Home > Physicians, Piriformis Syndrome, Surgery > Piriformis Syndrome Surgical Release Challenges

Piriformis Syndrome Surgical Release Challenges

I’ve been meaning to write this post for many months, and I’m sorry it took me so long to do so. I want to share some general knowledge I learned from Dr. John Heinrich’s PA Adam. In one of my conversations with Adam I asked him why this surgery was so complicated. Adam replied that one of the reasons was because there wasn’t a surgical cutting tool specifically designed to clear/free the sciatic nerve of fascial adhesions or scar tissue. An ideal cutting tool would be specifically designed to get around the sciatic nerve in a 360 degree fashion. I’m proof that an idealistic cutting tool is not necessary to be cured surgically from Piriformis Syndrome. But, the surgeon’s skills and experience are that much more critical. Please do your homework before making a decision to allow a surgeon to perform this surgery on you. You may be asking yourself how things could possibly get any worse if you don’t have surgery. You are desperate, and I totally get that. My heart goes out to you; you are the reason I created and maintain this blog. But, please know that there are people (people I have communicated with personally) that have not been cured or are worse off as a result of Endoscopic Piriformis Release and Sciatic Nerve Neurolysis. Please note that none of these unfortunate people I have spoken with were treated by Dr. John Heinrich. There is risk and you have to weigh the reward. I felt the risk was acceptable after doing years of research and exhausting all other options. Dr. John Heinrich was the surgeon for the job, and I thank God nearly everyday for his abilities.

Best Regards,


  1. Barbara O'Connor
    June 5, 2018 at 7:04 pm

    Hi, Was hoping to get some feedback from other post-op piriformis release patients. I’m having really bad neuropathy and bad pain in the foot on the side that I had the surgery on. Has anybody experienced this and were you able to fix it? I’m still doing PT but can’t seem to get a handle on this. Thanks! Barbara

    • Hillard Risa
      June 5, 2018 at 8:22 pm

      Barbara, I had my open piriformis release in Dec 2015 by an awesome surgeon. Did great for 6 mos, then pain returned but not quite as bad as pre-surgery. Did weeks of PT, but didn’t help. Did another MRN which showed some scar tissue. Tried a CT guided injection for scar tissue, but didn’t help. Did specialized ultrasound treatments from a very knowledgeable physical therapist and saw amazing improvement for awhile. Did 3 separate rounds and saw diminishing results after a few months. Went back to surgeon who suggested I try core strengthening yoga. Had another patient like me (up and down) and he had great success and was pain free. I started Sep 2017 and after 3 months, pain was dramatically reduced. I did that for 6 mos plus piriformis stretches 2x/day and glute strengthening exercises 2x/day (my research) That seemed to be the combination for me. I am pain-free since Nov 2017. Now I do a mix of core strengthening yoga, walking 2-3 miles, and piriformis stretches/glute strengthening on different days and I am doing wonderful! If the pain returns again, I will just step it up again. This is the combination that has worked for me—hope it helps you!

      • Barbara O'Connor
        June 5, 2018 at 8:27 pm

        Thanks. I’ll try it! Piriformis stretches; isn’t it funny, I thought I was done with those since I had the release. Never even occurred to me to resume them!

    • Hillard Risa
      June 5, 2018 at 8:25 pm

      Sorry—no neuropathy in feet—just recurrence of piriformis pain off and on post-surgery.

      • Barbara O'Connor
        June 5, 2018 at 8:31 pm

        I’m glad you’re pain free. That’s great!
        Thanks again for the advice.

  2. Vicki Bailey
    January 31, 2018 at 9:56 am

    My husband just had piriformis release surgery in Dallas by Dr. Adam Starr. He is doing really well post surgery. He had chronic pain for 3 1/2 years and now the only pain he has is the surgical site. I highly recommend Dr. Starr for this procedure .


  3. Barbara
    January 12, 2018 at 5:14 pm

    I am reading this post, and oh my gosh….this is it! I am 5weeks Post Op of
    Having a spinal cord stimulator that was my last option! No relief with
    The pain in my buttox running down the back of my leg, extreme calf and
    Foot pain! I cannot live with this pain, and need to know how long
    It took you to find this surgeon that finally relieved you of this painful
    Life of hell? How long was the recovery, how do I get an appointment?
    I need a doctor that gets this!


    • Sue
      January 15, 2018 at 9:04 am

      Make sure you do not have a sacral meningeal Cyst/Tarlov Cyst. Many radiologists fail to even note them b/c they are taught they asymptomatic. This of course does not help the population for which they are symptomatic.
      Often these patients are misdiagnosed with Piriformis Syndrome.


      • Barbara
        January 21, 2018 at 3:55 pm

        I was checked for the cyst, I read and requested that to eliminate it. I cannot believe that this is not Piriformis tendon intrapment. I have done all that is possible as far as doctors, been to every type, ortho, neuro, pain management, you name it. That includes Cleveland Clinic. The Spinal Cord Stimulator was the last resort. And it is not working.
        I see on this site a gentleman that was in Indianapolis with his daughter searching. Please if you see this and found someone to help that does Piriformis Tendon release, please share it. I am desperate for relief!
        Barb in Indiana


      • Sue
        January 31, 2018 at 6:08 am

        Did you see Matt’s Dr Heinrich?


  4. Frances from Gainesville
    July 29, 2017 at 2:27 am

    I was given three names last week of surgeons who diagnose PS and perform release of nerve entrapment: Dr Thomas Byrd of Nashville, TN; Dr Ed Benzel of Cleveland Clinic and Ken Yonemura of Park City, UT. Any information on these docs would be greatly appreciated as I am shopping insurance to see one of them.


  5. Frances from Gainesville
    July 12, 2017 at 6:59 am

    Spent day in ER yesterday. Came to this forum for help. Diagnosed with piriformis syndrome 2 1/2 years ago. Pain management has been a serious problem. ER gave me temporary relief of pain. On oxycodone with acetominophen, prednisone, and flexerol. Horrible stomach contraction as a side effect and keeps me from falling asleep. Going to the bathroom is a major ordeal. Either need a catheter or stretcher to sleep by the bathroom. ER meds won’t last. No refills given. Need a pain center now as general physician not allowed to prescribe anything stronger than tramadol. I had stopped the injections because I was doing better with PT. What a mistake!! Considering piriformis release surgery now.


    • July 12, 2017 at 8:31 am

      With your urological problems, please read upTarlov Cyst symptoms. Google Tarlov Cyst Symptoms. The Tarlov Cyst Institute has a screener you can take.
      From what you describe, you should make sure you see Dr. Feigenbaum for him to review your MRI before any Piriformis surgical release. TC mimic PS.


      • Frances from Gainesville
        July 29, 2017 at 2:21 am

        Thanks for the info. No urological problems here. What I meant was that the muscle movements required to sit on a toilet made it impossible for me to go. I got my piriformis injection and so I have bought myself some time to shop the ACA exchange to buy insurance that will cover one of the three national surgeons recommended for this.


  6. Vicki Bailey
    July 10, 2017 at 6:50 pm

    We believe my husband has piriformis syndrome. All the classic symptoms. He has had 3 rounds of pt, infections and two spinal surgeries. The pain is like electrical shocks in the left buttocks only. He tried to get in with Dr. Starr, but he would not take him as he looked at old imaging and thinks it is his spine. We are at a loss of who to see. PT people say he needs surgery to release that muscle. Who should he try to see? We are in Texas and would loved to see Dr. Starr, but after several calls to try to explain and get in he actually got upset and said he would not see my husband. 2 years of awful pain. Very said and don’t know what to do.


    • L
      July 10, 2017 at 11:04 pm

      I understand completely. I have had the piriformis muscle syndrome for year and a half now – – have had two rounds of PT, MRIs, x-rays, dry needling, five series of injections. None of them but the last one done in June has actually given me a little relief. I also take gabapentin, and promethazine which is supposed to be for upset stomach, but it actually takes the edge off of the pain. Another thing that really works within 10 minutes is a double shot of tequila. I have been trying since September 2016 to get into see Dr. Starr also, but I keep being rejected. One of the ladies on the call team suggested going in through ER at the new hospital,
      This way I would be on the inside and not need an outside referral – – but still no guarantee that I could follow up with Dr. Starr.
      I am living proof that tequila works, as I found out accidentally when I was in so much pain and jerking when I went into BJ’s restaurant, I thought they were going to call 911, I ordered a margarita on the rocks with a double shot — within three minutes all of my electrocutions and jerking stopped completely. I was pain-free. However, after learning this I only do this twice a day. It taste horrible when you use the cheap tequila and lime without that good stuff that makes it sweet ( I call it floor cleaner)
      I hope I have been some help, please keep me posted.


    • L
      July 15, 2017 at 11:38 am

      I have posted before and felt the need to post again. Last year I went through 4-series of infections regarding the Piriformis (not x-ray guided) but others were of the L5 S1, the sacroiliac, epidural nerve block — of which NONE of them worked at all, it only made me gain 20 lbs. In the meantime I was taking Gabapentin 300 mg which helps barely, but they said I needed it for the nerve. I had also been on numerous opioids and narcotics, which Some of them worked ONLY the 1st time — then required twice as much thereafter,I would NOT do that so I threw them all away. I did start using some essential oils topically and mixed some in capsule to take orally — getting some noticeable relief, but still in agonizing pain getting ELECTROCUTED when I would sit to relax or lie down.
      Last month while visiting the pain specialist the Dr. suggested we do more injections — I asked WHY ?!!! … all the others didn’t work, it only made me gain weight, so what makes you think it will work this time ? ….. My husband sitting beside me says … “YES – Do it” ….. so I did …..to my SURPRISE as the doctor had mentioned, sometimes you have to do it 3-4 times before it works. The following week I was PAIN FREE !! I felt alive again and slept every night — until I went back to the PT and they did the Piriformis stretch which woke UP EVERYTHING and I started getting Electrocuted AGAIN …. however, am still able to sleep all night — which is a GREAT PROGRESS. —– Last Friday I went back to the Pain Specialist Dr. for follow-up …. he will be doing the EXACT same injections again on Aug. 1st — because he finally did something that helped, he thinks if he repeats it I will do much better …… NO MORE stretching the Piriformis …. exercise is GOOD …. DO not SQUAT in any fashion … which is nearly the same as stretching the Piriformis. SQUATTING is the worst thing I can do, I would do it without realizing it was hurting me as I would put pot under the cupboard or squat down to wipe something off the floor — did not hurt when I did it – but SERIOUSLY did damage which I suffered later.
      Hope this will work for you too.


      • Vicki Bailey
        July 15, 2017 at 6:52 pm

        What kind of infection did you have? We have heard of “guided injections” that were directly to the piriformis muscle? Looking for a good Dr. In Dallas. Any suggestions?


      • L
        July 15, 2017 at 7:09 pm

        This is what I had done:
        Sept. 23, 2026 @ Killeen office:1st injection – Cortizone to the piriformis. (NOT X-ray guided)
        Dr. Mehta
        Oct. 17, 2016 @ Killeen office:
        2nd injection – steroid nerve block to the L5, S1
        (x-ray guided)
        Dr. Mahendru
        Nov. 7, 2016 @ Killeen office:
        3rd injection – steroid nerve block to the sacroiliac
        (x-ray guided)
        Dr. Mahendru
        Dec. 1, 2016 @ Killeen office:
        4th injection – steroid epidural nerve block.
        (x-ray guided)
        Dr. Mahendru
        March 23, 2017
        June 27, 2017 @ Killeen office:
        5th Injection Right S1 TFES1
        & Piriformis (x-ray guided)
        None of the doctors told me to not squat – – is that is what most women do with many household chores – – and I just figured it out one day when I was doing better and our new washer and dryer came, after the old ones were removed I squat down to wipe up the floor – – That night was horrible for me, not able to lie down or sit without getting electrocuted. Tequila will not fix the problem, however it will relax the muscle and give you 2 to 3 hours of comfort with no pain at all. Do you be careful when drinking alcohol that you drink plenty of water also – – I do a double shot of tequila with lime or in a margarita. I do NO opioids – I don’t work. I have tried countless times to get into see Dr. Adam Starr in Dallas but have been refused continually.
        I’m sorry I cannot help you in finding a doctor in Dallas.


      • Vicki Bailey
        July 15, 2017 at 9:21 pm

        Lillian, thank you so much for your information. I had heard so many good things about Dr. Starr and could not believe he refused to see my husband. Then to hear you could not get in. Makes no since. I have never heard of a doctor who would not see a patient at least once to evaluate. Very disappointing. We are also under the impression that a MRN test would be a good idea, so we are looking into that. This has been going on for 2 years. He is in constant pain with the electrical nerve shots.Walking, sitting, sleeping all very difficult. Riding in a car painful. Our lives are just on hold because he can’t do anything. Praying for the right Dr. Since Dr. Starr won’t see him.


      • L
        July 15, 2017 at 9:43 pm

        I hear you – – I experienced exactly the same thing. I was in so much pain and would do anything short of drinking kerosene if it would help me.
        One of the ladies at the call center for Dr. Starr said if you go into the hospital ER, the new hospital, then you will not be an outside patient, Possibility a follow up with Dr. Starr.
        Trust me, two shots of tequila will give instant relief for 2 to 3 hours allowing a person to lie down and get some rest.
        Yes, I wanted to do an MRN also, but a doctor has to order it and there is an MRN Institute in Dallas. However, the cost is $4000. I don’t know what kind of insurance you have, but they do not except Medicare. If you are on Medicare they will give you a reduced price of 3000 .
        I am so sorry you’re going through such hard times. Please keep in touch.


      • Shelly Nester Vickers
        July 16, 2017 at 4:11 pm

        Try Dr. Hal Martin in Dallas, TX


    • Shelly Nester Vickers
      July 15, 2017 at 1:45 pm

      Try Dr. Hal Martin at BAYLOR in Dallas, TX. I too have PS. He’s done two hip surgeries that have helped tremdously! We’ve been able to avoid an actual piriformis surgery (which can be incredibly difficult and dangerous) by working on other problems surrounding the Piriformis muscle. No more pain 24/7. Now my sciatic and butt just burn if I still too long.


    • Frances from Gainesville
      July 29, 2017 at 2:25 am

      I was given three names last week: Dr Thomas Byrd of Nashville, TN; Dr Ed Benzel of Cleveland Clinic and Ken Yonemura of Park City, UT.


