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REBEL08

Piriformis syndrome

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Hi,

 

has anyone ever had this?

Since doing Busso just over two weeks ago, i have had really sore Glute's. I get a really sharp nerve tyle pain down the backs of my legs down to the calf and front of the shin.

 

Particularly bad first thing in the morning.

 

I can cycle pain free, swim a bit sore, running is very painful.

My back is fine and i dont have any back pain.

 

I have tried numerous treatments, seen a physio 4 times, accupuncture to the glute med, hip flexors etc, but still no joy.

 

stretching helps, and i do it 4 times a day...but the relief doesnt seem to last too long..

 

any idea's?

 

has anyone here suffered from this?

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Rebel,

Sports doc mate. Get all the scans they can refer you for. Knowledge is power my friend.

 

My cuz spent 18 months getting Physio and all manner of adjustments for his hips. Turns out the drugs he was taking for another issue cause bone necrosis and he needs a double replacement. He couldn't be happier to finally get the answer to his problem and only going to the doc and getting scanned proved the solution. His sister is a Physio and brother a doctor, go figure!!

 

Merry Christmas to you and Mrs Rebel from us btw!!

 

Sports doc dude. Get on it pronto!!

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Even though your back is not sore, are you sure the problem is not stemming from there, ie, nerve related?

 

The fact you describe symptoms extending down your legs, I'd bet it is your back as the cause.

 

NB - I'm not a medico, but as a coach have seen a number of similar issues in athletes...

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I had piriformis syndrome a couple of years ago- mine was characterised by local buttock area pain with a vague shock like radiation down the back of my upper leg. It was particularly disabling at night and lead to great sleep deprivation. I had specific tender points and spasm directly over my piriformis-meaning I was not concerned about other potential causes. A lot of stretching, massage, tennis ball/trigger point to the piriformis area, time of running, and intermittent non-steroidal anti-inflammatory use gradually improved things and I was free of the issue after about 4-6 weeks. My improvement was gradual. As it sounds like you have had no improvement with some intensive physio and accupuncture in only 2 weeks, it would seem sensible to at least book into a sports medic (likely to be difficult to get seen over the next 1-2weeks), but continue your other therapies and be patient in the meantime. Good luck!

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Off to Ireland for Xmas. Will go see sports doc for scan in new year when I get back. Physio reckons it's hip stabilizers. Muscle imbalance.

 

Had back injury after Busso last year. Had to get corto injection. Spent 4 months at pilates to correct issue for Busso this year. Weird thing is I have no back pain this time round.

 

Seems like my body hates IM.....

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Piriformis syndrome is chronically overdiagnosed

 

Sounds like back to me. Particularly with the morning pain. That is an inflammatory sign

 

 

"muscle imbalance" - not worse in morning

 

Get another opinion

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I had problems with my piri last year. Mine did not effect my sciatic nerve (which runs under the Piriformis). My pain was more in the hips (sensation of grinding hips). Regular sports massage from a good remedial masseuse and lots of stretching seem to do the trick.

I also reduced volume for a few weeks and kept it on the flat until completely sorted.

I don't really know if this will work for the your symptoms. Massage usually fixes everything with me (when done weekly).

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Off to Ireland for Xmas. Will go see sports doc for scan in new year when I get back. Physio reckons it's hip stabilizers. Muscle imbalance.

 

Had back injury after Busso last year. Had to get corto injection. Spent 4 months at pilates to correct issue for Busso this year. Weird thing is I have no back pain this time round.

 

Seems like my body hates IM.....

 

 

a little bit off topic but : Was pilates good ?? I am reluctant to go ... but as my wife is now an instructor , I migth give it a try

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Piriformis syndrome is chronically overdiagnosed

 

 

Yes, very rare that the nerve runs through the piriformis.

But it is always suggested because referred pain from back nerves is hard to diagnose and hopelessly misunderstood.

