, September 01, 2005 10:41 PM
   Subject: [Piriformis syndrome] Update


   Hello All,

   I received the results of the knee MRI I had in July
   yesterday. I have a cyst at the back of the knee where
   the sciatic pain is now centred. I had an operation in
   April 2004 to remove vein "leashes" around the sciatic
   nerve at the top rear of my leg.
   I was convinced the Piriformis was causing the problem
   but it turned out to be something else.
   Only exploratory surgery confirmed that and the
   "leashes" were removed. I was much improved after that
   surgery but still not where I wanted to be ie able to
   sit for more than an hour.

   After the discovery of the cyst on the MRI and meeting
   with the surgeon yesterday who removed the "leashes"
   he has now referred me to an orthopaedic surgeon to
   see if he thinks the location of the cyst to the
   sciatic nerve could be causing the ongoing sciatic
   problems.

   The MRI of the knee is the first test in 5 years of
   testing (MRI's, Veinograms,Arteriograms,Ultrasounds,
   Neurography etc etc) that has actually showed
   something wrong !

   James.






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#1238 From: "Carol" <lakriskonfekt@...>
Date: Fri Sep 2, 2005 2:34 am
Subject: Re: Update
lakriskonfekt
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Hi James,

I'm so happy to read your post.  That your doctor's found something on
the MRI is great.  At least this give hope they will be able to treat
the right area and improve your mobility and pain.  Please keep us
posted as to what your doctors recommend.
Hang in there,

Carol

#1237 From: james weber <redjay25@...>
Date: Thu Sep 1, 2005 9:41 pm
Subject: Update
redjay25
Offline Offline
Send Email Send Email
 
Hello All,

I received the results of the knee MRI I had in July
yesterday. I have a cyst at the back of the knee where
the sciatic pain is now centred. I had an operation in
April 2004 to remove vein "leashes" around the sciatic
nerve at the top rear of my leg.
I was convinced the Piriformis was causing the problem
but it turned out to be something else.
Only exploratory surgery confirmed that and the
"leashes" were removed. I was much improved after that
surgery but still not where I wanted to be ie able to
sit for more than an hour.

After the discovery of the cyst on the MRI and meeting
with the surgeon yesterday who removed the "leashes"
he has now referred me to an orthopaedic surgeon to
see if he thinks the location of the cyst to the
sciatic nerve could be causing the ongoing sciatic
problems.

The MRI of the knee is the first test in 5 years of
testing (MRI's, Veinograms,Arteriograms,Ultrasounds,
Neurography etc etc) that has actually showed
something wrong !

James.






____________________________________________________
Start your day with Yahoo! - make it your home page
http://www.yahoo.com/r/hs

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