    • July 29, 2017 at 10:30 am

      My husband is a success case of Dr. Starr who is a UT Southwestern (UTSW), Dallas, Texas, physician “housed” at Parkland.
      However, he didn’t begin with Dr. Starr.
      He was seen by multiple UTSW neurosurgeons beginning Feb 2015. He had injections that gave relief of no more than a day.
      UTSW Neurosurgery referred him to UTSW Physical Medicine & Rehab (PM&R), Dr. Trivedi, and she was totally focused on hearing his issues and resolving them. She did an injection which helped no more than a day or two. Dr. Trivedi referred my husband to UTSW Zale Lipshy Physical Therapy, to a PT who specialized in the spine, and she and her coworkers tried all types of PT modalities, including dry needling, cupping, and even pelvic therapy (google that one). He sometimes got relief immediately afterwards, but all symptoms returned once he got into his car to drive home.
      My husband’s story is embedded in this blog, which is sometimes difficult to find, and described in detail; however, my notes begin in 2015.
      He went to PT for six months or so, and was 200+% compliant in doing everything they told him to do to work through this. He is an avid rehab’er and he is over the top in trying to figure out what is going on. He actually self-diagnosed by watching a youtube video of neurosurgeon Dr. Aaron Filler, California.
      I outlined step by step, in detail, my husband’s medical history/results which began February 2015 at Scott & White, Temple TX, up to present, and sent to Dr. Starr.
      It may be that due to my husband being in the UTSW system, as Dr. Starr, and he had access to all of his medical, that it was much easier to get an appointment with him.
      My husband saw Dr. Starr in August, we worked through the process in seeing Dr. Chhabra, injection, etc., and my husband had piriformis surgery (totally removed) the end of September.
      Dr. Starr is a renowned hip trauma doctor at the largest trauma hospital in Dallas. He has “done” a lot of hips in his practice and he said that when he opened my husband up, he found that my husband’s piriformis muscle was adhered to his pelvic bone and his sciatic nerve was behind the piriformis muscle being smashed. The FIRST Dr. Starr had ever seen. The reason my husband had 24/7 nerve pain…he couldn’t cough, sneeze, sit on the commode, sit, or anything that would not cause shocking pain from his waist all the way down to his ankle. He looked like he was being struck by lightening.
      In saying all of this, my husband did not have 100% relief after surgery, he said it was like 80% but he was excited for 80% as he was functional. Dr. Starr felt he may have issues in his spine, and referred him back to UTSW Neurosurgeons, who ruled out the spine issues and referred him back to PT. My husband went to PT for probably a year, trying to get the sciatic nerve to glide with the muscles. He has a chart with all of the muscles in the back/leg, and he, himself, would figure out which muscles were causing him the issues, discuss with his PT, and she would determine treatment for those muscles. They were a team. At home, he worked his “butt” off every day for 1-2 hours, not including his PT and finally, FINALLY, he’s back to a new normal. We thought it was devastating in 2013 when he herniated discs that went into his nerves and caused paralysis from the waist down. He had a tough rehab in 2014 with a total knee replacement. Three months later, Feb 2015, he had the most horrible condition ever, Piriformis Syndrome, which was disabling and without a doubt, the worst thing he’s ever experienced. He has rehab’d, working “both sides”, to the maximum, has lost over 60 lbs, and all of this, we believe, has helped that sciatic nerve that was being smashed for seven months, in gliding and reaching a new normal.
      If you are in the Dallas area, I highly recommend getting in to see PM&R, Dr. Trivedi, and seeing what they can go and if it doesn’t work, then ask to see Dr. Starr. Maybe us being in the UTSW system helped in getting in to see him. Good luck in this life altering condition.


    • July 29, 2017 at 10:35 am

      wanted to mention this year spring, my husband has been able to golf, the first time in five years!!


  7. Susan Davidson
    July 2, 2017 at 3:50 pm

    Sorry for not updating sooner but I’ve been so busy doing all the things I couldn’t manage post PS tendon release. I’m now nearly 7 months post tendon release and still pain free for the most part. I started my PT in the March which I felt was slow going but apparently for good reason! I had NO glute muscle reaction so my PT started on basic exercises to reingage them. After several weeks of that I was moved into the gym to use the weight machines, it was hard work and really showed me how much damage PS had on my body (using alternative muscle groups without knowing it).
    I’m now using the gym and walking as much as I can. I still get pain in my butt cheek as the PS is still there but I don’t have the related sciatic pain like before. I can sit just fine but do get a numb left leg if I sit too long. However, now that I know what’s happening inside my body I know the stretches and exercises I need to do to help. I’ve still got a lovely dip in my left butt cheek from the surgery but it’s a small price to pay for a life free of that horrible pain.


    • L
      July 7, 2017 at 11:46 am

      To All with PS,
      Just want to update anyone that is suffering with the Piriformis Muscle Syndrome.
      Mine started instantly as of Feb. 22, 2016 after a procedure was inappropriately performed. There has been nearly 1-1/2 years of being up every night, because I was unable to sit or lie down without getting severely ELECTROCUTED ! Yes, I have been to MANY doctors, Internal Medicine, Nerve Conduction Study, MRI’s, X-rays, multiple Orthopedic Surgeons, multiple PT’s which included the Piriformis Stretching (which I learned the hard way that it was a MISTAKE), Chiropractors, dry needling.
      Piriformis Muscle & Piriformis Muscle Syndrome are totally DIFFERENT. The Piriformis Muscle is the MUSCLE that was injured somehow — Piriformis Muscle Syndrome is when that muscle is contracting and pinching the sciatic causing the ELECTROCUTIONS and feeling like you have a HOT IRON on your foot or a NAIL being driven into the top of your foot.
      I have heard many good things about Dr. Adam Starr at Parkland Orthopedic Clinic in Dallas — however, trying since Sept. of 2016 AND getting outside referrals sent 3 different times, it is like getting into Ft. Knox. They don’t even call you back if you are denied. I have called multiple times and never able to get anyone but the ‘call’ line. I WAS told by a person on the call line that I could drive all the way up there (2-1/2 hour drive) and go through ER at the new hospital to become and inside patient.
      Last month June 28th, I was talked into getting another series of steroid injections – to the S1, and Piriformis guided by x-ray. The very first injection I had WAS to the Piriformis but not x-ray guided. I really prayed a lot and to my surprise I am FINALLY getting some relief ! —– I have slept EVERY night since. —– So, my guess is all I needed was x-ray guided injection into the Piriformis. The doctors did tell me that sometimes one has to get the injections 3-4 times before they feel comfort.
      I wish there were doctors specially trained for this Piriformis Muscle Syndrome, as all my doctors looked at me like I was making it all up or crazy when I told them I was getting ELECTROCUTED ! … none of them could do anything or knew what to do. They did tell me I did not have PMS, because it was very RARE — (HELLO – just because it is rare, doesn’t mean it doesn’t happen). —– I actually googled ’causes for Pain in the Butt’ and about 7 different reasons came up — Piriformis MUSCLE SYNDROME was EXACTLY what was happening to me.
      It is also sad that many of you also have to go through the whole 9-yards before you can see a Pain Specialist. Things need to change. Like me, many of you are spending many months with no results. I am still praying for you all.
      Since my last injection on June 27th, 2017, I returned to PT after a week, and they wanted to STRETCH the Piriformis AGAIN … exactly what they had been doing with NO results. After this stretch, the PAIN was BACK ! …… I didn’t get electrocuted, but had trouble with pain for 2 nights. —– NO more stretching right away, it was too soon. It needs to get some healing first.
      YES, I am the one that drank a double shot of Tequila to STOP the electrocutions — but I only did this twice daily — If I needed more, I just stayed up on my feet and avoided the alcohol until I was ready to drop. I have had NO ALCOHOL since the last injection – don’t need it. Day by day I am getting better. I still, and have since the pain started, kept up my exercises: ( the bridges, clam shells, heel rises, marching steps, leg out to side and back, among many other exercises), which is very important to keep from getting muscle atrophy. ….which would only add to the problem. I encourage you all to also keep up the exercises as much as possible.
      I don’t know how long this relief will last for me, it may return again with a few months. If so, I know to request the SAME injection as this recent time.
      I pray you all will find some relief soon.
      Take care,


  8. Frances LaForest
    June 30, 2017 at 5:41 pm

    How much is the surgery for paraformis


  9. Courtney
    March 14, 2017 at 9:17 pm

    What city I should your doctor in? I googled his name but found several results. I’ve been in severe pain for almost two years and have been told I have piriformis syndrome. One doctor said I need the release surgery since PT and steroids haven’t worked. I am skeptical because I was to told he problem wasn’t a torn labrum and had surgery for that. After a very, I feel bad recovery I found myself in more pain than I hadn’t before. I want to make sure 1) I actually need this surgery and 2) I have an expert doctor perform it.

  10. January 17, 2017 at 7:49 pm

    I’m 11 days post surgery after having piriformis tendon release. I’d previously suffered terrible pain in my hip and electric shock sensations down my leg, running from hip to the back of my knee then down my calf and finally to my foot. Sitting for any length of time was painful and walking uphill or upstairs was what I imagine walking through quick sand would be like. I was previously a very active person and enjoyed going to the gym and playing roller derby. I had to quit all this as I suffered 10x the pain for days after.
    I had countless PT sessions, cortisone injections and dry needling before I was diagnosed with Piriformis syndrome.
    I actually had to convince my consultant to carry out the above mentioned procedure as I’d researched until I found this to be the most positive outcome for me.
    My consultant told me he’d released the tendon on hundreds of occasions when carrying out hip replacement surgery but never to treat piriformis syndrome.
    It really does seem to be a rare and hard to diagnose then effectively treat problem.
    Anyway, I’m blethering on now.

    So post surgery- I was able to walk but used crutches to assist me. I was given Co-codamol and anti inflammatories for my pain and sent home the same day. I was given no advice on exercises or stretches to assist my recovery or warning of what was to come.
    I expected bruising around my wound (12 staples on a 8 inch incision)
    However the amazing bruising that developed at the back of my knee then crept down my calf was wholly unexpected! And the muscle pain! I can’t describe how bad that’s been.
    Thank god for the internet, through searching while recuperating on my sofa, I’ve found that heat will help.
    So I’m typing away with 3 precisely placed hot water bottles on my leg.
    Any advice on what I can expect next would be greatly apprescisted.
    On a plus note- I’ve no nerve pain 👍

    • L
      January 18, 2017 at 3:40 am

      Bless your heart, I know exactly what you’re going through. I have been dealing with this for almost a year now. I have been to Dr. after Dr., orthopedic surgeon, another orthopedic surgeon, Physical Therapy, dry needling, 2-MRIs, 3-x-rays, with no relief. Finally, I saw Pain Specialist – received cortisone injection into the Piriformis , no results, steroid injection into the L5, S1 – – no results, steroid injection into the sacroiliac – – no help – – steroid into the caudal then immediately sent to the chiropractor same day for electrical stimulation and ultrasound — finally, I am getting some relief. – – I went without the ultrasound for several weeks, and the dreadful Pain and electrical sensations returned.
      Early in the game I thought I wanted to have the Piriformis muscle release surgery done also. However, I was told there is no surgery to help this.
      With more steady I learned that the sciatic nerve and runs right through and down the muscle instead of the muscle sitting on top of the sciatic nerve. I have also read that 7 out of 10 people, the sciatic nerve will thread right through, so if they are having the release surgery performed, it would not help because sciatic nerve runs through instead of being at the bottom with the Piriformis muscle on top. Muscle relaxers they gave me took over two hours to kick in, and then I could not even stand by myself. However, I accidentally found out a shot of tequila with a little lime really, really helps and the electrical sensations stop within 10 minutes allowing me to sit down, or lie down. I have no problem standing up or walking. I do not drive. I try to limit this to once daily, it relaxes the muscle that is contracting and pinching the sciatic. I will soon be getting ultrasound again which has helped more than anything I have done so far. It even allowed me to sleep the entire night without pain. I will pray for you. What caused this to happen in the first place?

      • January 18, 2017 at 4:15 am

        Thank you L,
        I’m actually not sure how the PS came about. I have hyper mobility and due to that I’ve broken my ankles 3 times and during my 2nd pregnancy I suffered terribly from SPD, so basically the relaxin hormone which allows the pelvis to open during labour, started too early and by week 12 I was on crutches. I then went on to have a spontaneous birth (my poor husband had to deliver our daughter while my little boy looked on in horror)
        My consultant is sure a combination of these experiences added to the sport I played up until the PS became unbearable, have all contributed in some way to my situation.
        Unfortunately my consultant and all the colleagues he spoke with, have no experience with PS.
        I live in Scotland, so little research has been done here. I so wish I lived in the US as it looks like there’s a fair amount of experienced consultants who could have helped me. I had MRI’s and x-rays and all they picked up was a distortion in the labrum cartilage of my hip socket.
        In performing my surgery he did find my PS tendon and Piriformis muscle to be over sized and distorted also.

      • L
        January 19, 2017 at 5:06 am

        Dear Susan,
        I am in Texas and the current time is almost 4 AM – – I had to get up because I felt the electrical symptoms. I did numerous domestic chores, like emptying the dishwasher, laundry, preparing food, etc. This makes me very very tired and toward the end of my chores I will have a doubleshot Tequila (3-oz). I was raised to do absolutely no alcohol – – however, after reading my previous post, after very very very much pain from PT, I stopped at a restaurant that served alcohol and ordered a double shot margarita on the rocks. Presto, after 30 seconds or so, I had absolutely no electrical sensations. So, when I have to get up during the night from feeling these electrical sensations, I will do several domestic chores to make me very very tired and then I will have a double shot of tequila, with lime, and triple sec, which allows it to be easier to drink. NO, I doctors do not agree, nor will condone this routine. Because they are doctors. But they did tell me it will relax the muscle that is contracting and causing the pinching of the sciatic nerve which gives me their electrical sensations.
        Seriously, try it – – I do want you to feel relief, because I have been there and done that and I know how horrible it can be.
        It is very very very hard to find a doctor that knows how to treat this. This condition is not rare – however, finding a doctor that is familiar with it, and knows how to treat it, is very very rare.
        My suggestion is, try to find a pain specialist, which you can do follow up with and possibly find some relief. Wherever you are at, Google pain specialist, and see what you can do to receive services from them. You continue to remain in my prayers, please keep me updated. Again, I strongly encourage you to find someplace that will give you a ultrasound.

      • January 19, 2017 at 10:24 am

        Hey L, I’ve been there with the middle of the night chores. I used to get up and do the ironing as I couldn’t sleep. I could’ve quite happily hack my leg off some nights.
        At the moment my nerve pain has subsided after my op, unfortunately I’m now not sleeping as the muscle in my leg is in agony. I’m hoping this is short term and as I heal from my surgery it will go.
        Stay strong and keep doing what’s working for you. I may try the tequila trick in future if the nerve pain makes a come back.
        I hope manage to get more sleep.
        Take care

      • L
        January 19, 2017 at 10:33 am

        I take that take Tequila to stop the muscle from contracting, which pinches the sciatic nerve causing nerve pain.
        The doctor finally got his ultrasound machine fixed – we will have to fold the seats down in the rear so I can lie on my stomach to get there.
        Hang in there, you remain in my prayers.

      • L
        February 13, 2017 at 2:30 am

        It has been a long time since we have chat.
        How are you doing after your surgery? I think about you and I wish we could visit personally, but there are many many miles between us.
        I look forward to hearing from you and your progress. Meanwhile, have a great day.

      • February 13, 2017 at 11:33 am

        Hi L, I’m doing ok. The pains in my leg after surgery have eased off and the bruising has all gone. I still have pains in my hip if I walk too long but I expect that will ease off as time goes by. I’d say the surgery has been a success. I see my consultant on Wednesday so I’ll let you know what he says. How are you getting on? Susan x

      • July 1, 2017 at 9:39 pm

        How are you now? Can you sit pain free?


      • L
        July 2, 2017 at 8:25 am

        Last year my fourth series of injections was on December 1, 2016 with absolutely no relief. I recently on June 27th had more injections into the S1, and piriformis x-ray guided. I asked the doctor why they were doing this again since it did not work 4-times before. He said sometimes you have to do it three or four times before it works. I don’t understand, but I have slept all night every night sense. I do have trouble lying on my right side – my foot will go completely numb. I had a more difficult day yesterday, the only thing different I did was squatting while I was cleaning out drawers. It felt so good to squat, but I actually wondered if it would hurt me, it did. I continue with my morning exercises and my evening exercises regardless. I actually feel more discomfort after getting up every morning until mid afternoon. So, I normally would take 1/2 promethazine 25 mg. And sometimes 2 Gabapentin 300 mg. This helps take the edge off. YES, I can sit without pain – – however, sometimes I will have a little trouble sitting in my recliner when I recline, putting more pressure on the piriformis. I still have trouble riding in the car but it is not as bad as before, not near as bad.
        Having heard many good reports about Dr. Adam Starr, I have been trying since September 2016 to get into see Dr. Adams Starr at parkland orthopedic clinic Dallas. The last person I talk to mentioned that there were no musculoskeletal injuries and that is probably why they have not excepted me. !!!
        I pray for all out there with this dreaded performance problem.


