Re: piriformis tendonitis Tom

[Guest guest]

Hello,

My piriformis bothers me sometimes, it used to be especially bad when I

ran and when I sat for very long periods of time. Mine tends to

compress the sciatic nerve, and the pain extends from the sacrum to the

trochante, and to the lower back. I think in my case, i have a very

slight hip rotation, and a piriformis that consequently tends towards

spasm.

But after a year of yoga, stretching and butt-on-tennis ball exercise,

I have had no more problems.

I have a question for though, several people point out this

" slight hip rotation " (including orthopedists and chirpractors), but

none seem to be too concerned. Is there a way to actually correct

that through excercises? Or is that just my anatomy? just curious.

...

thank you,

mara

--- " K. Ockler " wrote:

> Hi Ora,

> Yes, But alot depends on the cause.

> If the cause is biomechanical it will come back if you don't correct

> the

> biomechanical cause 1st.

> EAMPLE: If the sacrum is torsioned it will pull on the piriformis and

>

> cause a trigger.

>

> Having said that, if no biomechanical issues, you can treat it with a

>

> piriformis release using counterstrain and it always works.

> You would have to find someone who knows how to do it. Face down,

> affected leg off the table and resting on someones knees, hip flexed

> to

> aprox 110 degrees, abducted aprox 45-60 degrees and int / ext rotate

> to

> fine tune... hold that position motionless for 2 min for your

> daughter, she must not use her muscles

> .

> OR, have her lay on a tennis ball, slowly rolling onto the piriformis

>

> (center of the buttocks) untill it really hurts and stay there until

> all

> the pain is gone.. 3-10 min.

> Hope this helps..

> TKO

>

>

>

> taurusrc@... wrote:

>

> > My daughter's doctor told her she has piriformis tendonitis. Can

> she do

> > anything to alleviate the pain?

> >

> > Ora

> >

> >

>

>

>

Mara Fortes

(USA)

011-52-55-55-54-22-95 (Mexico City)

________________________________________________________________________________\

____

Catch up on fall's hot new shows on Yahoo! TV. Watch previews, get listings, and

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[Guest guest]

Ora,

Yes! But that assumes:

The doctor has given a correct diagnosis

The Physical Therapist is skilled using counterstrain

There are no biomechanical factors at the root of the dysfunction

TKO

taurusrc@... wrote:

Do you mean that if she finds someone in her area (near San

, CA) they can

do a permanent fix by following your instructions? I wasn't expecting a

one

shot cure but that would be great.

Thanks, Ora

>Hi Ora,

>Yes, But alot depends on the cause.

>If the cause is biomechanical it will come back if you don't

correct the

>biomechanical cause 1st.

>EAMPLE: If the sacrum is torsioned it will pull on the piriformis

and

>cause a trigger.

>

>Having said that, if no biomechanical issues, you can treat it with

a

>piriformis release using counterstrain and it always works.

>You would have to find someone who knows how to do it. Face down,

>affected leg off the table and resting on someones knees, hip

flexed to

>aprox 110 degrees, abducted aprox 45-60 degrees and int / ext

rotate to

>fine tune... hold that position motionless for 2 min for your

>daughter, she must not use her muscles

>.

>OR, have her lay on a tennis ball, slowly rolling onto the

piriformis

>(center of the buttocks) untill it really hurts and stay there

until all

>the pain is gone.. 3-10 min.

>Hope this helps..

>TKO

>

>

>

>taurusrc (AT) sbcglobal (DOT) net

wrote:

>

>> My daughter's doctor told her she has piriformis tendonitis.

Can she do

>> anything to alleviate the pain?

>>

>> Ora

>>

>>

>

[Guest guest]

Thanks very much, Tom. All your information is most helpful. I am passing it

along to my daughter. Incidentally she has a new car with bucket seats.

Ora

>Ora,

>I would not rule out a trochanteric bursitis. A piriformis can cuase

>this but it is usually due to dysfunction of the gluteus medius and that

>muscle is usally aggrevated by pelvic asymmetry. So right there,she has

>to find someone who is expert in muscle energy as well as counterstrain.