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Pilates is excellent when thought right and when done right. I struggle in it as it's hard to stay patient!

 

My nerve pain is the perennial nerve at front of right shin

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Off to Ireland for Xmas. Will go see sports doc for scan in new year when I get back. Physio reckons it's hip stabilizers. Muscle imbalance.

 

Had back injury after Busso last year. Had to get corto injection. Spent 4 months at pilates to correct issue for Busso this year. Weird thing is I have no back pain this time round.

 

Seems like my body hates IM.....

 

I found pilates brilliant for unstable hips. My classes were run by an osteo and she really knew her stuff. Four in a class, equipment, not just floor pilates.

 

Also, what CEM said.

 

And yes, maybe your body doesn't cope well with IM, you may need to listen to your body. And Nollaig Shona Dhuit!

 

 

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Go raibh mile mait agait.

 

Hard to give up on the Kona dream.

My pilates is the same class of 3 on reformers! Long term strategy is get body strong enough to cope. Stability in hips is biggest issue

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Go raibh mile mait agait.

 

Hard to give up on the Kona dream.

My pilates is the same class of 3 on reformers! Long term strategy is get body strong enough to cope. Stability in hips is biggest issue

 

 

Don't give up Paul !! See how it goes when you are back from holidays

 

For the pilates I might give it a try ... Especially if it's free :)

Reformer should even be at home soon ...

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be very unusual to get bilateral piriformis syndrome! So if in both legs more likely that back is the cause, not unusual not to have back pain with nerve based referral!

Muscle imbalance around hips may be part of the cause but is not a diagnosis. Get your back scanned and accept that generally fo any significant problem 6-10 physio sessions required

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hi all,

 

an update on the injury.

 

Turns out CEM & AP were correct.

 

I recently had an MRI which showed i have a herniated disc at L4/L5 and L5 nerve root compression.

without question the most painful injury i have ever had.

 

IM MEL is gone, need to take a break and get it fixed...

 

anyone ever had this sort of injury before with disc's?

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hi all,

 

an update on the injury.

 

Turns out CEM & AP were correct.

 

I recently had an MRI which showed i have a herniated disc at L4/L5 and L5 nerve root compression.

without question the most painful injury i have ever had.

 

IM MEL is gone, need to take a break and get it fixed...

 

anyone ever had this sort of injury before with disc's?

 

Glad you know what it is, but not good news.

 

I guy I coach had a bulged disk (I think) which kept him out for many weeks of rest plus strong drugs. Good news is that he's on the way back and all is going well. So be prepared for an extended break...

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x

He prescribed a fair aount of gym work, regular massage, physio and core work to stabilise the area. All the things the gurus on here say not to do :shy:

 

 

These things can be repaired/re-built - look at it as a gift - imagine if it happened in your last 9 weeks before Kona - by time you get there you'll be a much better athlete - good athletes need a strong core - a "good physio" will give you the right exercises to repair yourself - find one that has been reccommended by 5 or more people :smile1:

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Just been to see Sport Dr...disc bulge is bigger than i thought, recommendation is surgery to remove.

 

agree with AP....

 

I am going to take this as a positive....its my body's way of telling me get stronger in my core..total rebuild....

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Just been to see Sport Dr...disc bulge is bigger than i thought, recommendation is surgery to remove.

 

agree with AP....

 

I am going to take this as a positive....its my body's way of telling me get stronger in my core..total rebuild....

 

 

Mrs T asked how big your bulge was :o

 

Seriously, cos she has a bulging disc at L5-S1 which was out by 11mm, also with no back pain, but it was causing leg weakness/numbness, but strangely only on long runs, not when sprinting.

 

To date she hasn't had anything done other than a cortisone injection (which did nothing). Hers has been a problem for about 1.5yrs, and probably contributed to her recent massive hamstring tear while sprinting (which has probably ended her sprinting days). But as she has no pain, can cycle & do some distance running, surgery is not planned at this stage.