      • deborah teague
        November 1, 2018 at 3:54 pm

        i have been doing all of the mentioned options for this for over 5 years now. i am already disabled from a spinal cord injury and this is on my good leg and the butt and the hip and the front of the hip…nerve ablations twice..1st on the sacro 1 and 2…then on the lumbar 4, 5 and 6. there is not a pain med that has touched it yet. i am to the point that i pray at night to not wake up in the morning. i absolutely cannot got to dallas i live in northern nevada. its interesting to me how yall talk about not stretching or squatting as i have been in PT consistently for 5 yrs doing all the strengthening and stretching. i feel my dr doesnt know what else to do besides the injections which i have been having for 5 years, it doesnt seem to help much at the time but boy i can sure tell when it has worn off. he has tried everything i have researched and asked to try. i live rural and dont have many options for medical treatment without traveling 4 hrs or more and that will not even be an option during winter months….i am just fit to be tied….my dr doesnt even know what kind of dr would do this release but said if i find a dr he would refer me…well that helps alot…

    • Shawn M Curran
      August 26, 2020 at 2:42 pm

      How are you doing since your surgury? im thinking about having that done soon too!

  11. January 12, 2017 at 5:25 pm

    I’ve had this problem for about 2 years now, had hip arthroscopy July 2015 for torn labrum and cam/pincer lesion. I thought the butt pain was all related to my hip issues. Nope. I’ve had 7 cortisone shots, 6 have been since August. Been through more rounds of PT than I can remember, everything from dry needling, ultrasound, deep tissue massage, no help. MRI shows my piriformis muscle is too big. I am scheduling my release surgery for February 6 or 9. Dr. Brian Seabolt in College Station, TX will be doing it, he did my hip too.

    Question is, do you feel any different if you had muscle released vs just an incision to make more room? I think he’s cutting the whole thing at the trochanter. My dr said my recovery should be really fast and only need a few weeks of PT (I was bearing weight 2 or 3 days after my hip surgery and walking after a week). I’m just a little scared of the idea of cutting a muscle, what happens to it? Does it just hang out not attached to anything?

    • February 5, 2017 at 10:24 pm

      Just saw your surgery is tomorrow. Prayers for success and healing!

    • L
      July 2, 2017 at 8:32 am

      I am in Temple – how are you doing since your muscle release ?
      Who is your doctor ? Last year I heard of a doctor at Bryan College Station that did muscle release but was unable to get any information as to who the doctor was by calling over there.
      What kind of injury brought on this piriformis muscle pain in the butt ?
      I hope you are doing well and I look forward to hearing from you.


  12. Joseph
    November 11, 2016 at 11:00 am

    I’ve been suffering from piriformis syndrome now for almost 2yrs. I had a 4 month reprieve in the middle of those 2 yrs, but I can’t figure out what gave me the relief. I’ve had a failed 3 level spinal fusion about 10yrs ago so I already suffer with chronic low back pain. it took a little while to figure that it was the piriforms causing the sciatica. The pain down my leg and in my butt/hip SUCKS!! I’ve had relief recently from just doing more walking and PT, also the therapist tried “dry needling” and that gave me some relief as well, but it’s always there.
    I’ve found that anti-inflammatory drugs work best(I use Arthrotec), also pain killers, and for me muscle relaxers are basically useless. So recently I’ve noticed the other side starting to act up, I can’t imagine having this in both legs.
    My question is to the people who’ve had the release surgery, has anybody recovered 100%, and if so, how long after surgery did you feel symptom free? After a failed back surgery I,m not looking to go back under the knife. Thanks -Joe

    • L
      November 11, 2016 at 7:24 pm

      Hey Joe,
      I’m into my 10th month with that pain in the butt and getting totally electrocuted down my right leg – – so bad I thought folks at the restaurant was going to call 911 – – they came and ask what I needed. I said “bring me a margarita as fast as you can get it here with a double shot “. I drank half of it as fast as I could – – this was on the rocks. Guess what, all of my electrocutions stopped within 10 seconds !
      The doctors had given me about seven different kinds of narcotics including muscle relaxers of which nothing helps so I discontinue taking them. The muscle relaxer, however, took over two hours to kick in and then I could not even stand up by myself much less walk across the room. When I have my margarita with a double shot it kicks in within 10 minutes or less. I have no trouble standing or walking across the room or doing anything else I want to do – – I do not drive.
      I have been to my internal medicine doctor, he sent me to the neurologist, I had a nerve conduction study done, two MRIs, two x-rays, sent to the orthopedic surgeon, sit to PT for seven weeks, twice-weekly, And dry needling. Did electrical stimulation, finally went to pain specialist. They gave me a Cortizone injection into the piriformis muscle, the following week I was worse than I was before, after that it returned to what it was prior the injection. Five weeks later I had a nerve block in the S1 – I responded the same way as I did with the Cortizone injection, much worse the first week. Three weeks later I had another nerve block into the Si — absolutely no help at all. my doctor put me on Pamelor and hopes it will help relieve some pain. I have taken that for two tonight and I can tail no difference. However I was sent to this super smart chiropractor which has high tech software. He can Touch his screen on the S1 or the L5 – – and it will show exactly where that nerve affects. He called my doctor today and recommends that I have another nerve block in the L5 – – pray it will work – – meanwhile the chiropractor is giving me ultrasound.
      As far as surgery goes with the piriformis muscle release, which is clipping the tendon, I have heard in these blogs that there is a Dr. Adam Starr in Dallas that seems to have a good track record and does this procedure often. If I need the surgery, Dr. Starr is the one I want to visit with.
      I hope this is been some encouragement for you – – I don’t know if you’re getting electrocuted also or not, but pain is pain which I am allergic to. Good luck to your future health and pain situation.

      • November 17, 2016 at 11:56 pm

        I have responded to this blog in the past, but it’s been a while. I can tell you that my husband was “electrocuted”…I watched him and I described seeing his jerking as being struck by lightening. I’ve gone in to detail in previous posts; however, I can tell you after multiple doctor visits (internal med, MRI, neurosurgeon, PM&R, PT’s specializing in the McKenzie techniques with all kinds of modalities, i.e. needling, cupping, pelvic), he was at his wits end and took to the internet. He found a youtube interview of a neurosurgeon in CA, who actually “invented” the MRN. My husband told me that he felt like this doctor had interviewed him as he described his condition to the T, piriformis syndrome (PS). I went to the internet and found this blog, which was a Godsend and cannot thank Matt enough for his energy and mission in maintaining this…also to Brian Hobbs who told of his journey and about surgery by UTSW Hip Trauma Doctor, Dr. Adam Starr. Google him and you will find that he’s been voted multiple times at one of the top Trauma Doctors in the US. IF my husband had not taken this condition into his own hands, we still may be bouncing around from doctor to doctor, injection to injection, you all know the scenario. It is my belief that not every PS case is the same…especially when it comes to treatment. In fact, with Dr. Starr being a hip trauma doctor at Parkland, a trauma hospital, you know he’s seen his share of hips in his 20+ years of practice, and he told me after my husband’s surgery that he had NEVER seen a piriformis muscle attached to the pelvic bone with the sciatic nerve being smashed behind it. He removed the piriformis muscle and my husband experienced 80% improvement. REHAB is imperative…my husband works out every morning for a minimum of 45 minutes, just to be able to move. It’s not an option for him. You see, he also has other issues in his spine, but it’s on the OPPOSITE side. He will tell you that the surgery was SO WORTH IT…it gave him back his life. I repeat, every case can be different. With his sciatic nerve being smashed for seven months, who can say how long it will take a nerve to get back to 100%, IF EVER. However, he will tell you that it was so worth it. And, I will tell you this is life changing. He has had numerous surgeries, that we thought were horrible in trying to rehab, but this has been the ultimate worst!! He had no quality of life. He did his best to exist. He will tell anyone that pain pills and muscle relaxers did NOT do anything for his nerve pain. This blog was a Godsend and it led us to Dr. Adam Starr…who listened and understood exactly what my husband was saying. Having someone to listen and understand and want to help fix you was emotional. It was like we finally found a light to this pitch black tunnel…and Dr. Starr, and Dr. Chhabra, were that light! If my husband had it to do over again, he would do it…it was SOOO worth it. As a caregiver, it was horrible on me. All of the anger, frustration, hostility…sometimes at me, I had to suck up and get through. It’s not easy being held together with a thread…I wish each and everyone one of you the best and if you are anywhere close to Dallas, TX, you need to be seen by Dr. Adam Starr…May God continue to bless Matt, Brian, Dr. Starr and all of his associates…this has given my husband his life back…

      • L
        November 23, 2016 at 4:54 pm

        Thank you, I have heard other positive comments regarding Dr. Adam Starr in Dallas. I may have one more nerve block before surgery is an option. If there is no help then, I will definitely address my pain specialist with your comments, as well as many others. – – Several months ago when I was googling I found Dr. Donald Mackenzie in Dallas, and his website mentioned the muscle release surgery. I called and talked to his office girl, at which time stated he did that surgery all the time. However, after seen many doctors down here, my orthopedic surgeon suggest I see Dr. Mackenzie. So I called his office again, and this time the office girl denies ever telling me he did the muscle release surgery. It was after that fact that I was reading blogs and heard about Dr. Adam Starr in Dallas.
        Is it possible that I could talk to you in person or email you personally ? So far the injections and the nerve blocks have not been helpful. – – Until I got to the pain specialist, the other doctors looked at me like I was crazy and would not really address the problem – – like I was making it up. The pain specialist, apart from treating me himself, sent me to a special chiropractor. This chiropractor is very very smart, he has some really cool software that will show you exactly what party your body each nerve will affect. This is how he determined The L4 was affecting down my leg and to the inside of my right foot, including the big toe. At times I would feel like a branding iron was put on my foot. The L5 S1 was down my leg and wrapping up to the top of my foot from the outside, leaving in my foot numb and affecting 2 to 3 of my smaller toes like they had ice picks in them. Yet there is another issue, with all this and other problems with your foot and BACK and butt Pain it effects the walking gate and how you have to sit on one hip which will mess up everything else, including the sacrealic. I feel for your husband and for you, as you mentioned, there are many different reasons that affect the Piriformis muscle. Do you know what happened to him that started this nightmare of pain ? I look forward to hearing from you.

      • July 1, 2017 at 9:48 pm

        Please make sure you are screened for symptomatic Tarlov Cyst . Google search “Lesley Maloney Tarlov Cyst “. There is an article which discussed how often patients are misdiagnosed with PS who actually have symptomatic sacral Cysts. This resource article on line (daily news , UK) is a must read


  13. Nina Naranjo
    October 14, 2016 at 6:14 pm

    I am 17 days post op from a Piriformis Tendon Release. I still have seen the Ortho for my Post op review. No PT yet for me. Ortho told me to walk as much as I can prior to post op, but didn’t give me any stretches or exercises. I still have my stitches/staples/bandages. I have quite a bit of tightness in my ankle, very uncomfortable almost painful and my knee and shin are still completely numb. I do feel some relief from my previous chronic nerve pain and buttock pain and overall leg tightness. Any feedback from anyone on any stretches I can do now to alleviate the tightness. I tried the neuro flossing and I think that is too much due to the stitches:/ please help. Thank you!

    • Khrissy
      October 15, 2016 at 2:02 am

      Hi Nina,
      I am in a similar boat. I almost a month post op and still feeling very crappy. I had an endoscopic surgery so the incision is almost healed but still tender. What kind of surgery did you have? I am still on crutches and very sick of them but my leg doesn’t seen to be able to handle the weight yet. At first I had no nerve pain, more just pain from surgery but as I started moving around more it has returned. The Dr thinks it’s from inflammation and has prescribed some steroids so hope that helps. In my case it turns out I had a giant bundle of scar tissue caused by a car accident that was compressing the nerve so much I started having foot drop. Thankfully that part seems to be better. My dr is also having me do nerve flossing and it really hurts but it is supposed to prevent more scar tissue from forming. I do not know a better stretch and it really seems to depend on what type of surgery and what was compressing the nerve. I do find a good message to be nice temporary fix, but probably not too rough near the actual site. Good luck!

      • Nina Naranjo
        October 16, 2016 at 12:42 pm

        Hi Khrissy ~
        Thank you for feedback! I had an arthroscopic Piriformis Tendon release. The surgery lasted 35mns and was performed by Dr. Kevin Shamlou, at PIH in Downey. He told my sister everything went great and that he was able to realease “it”. I haven’t seen the Dr yet , nor my Post Op report to discuss what he found: I’m dying to know, was he able to free the sciatica from compression without damaging it? The issue (constant tightness in my ankle, now affecting my big toe and lil toe next to it, as well as, tightness running along the innerside of my foot) concern me quite a bit. These symptoms came on as I increased my walking. A week after the surgery, I’ve gradually worked up to 1.5 miles a day.
        When I asked Dr Shamlou how would I know if something went wrong after the surgery, he said my ankle would be locked and my leg would be dead/numb. Well, only my knee and shin is numb, but they were numb before and my ankle was not locked, but now has tightened; it was tight before the surgery. I know it’s only been almost 3 weeks since the surgery and my stitches aren’t even out, so I can’t expect miracles. I think if I remain positive in mind, body and spirit; as well as, keep active then my body will heal.
        My injury happened last year, September 2015 during PT after a left knee arthroscopic surgery. The therapist was doing hamstring stretches to improve my leg extension range, when a kept feeling painful pulling in my buttock and hamstring. I told him and he said to ice, but that the stretching was necessary to improve my uneven gait and the overall tightness. After 8 PT sessions, I could no longer walk. I had lightning bolt type pain shooting down the back of my left buttock and leg. My leg went completely numb within 4 days, with the knee area feeling completely dead.
        My knee Ortho said, it was Sciatica and to ice, gave me a 10 day steroid pack and said to rest, which was easy because I couldn’t even walk let alone move. Day 14 I finally could walk very slowly.. took another two weeks before I could walk somewhat normal. Sitting became a problem after this injury. I would sit and within 10-15 minutes my entire low back would ache almost like a burning on fire feeling, while sitting my leg would feel prickly, yet numb. It was insufferable. Standing was the same.. I would last maybe 15 mns before my back would start aching and needed to sit down, oh wait I can’t, so I would have to lie down with an ice pack, which is the only thing that brought me relief. MRI showed herniated disk L4/L5 with a small protrusion. EMG of left leg done by a neuro, but by an internal Dr (I have Medi-Cal) was normal. Two bi-lateral steroid injections in low back brought no relief, injection into Piriformis Tendon brought relief for 2 weeks. Chiropractor just intensified pain, Acupuncture with cupping felt relief for 2 days. I have been on nerve pain medicine Topomax, muscle relaxer Baclofen, Anxiety medicine, and pain medicine daily since 2014 due to knee injury and because of back injury happening had to keep taking them. I’m tired of it!!!

      • L
        October 16, 2016 at 1:35 pm

        Hi Nina and to whom ever out there that may be having this horrible piriformis muscle syndrome – – pain in the butt and feeling the electrocutions.
        I am in my eighth month of this from trauma to my hip. I have been to internal medicine doctors, neurologist, nerve conduction study, PT, orthopedic surgeons, two MRIs, two x-rays, electrical stimulation for a full week 8 to 10 hours a day – – none of this has solved my problem. The doctors had me on numerous narcotics – – Percocet, Valium, Flexeril, muscle relaxers, and others – – none of them help the pain. After about two hours they will allow me to sleep but they do not stop the electrocutions. One day after leaving PT I was really spazzing out like a moron with my electrocutions afraid that someone would call 911 when I went into the restaurant with my husband. They asked me how they could help me, and I replied “bring me a Margarita as fast as you can get it here with a double shot “– – they did and I drink half of it down as fast as I could – – within 20 seconds all my electrocutions stopped – – as well as the pain. Tomorrow I am scheduled to have a nerve block and the S1 area. I hope this will work – – also after googling what a nerve block is, they say it is alcohol or Phenol inserted to the area — so I am wondering if this will relax the muscle also just as the alcohol – – “tequila ” from what I have read about nerve blocks, they say it stops your brain from receiving ouch. Therefore, I am concerned about any trouble I may be causing when that nerve continues to get pinched and I don’t get off of
        it. The doctor that will be doing the procedure went to Harvard and also practiced at Cleveland – – I really like him and have a lot of faith in him. In fact, when I told him the narcotics did not work so I quit taking them and would do a double shot Margarita – – he said the narcotics do not help the muscle – – the alcohol relaxes the muscle that is pinching the nerve. I try to limit my drink to once a day in the early evening.

