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 Pyriformis Syndrome
Ross Hauser, M.D.
Chiropractors
and
physical therapists love to give people the diagnosis
of pyriformis syndrome. “Your sciatic nerve is getting pinched by the pyriformis muscle.” People then spend years stretching out the
pyriformis to try and “unpinch” the sciatic nerve. Since the person
doesn’t have sciatica or lumbar radiculopathy, the pyriformis syndrome
diagnosis is wrong. Please read information about Lumbar
Radiculopathy
and sciatica. It applies to the diagnosis of pyriformis syndrome as
well.
Back to basics! Let’s go back to common sense principle number one. If
the treatment a person is doing is not resolving the condition, then
something is wrong. Another good sense principle is “if nothing changes,
nothing changes.” In other words, if a person continues doing the same
types of stretches, the same therapies, the same medications or the same
herbs, or the same
exercises, then the results will be the same. So
doesn’t it make sense if a person is not getting better with a current
therapy geared at a certain diagnosis that perhaps the diagnosis is
wrong? What do you think?
Pyriformis syndrome is very rare. Think you have it? I dare you to prove
it. Go get an EMG/NCV test and see if you have it. When your EMG/NCV
test comes out normal, then go to a Prolotherapist to get an evaluation
for lower back/sacroiliac joint Prolotherapy.
• If your EMG/NCV test is positive, what are you going to do? Get
surgery on your pyriformis muscles? I wouldn’t! Why not get Prolotherapy
to your lower back and sacroiliac joints?
• Perhaps your pyriformis muscle is in spasm because it is trying to
contract against an unstable base? What is the unstable base you ask? It
is the innominate bone? Why is it unstable? Great question. It is not
stable because the sacroiliac joint on that side is loose. Just
stabilize it with Prolotherapy then the pyriformis muscle can contract
against a stable base. Once that happens, the muscle spasms stop and so
does the sciatica. Either way, Prolotherapy is your best bet!
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