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Mate not sure exactly its measurement, but big enough that i struggle to walk on my left leg, need help from my Mrs to dress myself in the morning.

 

I also had Cortisone injection, 2 in the last 8 months and got great relief from the first one (May 2011). i went back training and did Busso 5 weeks ago. Similar to last year's issue it appears when i stopped and took a rest (holiday) it raised its ugly head again.

 

I'm visiting the surgeon on Monday so will know more then.

 

Most people i have spoken to are Anti spinal surgery...i prefer to listen to the experts i.e. Dr's....

My Doctor said if he were in my position he'd go ith surgery...thats good enough for me..

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Trust the Docs mate. Get the Surgery. Rest. Then think about what is possible once you understand the outcome. It might not be triathlon, it might be. Whatever it is dont force anything. Join your other broken down mate playing golf at the country club, he's looking for partners for a Saturday ambrose.

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Hi Rebel, I would strongly recommend a second opinion before heading down the surgery track. By all means talk to another surgeon, even just to confirm the diagnosis. If you are in Melb, I'll try to chase up the name of the surgeon I saw, he convinced me not to have surgery. Went from thinking my running days were over, to running longer and faster than I ever have, thanks to yoga and pilates.

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Hey Hymie,

 

I'm going to see the Surgeon for the first time monday so will ask if it 100% necessary. I'm also scheduling an appointment with another sports Physican in Sydney to get a 2nd opinion. Thanks for the advise.

 

Shot'is......i farking hate golf...

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you hate golf now.

 

Re-assess in 6 months time mate.

 

4.5 hours on a Saturday morning. a couple more in the bar. Back home by Lunchtime. If you think about it, thats less time than an IM Saturday training day. Bonus = more time with Mrs Rebel. You win, she wins.

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Mr T had a herniated L4-L5 disc. We got to a neurosurgeon about 3 months after the injury and the pain had not been relieved at all by intensive physio, drugs etc and he was unable to work and scarcely able to drive.

 

We asked if there was a conservative non-surgical option and he asked what had he been doing for three months and had it helped? No.

 

He then asked if the potential for loss of bladder and bowel control was attractive, because that was on the cards if the disc moved much further. No.

 

Outcome, very successful surgery 2 weeks later, no further pain other than post-op recovery.

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Hi all, this is an interestic topic. I haven't been on here for years (at least 6) as the weakness/cramp like pain, numbness etc I get in my left leg, calf, foot, toes has restricted what I can do and basically put me off racing of any sort.

 

Get it doing everything now including swimming and walking up hills.

 

Multiple sports docs, physios, gurus over 10 years, all conservative, no one sends me for actual tests.

 

Even booked self in for a doppler ultrasound thinking I had blood flow issues. NIL result just $1000 pain.

 

But reading this about the MRI to diagnose nerve pathway issues has revoked my enthusiasm to ask for one. I find you have to demand a test. I get no back pain, have no functional movement test issues so on so the docs never send me, only to physios for more 'bum squeezing' which does nothing.

 

MRI - roger.....now just to find a quack who will refer me.

 

Mel

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Mate not sure exactly its measurement, but big enough that i struggle to walk on my left leg, need help from my Mrs to dress myself in the morning.

 

Most people i have spoken to are Anti spinal surgery...i prefer to listen to the experts i.e. Dr's....

 

 

yeah, that sounds pretty bad & surgery might be the only option.

 

i'm not anti-surgery - I worked with a girl who was in really big trouble with a bulging disc & surgery fixed her 100%

 

but i'd def be asking about other options as well

 

I had an intermitent disc bulge 20 yrs ago, but surgery was not indicated. I hired one of those machines so you can hang upside down by your ankles (ie. traction) which helped a fair bit. but strengthening my core by doing a little core a few times every week for 6 mths was the real saviour - I only worked that out after 15+ yrs of back trouble. Since then i always do a little core 2x/week. as i said in another thread, putting an eggshell foam underlay on our bed has also made a big difference recently - more support as it conforms to your body, so no longer waking with back pain.