      • Khrissy
        October 16, 2016 at 11:16 pm

        Hi L,
        That is very odd that opiates or muscle relaxers do not help you. Are you sure you are taking enough. I always try to take as little as possible and would definitely recommend not taking it every day around the clock because it is very easy to become dependent but they can definitely help in a lot of situations. Have you got a definite diagnosis? If not keep searching the internet and talking to doctors. I was misdiagnosed for 10 months, which really makes me wonder how things would be different if I had been diagnosed correctly. If alcohol helps you, and you live in a state where it is legal, medical marijuana may be helpful too. There are some strains that are very good for muscle pains and spasms and it is far safer than narcotics. Narcotics do nothing therapeutic but they block your brain from feeling the pain and sometimes this helps you from tensing up as much. What kind of trauma did you experience? Mine was from a rear end accident and that seems kinda uncommon so curious. I have had a really rough weekend where I am doubting whether my surgery has worked and feeling very frustrated. It does help to hear from others. I hope you find a solution soon.

      • L
        October 17, 2016 at 5:57 am

        Hi Khrissy,
        I have tried the narcotics – – they do not help at all – – I have never in my life done well with drugs. As mentioned earlier, stopping at the restaurant and ordering The Doubleshot margarita was a first time for me – – and it works !!! Yes better than anything I have used and I can still walk across the room. The muscle relaxers take two hours plus to kick in, and then I cannot even stand by myself let alone walk across the room – – and this lingers on into the next day also. My trauma to my gluteus muscle was in a doctors office during a procedure of inserting a bioidentical hormone pellet. As I mentioned earlier, I do not do well with drugs and cannot take synthetic drugs, I tried many for the hot flashes – – they made me go blind until I stopped. So I decided to do the pallet and it seem to work great for about four years, but the last time was February 22, 2016 and it was not inserted into the fatty tissue as it should have been, but inserted a little lower gouging forced into the muscle. As soon as the local wore off I was in screaming pain and knew it was placed in the WRONG PLACE. Since then I have been electrocuted every single day if I sit more than 10 minutes or if I lie on my left side more than two hours – – cannot lie on my right side, cannot lie on my back. BUT, if I have a double shot margarita it relaxes the muscle that is pinching the sciatic nerve – – I googled for hours and found out on my own for my problem is – – doctors denied it because it is very rare – – DAH – just because it is rare does not mean it does not happen – – and I have finally been told I have piriformis muscle syndrome. I have been up basically all night because I could not lie down without being electrocuted big time. I would’ve had a margarita and going back to bed in 20 minutes and slept all night, but today I get my nerve block and pray it works. I have never smoked and have no desire to but thank you for trying to help.

      • ed
        November 23, 2016 at 2:34 pm

        Khrissy, can you tell me what type of doctor you saw for your deep gluteal syndrome? -Ed

      • Khrissy
        November 28, 2016 at 6:25 pm

        Hi Ed,
        I had endoscopic surgery by Dr Timothy Jackson in Pasadena. He is an orthopedic hip surgeon who also does stuff with piriformis/deep gluteal syndrome. I am now 10 weeks post op. Completely off crutches and about where i was before surgery except that the foot drop is gone. I can go up and down stairs now which I really couldn’t before. Still hoping the pain goes away more but nerves can take a very long time to heal, if they do. Hope this helps, Khrissy.

      • ed
        November 23, 2016 at 2:41 pm

        Krissy, can I bother you for your email address? There are some questions I’d like to ask about your condition. (For instance, did you have EMGs before your surgery? Did they come back negative?)



      • Khrissy
        November 28, 2016 at 6:32 pm

        Hi, I am trying to reply to Ed but not sure how that would work. Ed can you give me your email? I do not know how to message privately and don’t want to leave my email on here since it also contains my full name. I’d be glad to help you with whatever I can. And my emg’s were not normal. I just had a standard one done. and it showed compression at about three nerve roots. Of course they were not actually at the roots but the nerves are seperated in teh spine and then come together in the hip/gluteal. Since my nerve was compressed at that area it showed multiple root compression. It showed this through poor muscle recruitment. My nerves were trying very hard to activate the muscle fibers but were unable to because of the compression. I can give you more exact info if you give me your email. Make sure to see a good neurologist. I ended up diagnosing myself but it really helped to have a neurologist that took me seriously. If you have foot drop there is only a few things that can cause it.

      • ed
        November 29, 2016 at 12:01 am


        my email address is edwardjm1971@yahoo.com



      • ed
        November 29, 2016 at 12:14 am


        I also saw a neurologist, actually two of them. One specialized in movement disorders and thought I might have “exercise induced dystonia” and gave me some medicine that I didn’t like the way it made me feel. All of my other doctors however, disagree with the dystonia diagnosis and I agree with them. I think it’s something in my hip area that’s impinging a nerve somewhere that’s making my foot weak.



      • L
        November 29, 2016 at 12:29 am

        In regards to all the doctors I have seen I have come across a very smart doctor with very cool software in which he can touch the L5 on the screen and this redline goes down the leg and shows exactly where it affects, he can touch the L4 S1 and it does the same thing. Long story short, the L4 goes down the leg and comes up around the foot on the inside and for me it makes it feel like there is a hot branding iron on my foot — the L5 S1 goes down the leg and comes up around the foot to the top and I feel numbness and my three smaller toes feel like they have ice picks in them – – again, many of you have heard this before, this is where the margarita with the tequila relaxes the piriformis muscle that is pinching these nerves and within 10 minutes the pain is gone. This is a margarita with a double shot – – believe me, just try it, it works.

    • Patricia Jones
      September 16, 2021 at 12:33 pm

      I see that many of you are getting the open surgery instead of the minimal invasive surgery.
      No staples, easier recovery. I am planning on the minimal. Has anyone had this type done or is it all open with large incision. I am going to Dr. Timothy Jackson in Pasadena, CA
      Any info I would appreciate

      • September 17, 2021 at 12:09 pm

        So did you talk to docs about minimally invasive surgery Mine also includes the pudendal nerve Patricia

        Sent from my iPhone


  14. Khrissy
    September 22, 2016 at 11:42 am

    Hello all,
    I thought I would share my story since this site helped me to diagnose myself. I am now 3 days post endoscopic sciatic nerve neurolysis and feeling hopeful for the first time in a long time! I am only 33 and want to have children and get my life back. I have been unable to work or pretty much do anything except lay around and watch tv for the past year.

    My issues started when I got rear ended on the freeway. It didn’t seem like a big accident at the time, maybe 20 or 30mph, and only a small amount of damage. I was worried about getting to work and only quickly jotted down the other drivers info. Within a couple hours I was in the Er with first neck pain and then later what I thought was low back pain (radiating down leg). I had herniated a disc in my back 5 years before and thought it was a flare up. Over the next few months I realized It was much more than a flare. I had mris on lumber, cwrvical, and sacrum as well as a myelogram. The only thing the doctors found was an annular tear and bulge at l5-s1. They didn’t seem to understand why I had so much pain or numbness, probably thought I was faking it. I went through many weeks of unsuccessful pt . Any activity just made the pain worse. I started experiencing weakness in my left leg after about 6 months and my pain management doctor actually advised me to NOT go to a neurologist! If you have weakness definitely go to a neurologist! I finally went despite his advise and the neurologist confrmed multiple compressed “nerve roots” and told me to go to a neurosurgeon for decompression surgery in my spine. I finally went to see a ucla neurosurgeon and he told me he could do nothing for me and he didn’t think the spine was the cause of my symptoms. By this time I had the begining of foot drop and was worried I was going to end up in a wheelchair. The neurosurgeon was not very helpful and just suggested I go back to a neurologist and perhaps mine wasn’t good enough. I decided to take things into my hand and scoured the Internet looking for anything that might cause foot drop that would explain my symptoms. I stumbled upon a paper on the diagnosis and management of piriformis syndrome. I was shocked at how well it fit. In 10 months no doctor had suggested this. After that I found more info and made an appointment with Dr Timothy Jackson in Pasadena, Ca. He has been reviewed in a few places on this site. He examined me and agreed that I probably had piriformis syndrome aka deep gluteal syndrome. He did a cortisone injection diagnosticaly. This hurt more for about 2 days and then my pain was pretty much gone for a week! After almost a year of constant pain this was amazing! We scheduled surgery within a few weeks and now I am recovering. I havnt spoke with Dr Jackson yet myself as I was groggy after anesthesia but he told my husband he found a lot of scar tissue compressing the sciatic nerves. I hope to learn more at my post op appointment. What has really got me excited is that I can already move my left foot more than I could before surgery. I definitely have hope now that I will recover a good portion of my strength! So far the after surgery pain has been more like trauma pain as opposed to nerve pain. Does anyone have specific suggestions for pt? Helpful websites etc? I just wanted to share my story and will update.

    • September 22, 2016 at 11:58 am

      Im very happy for you Khrissy. My blog was created for you and others like us. Please be diligent with you PT. It was critical to my full recovery.


      • September 22, 2016 at 12:34 pm

        How come I can’t find the comments I get in my e-mail to reply to?

        Dr. Jackson is the real deal and I have even posted his video of my 100% good (after a year and a half) outcome endoscopic surgery. I recommend him for the medically tourism inclined. I live in San Diego and my wife drove home after the surgery – a little longer as he sutured my hamstring back onto the sacral bone too. No problem – 140 miles. Only real pain afterwards was sitting on small holes in butt. After a month all GOOD! Just FYI to fellow suffers. dc

      • Khrissy
        September 22, 2016 at 2:55 pm

        Thanks Dick, I did read your info on Dr Jackson and it helped me feel confident about the surgery. I stayed the night at a hotel in Pasadena just to avoid traffic and I was glad I did because I was naseus from the anesthesia, lack of food, and tons of pain meds. The nurses, and staff were also super helpful. I have been in a fair amount of pain, now on day 3 post op, but more tenderness than nerve pain like I had before. I didn’t have a hamstring to reattach, just a lot of scar tissue squeezing the nerve to the point my leg and foot were no longer functioning correctly. I hope to see more improvement as I heal, one month would be a great recovery time for the pain!

  15. Nav
    September 15, 2016 at 7:02 am

    Hi, I am a 27 year old male from Sydney, Australia and just had Open Piriformis Decompression Surgery on my right Piriformis on 5th September 2016. Just like you all, Piriformis Syndrome has negatively impacted my quality of life for the past 3-4 years and I have been unable to focus at work, have had to stop sport and cannot even lie down properly.

    APOLOGIES IN ADVANCE FOR THE REALLY LONG POST, however I thought the details may help those that require any guidance.

    Previously, I have tried many conservative treatment options which only provided temporarily pain relief. My pain involved numbness at the back of my upper leg, burning at the sole of my heel and deep hip pain when bending the leg towards the chest. My pain got worse when sitting down, running, walking uphill, bending and squatting. As I have a desk job and sit all day, the nerve pain had become way too irritating and impacted my ability to focus at work.

    Initially, it took a whole year to figure out what was causing my pain, as many physios, chiros and a neurosurgeon could did not agree with me that I had piriformis syndrome, but rather other issues in my lower back. It was only till I saw a Neurologist a year later who got me to do an MRN of the Right Hip. It was then discovered that the nerve was irritated at the Piriformis, hence Piriformis Syndrome was finally diagnosed (as I had already diagnosed through my research through Google). Once diagnosed, I got a Cortisone Injection in the Piriformis and it relieved the pain for 3 months. I tried the Cortisone Injection another 2 times every 3 months until the Neurologist concluded I was taking them too often, so he finally referred me to a Neurosurgeon. Although I had a minor disc buldge at L5/S1, the Neurosurgeon said my pain is not coming from this region and told me to get a Botox injection in the Piriformis. This Botox injection worked wonders and took away all my pain for a good 9 months until it wore off in November last year. We tried another Botox injection which failed and then a Cortisone injection which had no impact. After seeing the neurosurgeon again, he wanted me to get updated scans of my back and hip to eliminate any other issues before considering Piriformis Decompression Surgery. My lower back MRI showed a L5/S1 disc bulge (which I already had from before) and my hip scan showed a CAM type FAI with a labral tear. The neurosurgeon wanted to eliminate each problem one by one and then got me to get a Cortisone injection in the L5/S1 nerve root, however no changes. I then got a cortisone injection in the Hip bursa, however this made no changes. I then also went to go see a Hip surgeon to get a second opinion on the FAI, and he said it was only minor and my main source of pain was the Piriformis Syndrome. He got me to get a Bone scan and a plain XRAY of the Hip and it showed no issues with the Hip. He then also got me to get an updated MRI of the Lumbar Plexus region to check the Sciatic notch and see what type of Piriformis Syndrome I have. This new MRI showed that the Piriformis had reduced in size by 60% (due to the Botox Injections and tightening from overload on the muscle). It also showed a split Piriformis, and the Hip Surgeon concluded that I should have Piriformis Decompression Surgery before any further nerve damage occurs. I may need surgery for the FAI and Labral tear in the future if it gets any worse.

    Before making the final decision on Piriformis Surgery, I undertook 7-8 weeks of Rehab with a Physio and Excersize physiologist. This program helped strengthen my core and reactive my glute muscles, however it made my nerve pain worse in the buttock and foot due to the tight piriformis muscle irritating the nerve.

    I went to go see my Neurosurgeon a month ago and we agreed to proceed with Open Piriformis Decompression surgery. The Neurosurgeon performs the surgery in combination with a Hip surgeon. This was performed on 5th September 2016 and I am now 11 days post surgery.

    According to the Neurosurgeon the surgery went well and there were no complications. The findings showed there was a Split Sciatic Nerve and fibrous bands/deep fibers of the piriformis encasing the CPN division of the Nerve. The incision was around 3 inches long.

    I stayed in hospital overnight, however was able to walk immediately. I did use crutches for the first couple days as safety. I am still taking OxyCodone for Pain and Celecoxib for Inflammation.

    I note that the nerve pain had slightly reduced immediately after surgery for a week, and for the last couple days I have not felt it much, unless I lie on back for a long period of time or move the leg around a bit too much. This is probably due to the inflammation around the Piriformis. There is still alot of pain around the wound/upper leg area, however this will obviously take time to go away as the wound heals. So far, I have not had any extremely rough days after surgery and recovery seems to be going well, however I am weary of the risks of Scar Tissue growing back and irritating the nerve. I have a month off work and will gradually go back to work as I do not want to aggravate anything especially since I sit down all day.

    I start Hydrotherapy next week and will then start Physio at 6 weeks. I am feeling optimistic and relieved after surgery knowing that I have tried everything in my power to get my life back on track.

    Happy to answer any questions. I will continue to provide updates on my recovery.


