I have piriformis syndrome, caused by injuries to my hip, SI, etc. from a car accident about
7 years ago. Someone crossed the highway median and we collided. The seat belt and airbags saved me from most injuries, but when our cars collided, my body was thrust forward and my right knee smashed into the dashboard. That send my femur back, ripping my SI, tearing muscle, cartilage, etc..
I ended up having hip surgery, but also had some very effective injections into my SI that relieved the pain there.
My physical therapist also adjusted by SI twice a week for about
6 months, to try to keep it aligned as the SI ligaments healed.
He also taught me a piriformis stretch, it is hard to explain in writing, but I found it gave me a better stretch than the more common one (where you sit, crossing one leg over the other and gently pull that leg farther). I have long legs and needed something different.
I am assuming the burning pain you get is from your sciatic nerve -- and some percentage of people have that nerve pass through the piriformis. That, apparently, is my case.
Here's a shot at the other stretch:
1) start by being on the floor on your hands and knees.
2) rotate the leg to be stretched inwards (i.e. across your abdomen), pivoting on the knee.
3) then "walk" yourself back using your hands, so that the angle between the rotated thigh and the floor decreases. Don't "walk" straight back, but on a slight angle favoring the side you want to stretch). Alternately, you can try bringing the knee in a bit, so it is closer to your center of gravity.
4) you might need to find just he right degree of rotation and angle, but if you do it right, you'll feel a stretch in your piriformis.
Of course, you might have other medical issues and should check with a professional before trying the above.
If the cause of your burning pain is a tight piriformis, a routine of the above may help. For medications, the only muscle relaxant that doesn't make me feel really crappy is baclofen (or the benzodiazepines, such as valium). Another important tool is ice. I find that it helps me much more than heat (esp. nerve pain). Moist heat may help with muscles, though.
One more idea: I recently got lidoderm patches. I don't think they help much but I believe there are muscle relaxant patches too. If so, maybe one across your piriformis?
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray
Post Edited (cogito) : 10/26/2011 10:43:12 AM (GMT-6)