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Hi all, this is an interestic topic. I haven't been on here for years (at least 6) as the weakness/cramp like pain, numbness etc I get in my left leg, calf, foot, toes has restricted what I can do and basically put me off racing of any sort.

 

Get it doing everything now including swimming and walking up hills.

 

Multiple sports docs, physios, gurus over 10 years, all conservative, no one sends me for actual tests.

 

Even booked self in for a doppler ultrasound thinking I had blood flow issues. NIL result just $1000 pain.

 

But reading this about the MRI to diagnose nerve pathway issues has revoked my enthusiasm to ask for one. I find you have to demand a test. I get no back pain, have no functional movement test issues so on so the docs never send me, only to physios for more 'bum squeezing' which does nothing.

 

MRI - roger.....now just to find a quack who will refer me.

 

Mel

You don't need a drs referral if you are willing to pay privately. In Perth there are a number of private MRI places

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you can just walk in off the street to most imaging places to get an MRI...if you have health insurance it will be covered.

 

 

yeah? I don't think you can do that out in the bush. We had to get a referal from a specialist, then go down to Tamworth (1.5hrs drive) and ended up paying some sort of Medicare 'gap' of around $150 from memory.

 

we have private health insurance also, but this was never mentioned?

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you can just walk in off the street to most imaging places to get an MRI...if you have health insurance it will be covered.

 

 

True you can walk in without a specialist referral....cost is about $300 per area at my local......but I'm pretty sure that private health insurance does NOT cover MRI (or at least NIB don't)

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Ah right, didn't know that. Thought they were hard to get into.

Yeah I get zero back pain and generally have a 'very healthly back'. But there has to be a hidden cause, something functioning. Been and done everything and am a 'core machine'. Its a totally mystery. Am over conservative treatments especially when they don't actually tell you what is wrong or what is being restricted. Its all just speculation based on the sports docs own beliefs usually or fad of the day.

 

I was incredibly amazed when I found a proactive GP not long ago - sent me for a doppler ultrasound. Cost the bomb but at least he tried.

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And no - my private health doesn't cover MRI or ultrasound. Maybe it does for some essential things but when it comes to sport its considered voluntary...'just stop running'.

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And no - my private health doesn't cover MRI or ultrasound. Maybe it does for some essential things but when it comes to sport its considered voluntary...'just stop running'.

 

 

Go for an MRI, not as expensive as the dopler thing. Every serious problem i've had has been diagnosed with an MRI.

 

I get a numb patch on my L calf too, but it is minor, so i ignore it. Yours sounds pretty bad, would be good to find out what it is.

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MRI not covered under any private health funds. Any one can refer you for one (physio gp etc) but only get medicare rebate if a specialist refers therefore less out of pocket

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Back from the Surgeon.

 

20% of disc is herniated. Getting surgery tomorrow night to get it removed.

 

 

Best of luck - how'd you get into surgery fast? Private?

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Back from the Surgeon.

 

20% of disc is herniated. Getting surgery tomorrow night to get it removed.

 

Unlucky, but lucky you're getting it sorted so quickly. Hope it all goes well. I know it sure did for Mr T.

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Good luck mate. Get the misses to keep us up to date if you stay in for a bit.

 

I will pass the hat around to buy you a putter to get you started. Maye Mick has a spare lying around he could lend.

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MRI not covered under any private health funds. Any one can refer you for one (physio gp etc) but only get medicare rebate if a specialist refers therefore less out of pocket

 

Thanks for that. Booked in with a sport physiologist in March (travelling til the, couldn't get in earlier) will get referral for MRI rather than go 'solo'. Want to ensure they look for the 'right thing' whatever that is and try to get max rebate.

 

I've lived with it this long....must keep being patient.

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