    • L
      September 17, 2016 at 2:16 pm

      My reply to Nav,
      Bless your heart – – I DO understand exactly where you’re coming from. ( this is a long post also, but I hope it will help others). My issue started on February 22, 2016 with a simple bio identical hormone pellet inserted barely under the scan into the fatty tissue of the hip. — However, the nurse practitioner inserted a little bit lower than usual. Same afternoon when the numbness wore off, I was in SCREEMING PAIN — she obviously blunt jammed into the gluteus muscle — Which was trauma and aggravated everything else that was silently going on – – and would probably have remain dormant had this not happened) — it felt like someone had taken a knife and did serveral slices across my gluteus. I did call the doctor to let him know, of course, nobody answered, nobody returned my call after a week. I am a person who NEVER GETS SICK – NEVER CATCH ANYTHING & over 60 – – NEVER HAS PAIN — I have always had an exuberant amount of energy – – just like my dad of 92 and still building. After seeing my primary physician – – does not understand – – put me on narcotics – – serveral of different ones, including Valium, Flexeril, another muscle relaxer, Percocet, etc. and others. – – With absolutely no relief. I was set to the neurologist for a nerve conduction study – – of which they could find NOTHING wrong with me – – DAH ! — I had to x-rays – – 2-MRI’s of which showed a lot of stuff going on – – help me understand how a whole lot is going on and I am never feeling any pain. The MRI did also indicate L5 – S1 — I also saw an orthopedic surgeon which told me my x-rays look so near perfect he could put them in the book of the perfect beside the bad x-ray. – – I was sent back to him again after my MRI – – he asked me WHAT was I doing there ? I reminded him that I had an MRI and asked him if he had read it – – he responded with hesitation – – yes, but many things show up on the MRI that are not there – – so, I asked him about my situation and how long I would be this way – – he responded, – – you will have to live with this for the rest of your life – – He cannot even do injections. – – Guess what, I fired him – – I do not accept that. – – So I found another orthopedic surgeon in Austin – – he told me I did NOT have piriformis muscle syndrome – – he sent me to Texas physical therapist specialist. – – Which there are 12 in the central Texas location ranging from Plano, to San Marcus, TX. – – So, I went to them for seven weeks, twice daily – – they did help me – – a lot – – As they gently touched my hip and moving down my thigh – – so barely touching me – – that sent me into electrocutions, BIG TIME — this is not fun, and it is not merely spasms – – but like touching a cattle hot wire fence – – and being electrocuted. I left the office being electrocuted and jerking big time – – and trying to buckle up in my seatbelt while I am being electrocuted – – VERY DIFFICULT — we stopped at a nearby sports bar – – I was afraid they would call 911 because of the way I was acting – – I was not acting, cannot help it, in excruciating pain – – I asked him to bring me a margarita with a double shot ASAP — ( The first time I had ever ordered this). they did – – I drink half of it as fast as I could – – and within 10 seconds all of my electrocutions and spasms STOPPED — thank you God, I do not have to drink kerosene !!! — I can drink tequila instead. I did continue with Texas physical therapy specialist, and today I still do the exercises they gave me – – they dismissed me saying, my related problems are nerve related. – – I went back to my orthopedic surgeon, – – he did not want to do injections, because they only work maybe half the time – – since then, I went to pain specialist of Austin, which have several locations including, Austin, Waco, Killeen and various other locations – – The Killeen Office is wonderful – – I saw Dr. Pankaj Mehta M. D. – – He was trained at Cleveland medical, Ohio – – He treats you with the upmost respect – – He gave me an injection of Cortizone into the piriformis muscle — apparently, because it only works half the time – I am scheduled for October 17 to have a nerve block into the L5 – S1 — I do believe in prayer – – however I had this done on Friday, September 2, 2016 – – this is a week later and I really feel no different – – the first two or three days was much worse than prior.
      I continue to pray that the nerve block scheduled will work and I will have no future problems, I do not run – – however, I am very active, I instruct ballroom dancing – – as Long as I am on my feet, I am doing really good – – but major problems lying down at night or trying to sit down to watch a movie in the evening. – – I get electrocuted again. So, I do laundry, cook, bake, mop, anything that will keep me busy on my feet – – Time goes much faster if you throw yourself into a project instead of literally trying to pace – – then I will have a double shot margarita and I can go back to bed and perhaps get 5 to 6 hours sleep. – – – being on my feet, allows that muscle to relax – – when I am sitting or lying down, it is pressing against that muscle which causes the electrocutions – – I am puzzled by these doctors – – even specialist – – they sweep it under the carpet and does not know what is going on – – and send you to someone else – – yes, you got it, I still drink my Doubleshot margarita to relax the muscle – – as per the doctor that gave me the injection told me, the narcotics will NOT help relax the NERVES BUT ALCOHOL WILL RELAX THE MUSCLE WHICH CONTRACTS AND PINCHES THE NERVE –– – I am not an alcoholic – – I do my exercises – – but seem to require at least one margarita daily with a double shot — I have read several other post that also say they were giving a nerve block – or Botox – which help them for maybe nine months but had further problems from the Botox — mine will not be Botox, but I hope it works.
      – – Bottom line, the trauma from gouging the gluteus muscle brought everything else to surface. I am open and eagerly look forward to read other blogs posted. I also pray for many others out there with this problem that doctors say is RARE – – But from what I have read, the problem is not rare, but doctors that know how to treat it are rare.

      • Nav
        September 18, 2016 at 8:40 am

        Hi L,
        So sorry to hear about all the pain you are going through. It is the most frustrating and dissappointing thing when doctors, physios and specialists cannot figure out what is going on and conclude “why cant u live with it the rest of your life”. If only they were in a patients shoes. It makes our life so much harder when we cannot figure out the answers.
        I hope your L5/S1 nerve block works. If it doesn’t work, i suggest requesting your specialist to have you do an MRN scan (instead of an MRI) of your lower back and hip. An MRN spefically scans your nerves and can potentially help identify any irritations of the nerve, hence if you have a piriformis syndrome or any other nerve irritation. I previously had MRI scans of my hip which did not pick up any nerve irritation in the hip and my nerve conduction studies also did not show any signs of nerve irritation. It was only once i saw my neurologist did he recommend an MRN scan which showed my piriformis syndrome.
        Sometimes cortisone injections may not work and botox is another alternative before considering any surgical intervation. Both of these worked for me however botox worked much more effectively for me. Everyones case is different though.

        Maybe go see a neurosurgeon in your area for a second opinion.

        I really hope you can get to the bottom of your pain and get some relief asap.

        All the best with it.

      • L
        September 18, 2016 at 11:30 am

        Thank you for your reply and your update information – – presently I’m crying as I have in the past — I have always tried to live a very healthy life, – – exercise – – eating very healthy — trying to do the right thing in all aspects – – and keeping a relationship with God asking Him to lead me in the way He sees fit – – I do not understand why this could happen to me – – hopefully, I will be at influence and help others in anyway I can – – I try ask God to help me anyway he chooses me to help others. – – But to please, please release me from this pain. And to please lead me to Wherever he wants me. — as mentioned before, my entire life I have been very blessed with no pain what so ever cash – and I look around and see many many others but younger than me crippled, and many other kinds of pain that has perhaps left them with no memory – – thank you again God that I am not there and please help me to be where I should be.

    • Fred
      February 23, 2020 at 3:26 am

      Hi Nav, I’m also based in Australia and looking at open surgery for piriformis release and sciatic nerve neurolysis. The description of your case sounds very similar to mine. Just came across your post and wanted to see how you are doing now and whether you consider the surgery a success? F

    • Patricia Jones
      September 16, 2021 at 12:45 pm

      Go to Pasadena CA Dr. Timothy Jackson
      He does minimally invasive surgery – not the open 7 ” incision. I have planned surgery with him in October

  16. Staci
    September 10, 2016 at 7:34 pm

    I hope all of the above commenters get to read this. I have had the piriformis/sciatic pain for over 20 years. I always got the same answer each orthopaedic I went to….”its sciatic, nothing we can do”. Finally, I did my homework and knew there were options if someone could tell me exactly what is was that was causing me so much pain in my butt and down my leg. I am a female and it even affected my menstrual cycle…..totally painful!!!! I found a spine specialist at an orthopaedic clinic in Knoxville, TN(I live nearby) Long story short, hetold me most doctors do not believe this type of pain exists, but thankfully he did. I had an MRI, showed nothing. I had a Nerve Conduction Study(very painful, but worth it)and BAM…..he found that this was indeed a piriformis/tendon issue, causing my sciatic pain as well. I had 2 injections of which neither one worked. I am having surgery Monday, Sept 12, 2016 to hopefully cure this pain. I have great faith in my dr’s capabilities. This a rare surgery and no one else in the area will do it. He has been in practice for 25 yrs and has seen only 20 cases. He has had 90% success rate and the unsuccessful surgeries were due to other issues in conjuction with the piriformis. I hope that if you are having this type of terrible pain, that you keep lookink until you find a dr that believes your pain is real. I wanted to share my story for support and know you are not alone in this! Prayers for my successful surgery are very much appreciated:) Good luck to you all!!!!

    • mea ellen
      September 12, 2016 at 3:49 pm

      I see that your surgery is today and I am keeping you in my thoughts and sending positive vibes. Please do post the results… I am having many of the same problems.. 70 yr old very active female with chronic pain in right hip down to foot due to short leg and ski injury… I recently started undergoing intensive fascia release therapy which was providing some relief… but then one morning BAM a snap in the piriformis area followed by excruciating acute pain from waist to heel… after suffering 2 days (unable to stand – literally crawling on hands and knees) finally found a pain/acupuncture doctor and got instant relief from combo lidocaine injections in piri area and acupuncture all down the leg. I continued the fascia release therapy and then a month later (last Friday) BAM it happened again… today after 75 agonizing hours, I finally got the pain med injection/acupuncture treatment again, but this time it has not brought much relief… And today I got the diagnosis “SI Instability” – so my question is this: Is it possible the fascia release, while helping in other areas, led to the hypermobility/instability in the SI which causes the extreme sciatic pain? I’ve never heard of this, but it does seem coincidental – the first episode occurring within weeks after starting the fascia release program? Anyway please do let us know the results of your pirifomis surgery and tell more about it. thanks for posting.

    • September 16, 2016 at 1:23 pm

      Staci, how are you doing from your PM release surgery? I too had a EMG test many years ago that said I had Piroformis Syndrome. But when I finally went to a surgeon, he said no it was just SI joint pain. My ins wouldn’t approve SI joint fusion. So I went to another ortho dr and got PRP therapy. This seems to be starting to help the SI joint but my pain has changed a little, not much but enough to think maybe I had both conditions and now I need a PM release. just reached my 7th year in the battle with this horrid pain. And yes, did PT, Chiropractor, injections, I have tried almost everything.

    • L
      September 25, 2016 at 1:07 pm

      Hi Staci,
      I have been praying for you and many others with this problem – – how are you doing since your surgery – – is the progress good or are you still having pain.
      I have been to multiple doctors, two different orthopedic surgeons, a neurologist which gave me a nerve conduction study, two MRIs, two x-rays, PT for seven weeks, twice-weekly, chiropractic, electrical stimulation for ONE solid week 8 to 10 hours a day – – none of the above has helped or even showed my problem – – PT did release me saying they could no longer help me because my problem WAS nerve related. On September 13, I had a Cortizone injection into my piriformis muscle, at which time my doctor immediately scheduled me for a nerve block on October 17 – – because it is seldom that the Cortizone injection will help. He was right, I was only WORSE for about a week afterwards – – now I am back to where I was before the Cortizone injection. I do understand the pain many of you must be going through, as I am unable to sit more than about 15 minutes at one time – – even with my doughnut pillow – –, so I am on my feet the entire day doing numerous projects – – lucky for me I like to cook and bake and dance – – and you all know what the pain is when you get electrocuted when you sit or lie down – – it feels like a bolt of lightning hit your foot – – or a hot iron is placed on it – – and you do what is normal – – you jump and scream – – I am supposed to have a nerve block in my S1 — Who out there has had this nerve block to the S1 ??? – – Did it work at all – – how long did it last – – what I am really concerned about is: since this nerve block is supposed to block the pain that tells my brain ouch, what further damage am I doing when I sit or lie down ??? My entire life, I have been extremely healthy and never get ill – – I can count on one hand the number of times I have been ill in my entire life and still have room left – – I am over 60. That says a lot – – I have always been able to do anything without thought of not being able to. Now, I feel like my life has been robbed along with my career. – – I am still very fortunate in many ways, I have a wonderful loving husband and a wonderful daughter who help out. I can’t drive far because I am sitting when I drive – – and when that electric bolt hits my foot I am afraid what would happen – – it has happened before as I was leaving my home with my husband and drove Two Houses past ours and I started getting electrocuted.
      ( I know this is long, and I am sorry but I do understand what you guys are going through)
      Another thing, after the nerve block, if it only is temporary, how long can they keep doing this and what future problems will it cause – – so I am also eagerly trying to find doctors that have performed the Piriformis release surgery on a normal basis with good outcome. So far the only one I have found by googling is in the UK. Unfortunately, many doctors simply do the process of illumination. I learned from somebody on one of the blogs that had an MRN which is a different type of MRI and it shows all the nerves. Unfortunately, they only place you can get them are at the MRN institutes, which are three in Texas, and others in other states. But, they do not except Medicare. The cost is $4020.
      I even checked further with the mayo clinic’s — there are three in the United States – – Arizona, Florida, Rochester Minnesota. Rochester is the only one that does MRN — I was unable to get a price because they need a code from the provider – – you would think it would be mandatory for doctors to do an MRN when the problem is nerve related, so they can zero in on the real problem without the process of elimination. Mayo was very pleasant and easy to talk to and did tell me they would bill Medicare but the payment is sent to the patient and patient would then have to send it to Mayo — I have never heard of this before — I am just trying to see some of my future options if necessary. I found out WHAT I had by a long search of googling, BUT when I mentioned to the doctors “Piriformis Muscle Syndrome” .. They told me “NO, you don’t have that, it is very rare ” — Hey, just because it is rare does not mean I don’t have it. After reading so many blogs from people that do have it, I see that it is not so very rare – – BUT finding a doctor to treat it is RARE.
      The last time I posted I became very emotional – – this happens when the pain is just so bad and it will also affect my stomach and I feel helpless – – that is when I have to have a stiff margarita – – it takes about 20 minutes for me to feel all better. I try to limit this to once a day. Thank God for my strength to stay on my feet.
      I continue to pray for you all out there that share this miserable pain and hope you’ll find the right solution to help you.

    • kadia dailey
      April 12, 2021 at 9:43 pm

      Can you tell me the name of the dr in knoxville tn that helped you.i live in knoxville and I’m trying to get help with piriformis syndrome. My email is k777.allthat@gmail.com
      Thank you

    • kadia dailey
      April 14, 2021 at 8:24 am

      Hi Stacy I live in knoxville tn what doctor did u see. Please email me at k777.allthat@gmail.com

  17. Lillian Nash
    August 30, 2016 at 6:37 pm

    Hi Matt,
    I HEAR you. Where are you, better yet, where is Dr. Heinrich that performed your surgery. I have been in constant pain since Feb. 2016 (pushing 7-months). I have been to my primary physician, sent to a Neurologist for a nerve conduction study, to and Orthopedic Surgeon for X-rays and MRI’s to only have him tell me (without examining me or even touching me) my x-rays were near perfect and he didn’t believe everything the MRI’s said and that I would just have to live this way for the rest of my life. He said he could not help me in any way, not even injections. I quickly found another recommended Orthopedic Surgeon – he sent me to Physical Therapy for about 7-weeks and they also did dry needling which did help to relieve a very tight contracted spot on my gluteus muscle from being punctured. PT did finally dismiss me saying my remaining problems were nerve related advising me to return to my Orthopedic Surgeon. I did, and he said he can’t help me and that HE doesn’t perform the Piriformis Muscle Syndrome Surgery and he recommended I find a doctor that does them often. I found one by google search in the Dallas area and his office gal said he did the Piriformis Muscle Syndrome Surgeries all the time. However, when I called her again today, she denies telling me this and that the doctor has NEVER done this type of surgery and earlier, the first time, she also said he didn’t accept Medicare. (So why are they advertising through google that they do ?) After hours and hours of searching to try and figure out what was wrong with me I discovered that I have the EXACT symptoms in every detail of ‘Piriformis Muscle Syndrome” ….. where am I going to find a doctor to help in the Central Texas area. I am a Ballroom Dance Instructor and I feel my life has ended. ( I pray that Dr Heinrich is not far away) Thank you for your time and I look forward to your reply. Meanwhile, have a great day.

