Category Archives: piriformis

Effectiveness of Sacroiliac (SI) Joint Steroid Injection

Steroid injection of SI joints can be very helpful. It is more common than one would think as is seen in post-traumatic cases, in celiac disease, in various colitis, and in certain Fibromyalgia misdiagnosed subgroups. I highlight this study so … Continue reading

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Persistent Groin/Buttock Pain Oft Post Hip Surgery Cause and Treatment

Close proximity of pelvis side wall (Ischium) and lesser trochanter of hip can cause pains in groin or buttocks. This ischiofemoral-impingement might required trimming or lesser trochanter. This is new to me.

Posted in Hip Pains, piriformis | Leave a comment

Resistant Piriformis Syndrome – Could We be Missing the Boat? – Obturator Internus

I have a case of long term piriformis syndrome that I have been whittling away for some time. To be fair, she has seen multiple specialists and is some better but not enough to improve quality of life, (old sad … Continue reading

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Reaching “Critical Mass” to Achieving Pain Control – Procedure Pearls

I have recently achieved (previously unattainable) control in some of my chronic pain subjects using recent innovations – but to acheive this required use of multiple modalities at once.

Posted in arm, Back Pain, Botox, complex regional pain, Drugs, Fibromyalgia, Headaches, Injection, IV therapy, Leg Pains, Manual Med, myofascial pain, Neck, neuropathic, Pain Dystrophy, piriformis, post herpetic neuralgia, radiculitis, shoulder, Uncategorized | 5 Comments

Severe Neuropathic Pain – Only 1/4 Respond to Standard Drug Protocols – What Else Is There?

Presentation at Canadian Pain Society Winnipeg 2013 found only 23.7%  of severe neuropathic pain victims responded to Canadian Pain Society drug protocols for neuropathic pain. It is time to look outside the box for treatment measures.

Posted in Drugs, Fibromyalgia, Injection, IV therapy, Manual Med, myofascial pain, neuropathic, Pain Dystrophy, piriformis | 9 Comments

Enbrel Failure – So What Else Can You Do For Chronic Back Sciatica?

Got a recent enquiry of what to do if you are an enbrel failure. I will go over what I can.

Posted in Back Pain, neuropathic, piriformis, radiculitis | 7 Comments

Sciaitica, Bone Cyst in Ilium, and Gluteal Tight Muscles – down right leg – needs help

Chronic sciatica /buttock pain  – I recently received a request for help…

Posted in Back Pain, Hip Pains, Injection, myofascial pain, neuropathic, piriformis, radiculitis | 1 Comment

Accurate Piriformis Injection

ºAlthough I have been happy with Rectal Coupled Piriformis Injections, Ultrasound Guided injections are becomeing more popular. Combined with Botulinum, the results can last 6 months or more.

Posted in Back Pain, Botox, Injection, piriformis | 2 Comments

Hamstring Syndrome of Tethered Sciatic Nerve – Newer Entity With Surgical Treatment

This syndrome comprises of pain in the gluteal region radiating down thigh to the posterior knee popliteal fossa. It is associated with hamstring weakness. A series of 43 cases were found in athletes and surgically rectified. This resulted in a … Continue reading

Posted in Leg Pains, piriformis, radiculitis | 12 Comments