    • Shelly
      September 11, 2016 at 7:32 pm

      Who is the Dallas Doctor? I see Dr. Hal Martin at the Hip Preservation Center at Baylor UNIV hospital. He is in the process of helping me with my piriformis/hip/back issues. Call him! Some others here have mentioned a Dr. Starr in the Dallas area. Have you heard of him?

      • Lillian
        September 11, 2016 at 7:51 pm

        The doctor I found online with his website is Dr. Donald Mackenzie in Plano. His website talks about the Piriformis muscle syndrome. I talked to his office girl “Lena” and I understood that this doctor did the Piriformis muscle syndrome release surgery all the time. However, I called her about a week ago and she denied that he did that surgery and that he was a spine surgeon. Now I thought that was strange because of what his website said. I am currently visiting with pain specialties of Austin. They have offices in many different locations including Georgetown, Austin, Killeen, copperas Cove. I am supposed to get some injections – – I think they will be Cortizone, – I am hoping these injections will work for me and hopefully I will not have to have surgery.

      • September 11, 2016 at 8:34 pm

        Dr. Adam Starr at UTSW (office at Parkland), Dallas, TX is incredible. He is a hip trauma surgeon, and he does the open release so that he can see what all is going on in the hip. He’s also been voted several years, as one of the top traumatologists in the USA. When he opened my husband up, he found that the piriformis muscle had adhered to his pelvic bone and the sciatic nerve was being smashed behind it (sept 2015). In his 20+ years, he had NEVER seen this. He refers you to Dr. Chhabra for an MRN, then botox injection, which is diagnostic, as if it helps for a day, it confirms piriformis syndrome. I would highly recommend Dr. Starr…people have flown from all over the US to see him and have surgery. He is kind, he listens, he understands, and he is there to help you be pain free. You cannot go wrong with Dr. Starr, Dr. Chhabra and their teams!!http://profiles.utsouthwestern.edu/profile/19574/adam-starr.html

      • Risa Hillard
        September 11, 2016 at 9:05 pm

        I, too, have had the open surgery with Dr. Starr. He is awesome and very responsive…a truly wonderful, caring, sincere Doctor. He is everything Sharon said…and more!!!

      • Lillian
        September 11, 2016 at 9:44 pm

        What happened to cause your pain to begin in the first place.

      • Risa Hillard
        September 12, 2016 at 5:56 am

        No trauma or injury occurred, but the MRN showed I had a bifurcated piriformis muscle that was compressing the sciatic nerve. Probably years of sitting too much at work. I now have a sit/stand workstation.

  18. Tamily Butterton
    July 17, 2016 at 6:16 pm

    I am so glad I have come across your page. I need some support, feel so alone in this agonising pain. I have suffered for over ten years now, Dr’s never believed me and I was left for a long time with no treatment. I eventually got a diagnosis via a pelvic mri. I had the left leg piriformis muscle released and over time I’ve deteriorated, I’m convinced I have scar tissue that’s formed and catching the sciatic nerve but the hip area is sore too, it’s agony. My left leg is bad too and the sciatic nerve is trapped their too. I hate my pain and not sure how much more of this crippling pain I can cope with.
    My local NHS trust treat me terribly and when in agony it’s awful, luckily got a great gp.

  19. Susan
    May 19, 2016 at 1:54 pm

    Hi Everyone,

    I am getting Botox injections in my right and left piriformis, and am also considering piriformis surgery as a future option. My understanding with both the injections and surgery is that afterwards, it is important to do physical therapy. In regards to PT, do I need to find a PT with experience in piriformis issues? I live in the Bay Area, and PT’s are a dime a dozen. Probably lots of mediocre ones – I just don’t know how to begin looking for a competent PT and the criteria I would use in my search. The doc doing my injection is not local, so I couldn’t get any local referrals from her. Any input would be much appreciated!

    • May 19, 2016 at 3:47 pm

      Susan – after different PT modalities (dry needling, cupping, pelvic, etc., etc.) my husband had piriformis release surgery last September. You may be able to find more history in my previous posts. However, his piriformis muscle was adhered to his pelvic bone and the sciatic nerve was being smashed behind it. Post surgery, he said he was 80% better, but he still had lingering issues. He went back for another MRN and the hip trauma specialist and orthopedic radiologist in Dallas TX, referred him back to the neurosurgeon. The neurosurgeon was “miffed” that he had gone through the surgery and still pain was high. He definitely had a closed mind and would not listen or hear anything my husband was telling him, i.e. he was 80% better and not 24/7 pain. After discussing spinal fusion, and no guarantee if it would or would not work, the game plan was more PT. He is finally seeing small results and continues to work it hard. Back to dry needling and waking up muscles in the back of his leg that continue to spasm. He has to stretch and exercise every day just to get going and get everything warmed up. In saying all of this, I would recommend you ask if the PT does dry needling, cupping, etc. My husband can tell the difference and he’s only had three sessions. In fact, he cancelled his last appointment for needling (aka as Chinese/Korean/Japanese acupuncture, but Western medicine here doesn’t call it that). This is a “syndrome” and I don’t think textbook cases are the norm with this monster! Good luck to you!! And I still cannot thank Matt for starting and continuing this blog…and for Brian who shared his story…resulting in our story!! Even though my husband is not 100%, and not sure if he ever will be, he is making some progress and that is a huge blessing!! Going back to the months he suffered, he will take anything over that journey.

  20. Elizabeth
    April 27, 2016 at 4:09 pm

    Hi Everyone,

    I have been struggling with nerve pain in both legs for 14 years. I initially had debilitating SI joint pain which has now been resolved with stem cell injections, where my doctor got my own stem cells from my bone marrow. Unfortunately, despite the fact that these injections eliminated my back pain, the leg nerve pain continues. My MRN, provocative EMG, and diagnostic Botox injections all point to pain coming from my pirfirmis as well as obturator internus muscles. I have seen a few physicians who have recommended a piriformis release, but had not found a physician who has experience with the obturator as a pain generator until I read a post on this site by a woman named Sharon whose husband had surgery with Dr. Adam Starr in Dallas where he removed the piriformis muscle completely and clipped/released the obturator tendon. As you all know, years of debilitating pain is a huge motivator, so my husband and I traveled to Dallas for an appointment with Dr. Starr. Based on all my studies, and success with Botox we talked about the potential for surgery where he would probably do the same thing to me….remove the piriformis muscle and clip/release the obturator tendon. My problem is that I am scared of potential negative impacts of surgery, and scared to do nothing. Do any of you have any experience or knowledge regarding removing the entire pitiformis muscle and/or any experience/knowledge of the obturator internus also contributing to nerve pain, or any other doctors who do? I can’t say enough good things about Dr. Starr. He seemed to have so much knowledge of the sciatic nerve and surrounding area. He spent so much time with me and was extremely thorough. The problem is that I have seen so many different doctors who all have their opinions on surgery techniques as well as their opinions on whether surgery is even worth the risk. I look forward to hearing from anyone. It is clear that experience has taught all of us so much about this issue.

    • Risa Hillard
      April 27, 2016 at 8:23 pm


      Dr Starr removed my right piriformis muscle 4.5 mo ago. It was a very easy surgery for me and easy recovery. My pain is much better, but I am not without pain but didn’t expect to be yet. It takes time for the sciatic nerve to heal as it is scarred. I’ve gone from not being able to sit at all prior to surgery to being able to sit for a couple of hrs at a time pretty comfortably and travel in the car and fly without much pain. I’m very glad I had the surgery, sleep without pain (wasn’t sleeping well at all prior to surgery), take no pain meds (was prior to surgery), and believe i will continue to improve even more in the months ahead. I do not have problems with the obturator tendon. I’m happy to answer any other questions you might have.

      • Elizabeth
        April 27, 2016 at 8:59 pm

        Hi Risa,

        I am so glad to hear you are doing better. Thank you so much for your reply and being willing to answer my questions. It helps to know we are all in this together. I read a post earlier today from someone who had open piriformis surgery with Dr. Ellis in Ohio. In the post the person mentions that Dr. Ellis moved the leg around after the release to see how the nerve and other muscles responded. My question to you is, do you know if Dr. Starr does this? I hate that I did not ask him this questions because it seems like an excellent way to see what other problems might exist. Also, what has your recovery been like? I am curious since I will have to have both hips operated on separately as none of the doctors I have seen think operating on both at the same time is wise. One more question, have you had any issues with scar tissue building up post surgery? Thank you again for taking the time to respond.

      • Risa Hillard
        April 27, 2016 at 9:34 pm

        To answer your questions: No, he did not move my leg around post surgery as you described and I have not had any issues with scar tissue to date.

  21. Ellen
    April 17, 2016 at 7:53 pm

    I have had similar symptoms to everyone on this blog. My orthopedic surgeon told me about this procedure Friday. I finally feel like there is hope! Hearing your story and those of others here on this blog has given me even more hope! Thank you!! I have to get my back checked one more time. If nothing surgical shows up there, I will be having this procedure. Bursectomy, piriformis release, and gluteus medius tear repair.

    I also have a ruptured disk in my neck.
    I’m scheduled for surgery to repair it soon, but I have more pain in my hip than my neck.
    So, I’m wondering if you were on crutches after your surgery. My arms are weak from the ruptured disk in my neck. I don’t know if I can use crutches???

    • Risa Hillard
      April 17, 2016 at 8:01 pm

      Most people are on crutches or a walker for a few days post-op, but I didn’t need them and didn’t use them. I walked unassisted the evening of my surgery (same day) with very little pain. But I only had the piriformis release surgery and not the other issues/repairs you are also having done.

    • Shelly Vickers
      June 3, 2016 at 6:47 pm

      Have your doctor check for Ischiofemoral impingement. It is a simple test where you lie on your side and he bends your leg and moves your hip. I have terrible neck pain, but never really mentioned it because I was seeing a hip specialist. Well, it’s all related! It’s even related to my recurrent hernia above my belly button. CRAZY!!

  22. melissa
    February 1, 2016 at 12:56 pm

    I am curious if anyone has had any success with botox injections? I’m one and a half years in with chronic bilateral piriformis syndrome as a result of a torn hamstring. I am scheduled for lumbar and pelvis MRIs in a couple of weeks and possible injections under fluoroscopy. Any comments from people who have undergone botox or even steroid injections would be very welcomed. Thank you.

    • February 1, 2016 at 1:48 pm

      Melissa, please see my Treatments page for my experiences with both types of injections.

  23. Mark S
    December 30, 2015 at 8:32 pm

    Any guys who do piraformis surgery in AZ or SOCAL.

    • Steve Francis
      April 13, 2016 at 6:30 pm

      Did you find any Doctors? I have been looking also with no luck

    • Alan
      May 4, 2016 at 12:35 pm

      try Dr. carlos guanche in van nuys california

    • Patricia Jones
      September 16, 2021 at 12:52 pm

      Dr. Timothy Jackson in Pasadena CA ( North LA ). He does minimally invasive surgery on piriformis
      I am planned for october 2012
      Patricia Jones

  24. Mark S
    December 30, 2015 at 8:30 pm

    Any guys in AZ or SOCAL who do piraformis surgery?

  25. wendy
    December 28, 2015 at 7:45 am

    Hello Matt –

    I have been following your blog and wanted to thank you for creating it.

    I have the exact same 3 problems (except mine are on the left) that you have (had) and wanted to reach out for a couple of answers.

    If I am understanding correctly, you are pretty sports minded. I am wondering if you played any sports prior and if so, if you found ease in getting back to them post surgery? What kind of recovery time did you see?

    I was an avid downhill mountain biker and competitive downhill skier, as well as a basic outdoorsy person. This has sidelined me so much that I have only skied a handful of times over the past 3 years and don’t remember the last time I got on my bike. I spend a great deal of my time now inside, researching. I am wondering if I go through with a surgery if I will be able to get back to my old sporty self?

    Any advice and comments would be greatly appreciated.

    • January 7, 2016 at 8:36 am

      I have fully recovered and am back to my pre-PS self. My opinion is that the more active you are after surgery the more likely you are to make a full recovery. That being said, pay close attention to what your body and gut are telling you. Seek advice from a physical therapist that has experience treating PS.

    • Lea
      January 8, 2016 at 9:35 pm

      I am cured as well 10 months out from surgery. The mental side was the hardest. Just got back from an hour in the gym. It was hard to realize the activity would not hurt.

      • Nina chandler
        March 24, 2016 at 12:43 pm

        I am 3 weeks post surgery. I am in agony after any activity, the sciatic nerve is just so sent icon right it makes my whole leg burn. Does anyone have any insight they could give me?

      • March 26, 2016 at 8:14 pm

        Nina, I used a lot of ice for weeks, and took it real easy. Have you started physical therapy yet?

  26. eric brun
    November 13, 2015 at 10:44 am

    ive suffered sciatic pain for 20 years. I used to run…a lot. I started a factory job that involved turning to the right about every 10 seconds in a circle all day. that’s when the pain started. I stopped that job but the pain stayed. a few months later after jumping down from 4 feet I dislocated my back l4 l5. had surgery bout a year later fusion l4 l5 s1 which helped with the obvious back pain but not the sciatic. after 10 years of searching for answers I had a second surgery. removal of hardware, reinstalling fusion l4 l5 s1 and further rods from l2,3,4. now my entire lower back is screwed and I still suffer from sciatic pain. ive tried everything most more than once. nothing works. from online videos ive seen I think I have piriformis syndrome but my gp has nothing to offer me.
    $20000 medical bill for surgery in the us is not an option for me.
    I find it hard to believe no surgeon can do the piriformis release in Canada where I have full medical coverage.
    any advise would be greatly appreciated.

    • November 14, 2015 at 3:15 pm

      Eric – I posted this on June 27, 2015 at 1:03 pm Reply It has been five months since my surgery and all is good with the outcome! No more ice pick pain.
      See below:
      ‘I had sciatic neurolysis and hamstring reattachment endoscopic surgery last week. Dr. Timothy Jackson Congress Medical Group (in their surgical suite – very good, brand new!).
      Dr Jackson (has done 13-15 of these surgeries) said he found much scar tissue and some fibrous bands where sciatic nerve was being compressed by piriformis (after 21 months since injury), which finally an MRN (Tesla 3.0 GE Moore’s Cancer Center UCSD Hospitals San Diego), diagnosed.

      No more injections or just treating symptoms! He does not believe in snipping the piriformis tendon as he has had good outcomes without doing so. I haven’t started PT yet but will soon. Still tender and quite stiff where the holes were made to get endoscope and debridement tools in for MIS worki. Took about an hour under full anesthesia and not too long for recovery. All good. My wife drove me home from Pasadena to San Diego same day.

      I would recommend Dr. Jackson to anyone who suspects PS. I will update blog when have had a month’s PT! dick cummins – feel free to e-mail tfcr@cox.net – don’t think medical tourism to Pasadena would be that expensive. Here is is his website: http://www.timothyjacksonmd.com/my-practice/timothy-j-jackson-m-d/

      • Denise
        November 25, 2015 at 2:01 am

        I’m so glad to hear you are doing well! I have surgery scheduled with Dr. Jackson in a couple weeks and I’m so nervous! He will be fixing a hip impingement and trying to figure out what is pressing on my sciatic nerve, whether it’s the piriformis or hamstring, etc. Any advice you could give me would be great!

  27. Carlye Azzolina
    November 6, 2015 at 11:08 pm

    Matt, i am a patient of Dr. Heinrich, we have done several treatments for my piriformis issues and he believes I would be a benefit greatly from this surgery. I am glad to hear you had success. What was the recovery like?

  28. September 27, 2015 at 8:28 pm

    I had a bone marrow transplant in 1997 for acute leukemia, my sister was the donor. I have numerous health issues from all the chemo and GVHD which is my new immune system attacking my body. I was 38 when I was diagnosed with leukemia, I am now 56. One of my chief complaints is muscle pain, I get Botox for my neck, it really helps. I’ve had lower back pain since my transplant,the many bone marrow biopsies didn’t help. I have gotten steroid injections in my SI joints for years. I did get relief in the beginning but very little now. One week before Easter I could barely walk, the pain in my buttock going down my leg was excruciating. Long story short,I’ve had 2 steroids injections in my pirafomis muscle, one epidural with steroids put in spine, two injections in my SI, physical therapy, muscle relaxers, and pain meds. My son is getting married in Nov and I really want to dance the Mother/Son dance. I think Botox is the next thing they can try, my SED rate in my blood is high which indicates inflammation in my body. I was put on prednisone for this before but I won’t go on it again, to many side effects. I also had shingles 4 times and other difficulties. I can’t take anti inflammatories because severe reflux and esophageal spasms. I had a MRI to rule out spine problems. I’m at the point that OxyContin is not helping. I have conquered a lot the last 18 years and I am one of the fortunate ones to be alive. Most everyone agrees that my piraformus muscle is very inflamed and goes into spasms. I live in a rural area of Pa. I had my Bone marrow transplant in Philadelphia. Any help would be appreciated. Thank you, Ruthann

    • September 27, 2015 at 8:39 pm

      Ruthann I encourage you to do your research, including reviewing my blog’s articles, posts, and pages.

  29. Abi
    September 17, 2015 at 8:57 pm

    Honestly, this just helped me so much! I just, and by just I mean today, had a 3 part MRI to make sure there is nothing else going on. I was diagnosed with piriformis syndrome in 2013 and I have been through test after test, physical therapy, injections (including botox) and it seems like every Ortho doc here in Indiana is to scared to do this surgery. Now don’t get me wrong I 100% agree that I do not want a doctor doing the surgery if they are not comfortable, but I need some kind of help. This syndrome has taken over my life more in the last 9 months (after a fall on ice) then it has since I was diagnosed.

    • September 17, 2015 at 9:45 pm

      Indiana isn’t too far from Milwaukee, WI, where Dr. Heinrich is located.

    • regina B
      February 22, 2016 at 12:25 pm

      Have you had any luck? I am also in Indianapolis looking for solutions for my son.

  30. Rosann Z
    September 13, 2015 at 9:32 am

    I had pirformis tendon release surgery by Dr. Henrich about 2 yrs ago. Unfortunately, I am not one of the lucky ones. Just recently I started having excruciating piriformis tendon pain at night. When I get up I can not put weight on this leg. Ice stretches over the last month have given me no relief. I am unable to find anything that talks about any long range problems that may occur. I had 2 back surgeries prior to his procedure. I am 57 yrs old and scared. What does 10 yrs promise to my quality of life.

    • Debbie
      October 3, 2015 at 1:31 am

      I’m so sorry. I have been struggling for 9 years too. It’s so scary. Wish I had some answers. Have you tried Botox after the surgery?

    • Trina
      October 15, 2015 at 4:42 pm

      Please get your hips checked for FAI. I also had a piriformis release by Dr. Heinrich and it was the incorrect surgery and should have never been done. I never found relief after the piriformis release because I actually had FAI. Hip joint problems can cause piriformis syndrome and if these are left unchecked, the piriformis pain will not go away.

      • October 15, 2015 at 4:46 pm

        Trina, I’m sorry you’re still in pain. Can you provide more detail, or are you simply implying that you were misdiagnosed?

      • Trina
        October 15, 2015 at 5:49 pm

        Thanks Mitch. I was misdiagnosed when in all actuality I had hip joint issues that were missed. Very disappointed that this happened, especially when Dr. Heinrich is a FAI specialist. I urge u to please explain to people on this website that they should have their hips and back ruled out first before agreeing to any piriformis surgery.

      • October 15, 2015 at 6:03 pm

        Trina, can you please email me your pre-op and post-op report? I will not post them. I need to be careful about negative claims against physicians in our free market litigious world.

      • Trina
        October 15, 2015 at 6:49 pm

        Matt, how can I private message u?

      • October 15, 2015 at 7:04 pm

        Trina, please email me at piriformissyndromehelp@gmail. com. Thank you.

      • Shelly Vickers
        June 3, 2016 at 6:58 pm

        AGREE to get your hips checked! I sought out Dr. Hal Martin in Dallas, TX, for a piriformis release never having any clue I even had hip problems. All my pain was in my low back, left buttocks, and left leg. He insisted on fixing my hip first. Femoroacetabluar impingement surgery last March 2015 took my piriformis/SI joint/sciatic pain away at least 50%. Now we are working on Ischiofemoral impingement. Hoping to avoid a piriformis release if at all possible.

      • Susan
        June 3, 2016 at 7:15 pm

        Hi Shelly,
        Just curious why Dr. Martin suspects ischiofemoral impingement. What symptoms do you have? What is his solution for this? Is it another surgery? I was diagnosed with piriformis syndrome 6 years ago, and had the piriformis release surgery. The surgery did not relieve the pain. Just recently, I went to a hip Doctor who thinks I may have been misdiagnosed and suspects IFI, though he didn’t officially give me a diagnosis. He said the surgery for IFI and piriformis is very similar – both need to release the sciatic nerve. The only difference is for IFI, the lesser trochanter needs to be shaved down. He actually referred me to Dr. Martin as well, but since I live in the San Francisco Bay Area, getting over to Texas will not be easy for me since sitting is a problem. Please let me know how Dr. Martin diagnosed your IFI and what his solution is. Thanks!

  31. Jim
    September 5, 2015 at 12:12 am

    Thank you mstehling for taking down my post today in regards to curing this awful affliction. Here is a non surgical way of healing the piriformis muscle and you don’t want to share it.

    Thanks Jim

    PS. It really does work and I’ve shared this with other suffers and they are now fully healed.

    • September 7, 2015 at 9:57 pm

      Dear Jim, you jumped to conclusion that I didn’t want to publicize your post on my blog. I usually do a weekly mass approval because I do take the time to read every single post.


  32. August 24, 2015 at 5:25 pm

    The hip trauma surgeon in Dallas (Dr. Adam Starr – thanks to Brian) referred my husband to a specialized Radiologist/Orthopedist, Dr. Chhabra, who will perform a magnetic resonance neurography (MRN) this week. Next week, Dr. Chhabra will do a CT guided botox injection directly into the piriformis muscle. We understand that if it helps even a day, it confirms PS. We, of course, would hope for some long-term relief. However, if my husband has any relief and then the PS comes back, it confirms he needs a piriformis release. This hip trauma surgeon is used to putting people’s hips and pelvic areas back together so it is routine for him to perform the piriformis release surgery. This is an open, invasive surgery, with a foot long or so incision. However, they really don’t know exactly what is going on until they get in there, so it makes sense to us to have an open procedure. This hip trauma surgeon was rated as one of the top 29 traumatologists in the USA in 2012. So he is known in his field. My husband has been to the ER, an Internal Medicine Doctor, three neurosurgeons (thank God they were conservative and did NOT do unnecessary surgery), two PM&R doctors and has been receiving extensive PT for almost 12 weeks (feels good and by the time he’s in the car to come home, the monster is back). They even sent him to a special PT who specializes in pelvic therapy…she confirmed his muscles were “really tight up there”. My husband was over-the-top in doing his home PT…and did even more by what he found on the internet… The PT knows how diligent he has worked to try and get this worked out…she told him his last session that she felt he was the 3% who had an entrapment. Had my husband not found the youtube video by Dr. Filler in California, who described my husband’s condition/symptoms to a “T” (BTW, Dr. Filler is the one who developed/designed the MR Neurography), and I had not found this PS blog that Matt so graciously started and has continued to follow, as long as Brian who shared he was in the DFW area and Dr. Adam Starr performed his surgery, I’m not sure where we’d be right now. Thank each and everyone one of you who share on this blog, share the doctor’s names, etc., as it is helping those of us seeking some resolution of this monster. Since seeing Dr. Starr, we have a different attitude and can now see the tunnel that we’re about to embark on!! Thanks again for everyone. You have changed so many of us and we cannot be more thankful and grateful!!

    • August 24, 2015 at 5:59 pm

      Sharon, that’s exactly why I created this blog and screen every single post.

    • Crystal
      August 25, 2015 at 12:31 pm

      I had the open incision. Pain 70 to 80 percent better but had multiple complications w the incisiob because you are basically sitting or mating on it unless you are in your side. I has Ringo back in for them to noon it up and irrigate it and sew it back up better and I was in b the hospital 4 days and the incision formed a nasty keloid scar with lots of a car tiaaue. I am still glad I did it bx most of the sciatic pain is gone but in just wanted to warn you about that.

    • December 12, 2015 at 12:46 am

      Just wondering if your husband had surgery with Dr Starr and if so, how is he doing as I am having the release on Monday. Went thru all the same work up and injections with Chambra st UTSW.

      • December 14, 2015 at 11:01 pm

        Risa – not to be disrespectful; however, instead of repeating myself, I have provided comments along the way, including his surgery and findings. Please read and click on more posts and you should find our history. I can tell you that Dr. Starr removed my husband’s piriformis muscle as it was attached to his pelvic bone and the sciatic nerve was being smashed behind it. In his 20+ years of doing hips, he had never seen this. Good luck on your journey, you are in the very best hands…and heart!!

      • December 14, 2015 at 11:11 pm

        Risa – there are lots of posts that I’m not seeing, I’m sure they are embedded in other messages. I hope you find them. I don’t see Brian Hobbs posts either, I think you may just need to start “click’ing”!!

  33. dick cummins
    June 27, 2015 at 1:03 pm

    I had sciatic neurolysis and hamstring reattachment endoscopic surgery last week. Dr. Timothy Jackson Congress Medical Group (in their surgical suite – very good, brand new!).

    Dr Jackson (has done 13-15 of these surgeries) said he found much scar tissue and some fibrous bands where sciatic nerve was being compressed by piriformis (after 21 months since injury), which finally an MRN (Tesla 3.0 GE Moore’s Cancer Center UCSD Hospitals San Diego), diagnosed. No more injections or just treating symptoms!

    That MRN showed my left hamstring was detached some too so he tacked up the breaks with surgical super glue as he put it. He does not believe in snipping the piriformis tendon as he has had good outcomes without doing so.

    I haven’t started PT yet but will soon. Still tender and quite stiff where the three holes were made to get endoscope and debridement tools in for MIS worki. Took about an hour under full anesthesia and not too long for recovery. All good. My wife drove me home from Pasadena to San Diego same day and we stopped at TAco Smell as I was quite hungry.

    I would recommend Dr. Jackson to anyone who suspects PS. I will update blog when have had a month’s PT! dick cummins – feel free to e-mail tfcr@cox.net

  34. June 14, 2015 at 6:28 pm


    Couple questions for you. I have scheduled with Dr. Heinrich in July based on your website – I have very similar symptoms. When I spoke with him, he mentioned that the pain is with sitting and that the surgery could correct the butt but not necessarily the leg pain. Did you have lower butt (sit bones) and upper hamstring pain with sitting? Did you have hamstring pain on the outside of your knee? And lastly, I also start the day 2/3 and end up 8/9 – no position helps really except laying down. Does that sound familiar?


    • Lowell
      June 16, 2015 at 7:50 pm

      I had pain in all locations you mentioned and increasing pain through the day as you describe. I was also cured by surgery.

  35. June 14, 2015 at 6:26 pm

    Hi Matt,

    I have an appointment scheduled with Dr. Heinrich in July – based on similar symptoms. When I spoke with him, he mentioned that this is a sitting problem (which I have) and that the surgery could correct the butt but not necessarily the leg symptoms. Did you have pain in your sit bones and upper hamstrings when sitting? Did you have pain above the knee on the outer side? And lastly did the pain also exist when standing? Once my pain kicks in (wake up 2/3 and end of day 9/10) – no position really improves it except laying down.

    Thanks, Stacy

    • June 15, 2015 at 1:07 pm

      Yes I did have pain in both areas. Dr. Scherling fixed my leg without surgery. Dr. Heinrich fixed my piriformis pain.

  36. John
    May 27, 2015 at 6:08 pm

    I take it this type of surgery is impossible in the UK?

    • May 27, 2015 at 6:36 pm

      John I truly have no idea. If I were in the UK I would start calling renowned orthopedic surgeons that have devoted themselves to repairing/replacing hips.

  37. surveyor1953
    March 31, 2015 at 12:12 pm

    My burning is on both left and right side of the buttocks. Worse on the left though. Do you think the left side carries over to the other side? 21 days till I see Dr. Heinrich then Dr. Hardin the next. I read your posts almost every day praying I can be even half as lucky as you.
    It been about 2 years. Don’t know how people can emotionally stand longer. I’ll give you an update when I get back.

    • March 31, 2015 at 9:46 pm

      You should consider seeing Hardin first. He will send the results to Heinrich before you them meet with Heinrich.

  38. March 26, 2015 at 8:00 pm

    Just google Dr John Heinrich, Milwaukee and he’s easy to find.

  39. Kandace Compton
    March 18, 2015 at 8:30 pm

    Do you have contact information for Dr. John Heinrich. I’ve had it with this pain. I had surgery for a torn labrum in Fall 2012 and was told by yet another medical professional (this time an ART) that I had been misdiagnosed and that I was really suffering from a torn labrum. He sent me to a Dr. who did show me xrays showing a torn labrum. It might have worked in that I don’t have groin pain anymore. I used to have groin pain and pirioformis/sciatic nerve pain. Now I just have piriformis. I have already tried injections, physical therapy. Everytime I get back to trying to do something it acts up again despite me stretching. I just started a Crossfit Foundations and after the first class, my piriformis is acting up yet again so I just cancelled this. I did some research and found one website that said that the piriformis was needed and that cutting the piriformis would result in hip fractures. If you have had it and there’s a 90% success rate, that sounds good to me. I’d like to get Dr. Heinrich’s contact info to see if he can recommend someone in the DC area or I’ll fly to him.

  40. January 19, 2015 at 8:09 am

    I commented on the ” An Unimaginable Weekend” post asking for help. Are you going to respond and if so where? Anxious to hear from you and other with this awful problem.

    • January 19, 2015 at 1:25 pm

      I will respond as soon as Im able.

      • surveyor1953
        January 19, 2015 at 2:38 pm


        God Bless


  41. Ed Browne
    January 17, 2015 at 9:11 pm

    Almost 2 years of intense buttock pain, failed back surgery, every injection known to man and an electric trial stimulator which was worthless and I made them remove. I went back to my surgeon and told him I was not going away. He has now referred me to an orthopeditic guy who does the release surgery. I’m am tired of being frantic in pain and probably would let a Vet do the surgery. I am a Professional Land Surveyor and I have operated a small firm for 31 years. I can only last about 3-4 hours at work and my quality of life is not good. I feel I know more about piriformis syndrome than most my doctors I talk too. How do I know who to trust. I feel my back surgery was because of a missed diagnosis and strongly feel this procedure is my answer. I have done countless hours of PT and exercise but my hamstring seems locked up and I’m in as much or more pain following exercise. I am at wits end. I’ve tried exercising through it, resting, you name it. It still burns non stop. I’m 61 and want to retire and enjoy the rest of my life without lying on my side. Any surgeons in Ohio you can recommend. Your dr. Heinrich would have to be a cash deal and pretty far away. Suggestions?
    Ed Browne

    • Gina
      May 6, 2015 at 4:49 pm

      Ed Browne – I had surgery with Dr. Thomas Ellis, Orthapedic One in Dublin Ohio 3/31/2015 – I have had good results so far. Nerve pain is gone, just tingeling and twitching left and some surgical pain. I am hoping this is it for me. I start physical therapy next week.

  42. May 25, 2014 at 6:38 pm

    Hi my name is Fran. i have parkinsons disease and believe i have ps. I had a long spell of dyskensia(uncontrolled upper torso control. My back has hurt me 4 years, Recently my pain has bevome unbearable. in 2010, i was in er due to my sciatica nerve. and it took 6 wks. of bed rest. it started 2 bother me again in 2013. i starting going to pain mgmt. the dr. was an anestihioligist.. He let me hurt from oct. 2013 till pres. due to the fact he couldn’t find a drug to help me. After morphine, butrans patch and oxycotin,which none helped my pain, i went back to Percocet, at least i had a little short time of relief.. I also havr a dbs inplanted in by brain. what kind of surgeon wood i need.Oh and my pain mgmt. dr. had ordered pt.@home 4 6 weeks. She did touch touch therapy on my pirformis and myofascia area and i had some relief 4 about 2hrs. after our session. she said that’s what was going on w/me. I’d like ur opinion, thanx fran

  43. Scott Mitchell
    April 6, 2014 at 12:31 pm

    Matt are you still active on this blog?

    • April 6, 2014 at 12:57 pm

      Yes I am still active. I dont check it every day though.

      Best Regards,


  44. crystal
    March 26, 2014 at 3:03 am

    Scott: I had what I would consider a successful surgery 15 months ago w Dr. Barbarra in Indianapolis. I’m a 48 year old singe mom of 2 teens. Dr. Barbarro was a great surgeon and did the open incision. I have great relief from the constant sciatica and buttock pain. However I had moderate nerve damage already and positive EMG findings so getting the nerve to “calm down” and heal has been a long process. I still get some sciatica but it is 70 percent better. I was nearly bedridden too before the surgery and lost a lot of money and was unable to work as an attorney for over a year. If you want to email me you can. CsbauerJd@hotmail.com. I did have some post op complications that have not been pleasant which stem from the incision’s location which is up and down from under my leg to the top of the hip and the long length of the incision. Has been very hard to heal and I’ve had numerous infections with a very nasty scar and lots of scar tissue which is what I think continues to cause some of my symptoms. I still take some pain meds but I am back to work and able to function. Good luck.

    • Sherry W.
      June 24, 2015 at 1:15 pm

      Crystal, I just read your post. I am looking for someone to help me in the Indianapolis area. I have been suffering for nearly three years with PS. What kind of tests did Dr. Barbarro do to definitively diagnose your PS? Are you still pain free? How long were you home from work? Thanks so much!

      • Crystal
        October 4, 2015 at 9:08 pm

        Sherry W did I ever respond to this. Not sure but Dr, Barbarro did a steroid shot into the piriformis muscle and I was literally almost immediately relieved of symptoms so he knew that is what it was. He did a different kind of MRI too which didn’t show anything. But they knew it wasn’t coming from my back bc my MRI was find there and I pinpointed the start of the pain radiating from my buttocks NOT the back, I am down to taking maybe an average of one pain pill of 750 mg a day, NORC0 a day but it does rev up but no where near where it was before. That incision caused me so many problems and I had to go back in to have it irrigated and cleaned out so I worked at home for a year and decided to just keep working from here because with two teens it was easier to keep my eye on them.I have had other things that have caused problems with me meiically since the surgery but I am the same and functioning again. I am careful when walking because I am so scared of falling down on my butt and aggravating it so I am careful but It was a success and he is a great dr. You can email me directly at csbauerjd@hotmail.com

  45. Scott Mitchell
    March 19, 2014 at 2:05 pm

    MATT,i am a 56 year old male who has been thru hell since a paragliding accident in 2006.If you saw all the surgeries i’ve had,the drugs i am on you might have a stroke just looking at it.I have calked your DOCTORS office and CINDY was so nice,and said someone will call me in a day or so.THANK YOU for your blog .I AM 90% sure that i have the Piriformis Muscle Syndrome. My question to you is would you call me if i leave my number? It seems like you want to help people and in fact you have already helped me .My name is Scott 561 718 2635.,please if you would call me collect or whatever as i would like to “pick” your brain a little bit.If you don’t want to ,i understand completely.Again your blog has been so helpful and you helped me NOT to rush into a surgery with the wrong Doc. I am not a whack,just someone who has not been able to sit for 5years and living basically in bed. Sincerely,Scott Mitchell

    • March 20, 2014 at 8:01 pm

      Scott, thanks for your kind words. I’m sorry to hear you’re basically bedridden. I know the feeling all too well. I invite you to email me directly at piriformissyndromehelp@gmail.com, and then we’ll see if I can answer your questions.

      Best of luck to you,


      • Scott Mitchell
        March 21, 2014 at 9:16 pm

        HEY MATT,how you doing ?sounding good thats for sure.Found a neurologist who’s gonna do PROVOCATIVE EKG done monday….talked withCindy again(i called back),she promised that note was on DR H s desk…i figured i need to know anyway…..i think the only other way to pinpoint is that nervemri ,which i can’t do due to spinal cord stim. is implanted in my back. Now question for you ..is how did this start for you?..Myself i had paragliding accident in 2006…..3fractures of pelvis Lside,fractured sacrum,broken shoulder,compound fracture of elbow,rib,and broken left foot…good recovery but could not due toe raises….hmm wonder why…6 months later can’t sit…oh last part of accident was 18 foot fall landing on left butt side,,set 07 L5 LAMINECTOMY,dura tear,6 weeks later can’t stand…jan -april 08 6 different laser at L4,L5 S1 bilateral…09 now CLEVELAND CLINIC L5 S1 fusion….AND YOU KNOW WHAT?i think it was PS all along….i haven’t been able to sit for 6 long years..ok thats my story and believe it or not ,thats truly shortened…glad i found your site…talk again after test

      • Scott Mitchell
        March 24, 2014 at 1:30 pm

        MATT could you please send me name and phone number of DR who did your provocative test….might just go straight to them.Scottie

      • Scott Mitchell
        March 29, 2014 at 1:44 pm

        HEY MATT, it’s a weekend again and i hope your golfing!.I have been in touch with DR HARDIN…what a nice guy! He responded to my email in less then 18 hours.Sure wish i had responses that quick from my own docs….long story short i am flying up on 16th of april and will have proper emg test done by him…this was all set up late afternoon fri,so don’t have appointment yet with DR. HEINRICH…but hoping when i talk to their office i’ll be able to see him too. IF i can’t get in with him then i’ll have to come back.But to me it is more important to find out if i even have PS..DR. HARDIN seems to think there is a good chance i do just based on my history and pain relief from lidocaine injection.SO GLAD ,because i was getting ready to have BOTOX injected. DR HARDIN said this COULD make condition worse,depending on where BOTOX settled in piriformis muscle in relation to sciatica nerve.When i’m up there i’d like to at least give you a call and say hello,think about it please. Had to fly first class, but was lucky to find tickets and 3 nights at Intercontinental hotel for less then a grand. I know you know the felling,can’t fly coach.BUT first class ,alone with a lot of walking during flight and meds i’ll get there. MATT can’t thank you enough. I TRIED the provocative test with a neurologist down here but he did NOT know what he was doing…was asking me what position i wanted and was looking up test on computer at same time…needless to say was a big waste of tome and taxpayer dollars (Medicare). My psychologist suggested 2 other guys who he told me would be honest,which they were.NEITHER one of them did it ,one suggested CLEVELAND CLINIC. That’s where i had my L5-S1 fusion done. AFTER all that i decided DR HARDIN would be best route for me.Ok MATT,hope you have a great weekend and i will keep you posted

      • Scott Mitchell
        April 6, 2014 at 12:29 pm

        Hey Matt..latest update.I am meeting DR HARDIN 4/10…..DR HEINRICH had no openings till may.His office also told me he may not do any more PMS surgeries this year,something about a shortage of tubing used during operation??? Don’t quite know what that’s all about ,but i hope DR HARDIN will be able to a little more light on that…i could not find anybody in S FL. who had any know how about provocative EMG test,even the Cleveland Clinic. So i bit the bullet and bought first class ticket to Milwaukee.Not looking forward to travel since i can’t sit.But i will take extra meds and get thru it…..couple questions…have you heard about this shortage of equipment or whatever and have you heard of another QUALIFIED surgeon,in TEXAS i think,who does this surgery? OK THANKS AGAIN FOR YOUR TIME,Scott Mitchell

      • April 6, 2014 at 5:40 pm


        I havent heard about any tubing shortage. You’re the first to mention it. As for Texas surgeon, I think this may be Hal Martin. Dr. Heinrich was mentored by Dr. Martin with respect to the procedure I had.

      • Scott Mitchell
        April 6, 2014 at 9:23 pm

        OK Thanks Matt,getting tested wen by Dr. Hardin…keep you posted,Really thanks for paving a path which made things easier for me ! sincerely ,Scottie

    • Scott A Morse
      December 3, 2014 at 4:45 pm

      Hi Scott Mitchell I was going through some of these posts and I saw you asked Matt to call you. I would like to ask if you would be willing to call me or if I could call you to pick your brain I have free long distance with my phone or its free for me to call from my cell to anyones cell so either way I can be reached at 612-414-6280 Best Regards Scott Morse and your right there are a lot of scotts going on this blog

  46. laurel
    February 12, 2014 at 5:37 pm

    Hi Matt,

    For some reason I can’t find the comments/posts I made in the past. Annette gave me some helpful info, but can’t access it. Any suggestions? The last post I see is from Nov 2013. Thank you so much!

    • March 20, 2014 at 8:06 pm


      I actually have no idea what is causing that issue for you. I recommend that you open a page that is causing you trouble and hold down the shift key and select F5. Hope this helps.

  47. gordon
    November 29, 2013 at 8:01 pm

    Hi Matt,
    You mentioned in one of your posts that you were going to develop a list of doctors performing the arthroscopic piriformis release surgery. I live in south Florida and I find impossible to find any in my state. I only know of two your surgeon and dr. Hal Martin in Dallas. Do you know of any more, preferably closer to my home?
    Thanks Gordon

    • November 29, 2013 at 9:02 pm


      I did mention that I wanted to feature a list of surgeons that perform the procedure. I started with a small list of three that I knew of. Shortly after I posted the list of surgeons I was contacted by some patients of one of the physicians I had posted. These patients were extremely upset and disturbed that I was “advertising” a surgeon that had “ruined their life” because they had not been cured (or made worse) by the surgery they had. They further insisted that I was in the wrong to “advertise” physicians that I didn’t have personal experience with.

      I struggled with whether to take down the post of physicians or just leave it. I have the right to freedom of speech, and no one has the right to stifle it. However, I also know that I couldn’t bear the thought of leading someone to a surgeon that could do more harm than good. In the end, I felt that taking the post down (for now) was the right choice. I did leave the name and address of the surgeon that cured me.

      I encourage others to post the name of surgeons that have helped them on my Surgeon Directory page. Furthermore, I will not approve a post that speaks ill of a surgeon for fear of being sued (trust me this has happened to bloggers and patients alike). I know that my blog can offer help to many, many others, and I don’t want to risk the good it can do by distracting my readers from the core of my message by letting the blog become a surgeon rating site. I hope you can understand why I’ve made the choices I have. I feel that they’re all for the greater good.

      • Ed Browne
        January 17, 2015 at 9:18 pm

        How do I find the surgeon referral page? Know or recommend any in Ohio?

      • Ed Browne
        January 17, 2015 at 9:23 pm

        Where’s the surgeon directory page?bany in Ohio?

      • Gina
        May 6, 2015 at 4:44 pm

        Ed Browne – I knjow you were looking for a Ohio Doctor and I thought I would let you know I had piriformis tendon release, sciatic nerve neurolysis and shaving of my trhonchater surgery performed by Dr. Thomas Ellis in Dublin, Ohio. So far, I am out of nerve pain and have significant improvement. I had the surgery 3/31/2015. I start physical therapy next week.

    • November 29, 2013 at 9:03 pm


      I forgot to tell you that I don’t know of any physicians near your home in Florida. Sorry.

  48. Lina
    November 26, 2013 at 8:18 pm

    can i have estimate for the cost to be free!!!

    • November 28, 2013 at 8:24 am

      Lina, the surgery cost around $20,000, but I only paid $5,000 after insurance coverage benefits. I have United Healthcare.

      • Lyne Rivard
        November 28, 2013 at 2:12 pm

        Thanks so much for your answer, I’m sure you understand how much it’s precious to have your life back. After 4 years, I’ve lost everything of me… I’m not this person, I want to be back…

        I found a place in Belgium… I try to have information about the surgeon. He seems to be a lot, of that kind of surgery and it’s cheap… 2000 euro, around 3000$.

        Please, If you could just look at the website and tell me your opinion, I’d appreciate. http://www.piriformissyndrome.eu/ in the section treatment options, you could see the video..

        He use a provocative EMG and say the standard EMG are always negative. What kind of questions can I ask? I know he did the procedure more than 100 time and have 2 cases with trouble. Rate 95-98% success.

        Thanks a lot for your answer, and if you don’t have time to answer, I understand too… thanks

      • November 28, 2013 at 10:19 pm

        I like the content of the site. However I don’t think it’s practical to get treated by an international physician when there are alternatives located here in the U.S.. Youre going to need follow-up visits at two weeks, 6 weeks and possibly more. What if you have complications? If you have Piriformis Syndrome you’re not going to fair well sitting on a plane for extended periods.

      • Lyne Rivard
        November 29, 2013 at 11:25 am

        Thanks your points are important. I’m from Canada, and no one do this procedure here. I have to go in USA , Belgium, maybe Thailand? I have to find a doctor here for the following.

        The Belgium’s guy told me I could take the plane 4 days after, with comfort ? I doubt. , But it could be done. You’re right, I’ve to consider complications!!!

        I have the choice to do nothing and live with, or take a chance??? And I know I cannot live with! I try to consider pros and cons and think about all possibilities.

        Thanks for your comments, I appreciate.

  49. Sara
    August 15, 2013 at 11:24 pm

    I have piriformis syndrome and had the surgery but I did not and still do not feel better. The pain directly in my butt is better but since I suffered over a year before anything was done to release my muscle I now have problems with my SI joint! It’s been over 2 years since my injury and still having to deal with this is excruciating! But because I live in such a small town there are not many options or doctors that have dealt with this so it’s all trial and error for us! 😦

    • Scott A Morse
      December 3, 2014 at 4:54 pm

      Hi Sara, i read your post and my heart goes out to you. Have any doctor you have talked to discuss pedundal nerve there are quite a few symptoms the same but instead of pain down your leg it sweeps toward the sphincter and penis/vaginal area, This might be something to check out I just did a google search and went from there. I hope you well.
      Scott Morse

  50. Val
    July 23, 2013 at 2:47 pm

    You give me such hope that I am going to have a full recovery. Saw Dr Heinrich yesterday for my 7 week. I am slowly improving but definetly have those good and bad days. Told him I was stretching and walking. Was hoping he would say pt but said maybe we would hold off a bit so we don’t push it. I read your posts and feel like that is a big part of recovery. He did how ever write me a referral for pt for when I feel like I want to get started and to see him in another 6 weeks.
    So I made a call to Beth today and we talked about starting in the next couple weeks. It is a bit of a drive but like you said, she really seemed to know a lot on the subject. I am super excited to get started.
    So very encouraged by your posts!!!! Thank you

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