>Is she a runner? Also I have found that bucket seats can cause

>piriformis and trochanteric syndromes. Does she drive a great deal???

>Ice on the trochanter and advil / alieve are a great place to start.

>Also a small pillow in sthe bucket seat may help a great deal.

>Hope this helps..

>TKOPT

>

[Guest guest]

Thanks very much, Tom. All your information is most helpful. I am passing it

along to my daughter. Incidentally she has a new car with bucket seats.

Ora

>Ora,

>I would not rule out a trochanteric bursitis. A piriformis can cuase

>this but it is usually due to dysfunction of the gluteus medius and that

>muscle is usally aggrevated by pelvic asymmetry. So right there,she has

>to find someone who is expert in muscle energy as well as counterstrain.

>Is she a runner? Also I have found that bucket seats can cause

>piriformis and trochanteric syndromes. Does she drive a great deal???

>Ice on the trochanter and advil / alieve are a great place to start.

>Also a small pillow in sthe bucket seat may help a great deal.

>Hope this helps..

>TKOPT

>

[Guest guest]

Thanks very much, Tom. All your information is most helpful. I am passing it

along to my daughter. Incidentally she has a new car with bucket seats.

Ora

>Ora,

>I would not rule out a trochanteric bursitis. A piriformis can cuase

>this but it is usually due to dysfunction of the gluteus medius and that

>muscle is usally aggrevated by pelvic asymmetry. So right there,she has

>to find someone who is expert in muscle energy as well as counterstrain.

>Is she a runner? Also I have found that bucket seats can cause

>piriformis and trochanteric syndromes. Does she drive a great deal???

>Ice on the trochanter and advil / alieve are a great place to start.

>Also a small pillow in sthe bucket seat may help a great deal.

>Hope this helps..

>TKOPT

>

[Guest guest]

Ora,

I would not rule out a trochanteric bursitis. A piriformis can cuase

this but it is usually due to dysfunction of the gluteus medius and

that muscle is usally aggrevated by pelvic asymmetry. So right

there,she has to find someone who is expert in muscle energy as well as

counterstrain.

Is she a runner? Also I have found that bucket seats can cause

piriformis and trochanteric syndromes. Does she drive a great deal???

Ice on the trochanter and advil / alieve are a great place to start.

Also a small pillow in sthe bucket seat may help a great deal.

Hope this helps..

TKOPT

taurusrc@... wrote:

She has pain at the Greater Trochanter when she sits. Do you think

she has the

right diagnosis?

Ora

>Hi Ora,

>Yes, But alot depends on the cause.

>If the cause is biomechanical it will come back if you don't

correct the

>biomechanical cause 1st.

>EAMPLE: If the sacrum is torsioned it will pull on the piriformis

and

>cause a trigger.

>

>Having said that, if no biomechanical issues, you can treat it with

a

>piriformis release using counterstrain and it always works.

>You would have to find someone who knows how to do it. Face down,

>affected leg off the table and resting on someones knees, hip

flexed to

>aprox 110 degrees, abducted aprox 45-60 degrees and int / ext

rotate to

>fine tune... hold that position motionless for 2 min for your

>daughter, she must not use her muscles

>.

>OR, have her lay on a tennis ball, slowly rolling onto the

piriformis

>(center of the buttocks) untill it really hurts and stay there

until all

>the pain is gone.. 3-10 min.

>Hope this helps..

>TKO

>

>

>

>taurusrc (AT) sbcglobal (DOT) net

wrote:

>

>> My daughter's doctor told her she has piriformis tendonitis.

Can she do

>> anything to alleviate the pain?

>>

>> Ora

>>

>>

>

[Guest guest]

Ora,

I would not rule out a trochanteric bursitis. A piriformis can cuase

this but it is usually due to dysfunction of the gluteus medius and

that muscle is usally aggrevated by pelvic asymmetry. So right

there,she has to find someone who is expert in muscle energy as well as

counterstrain.

Is she a runner? Also I have found that bucket seats can cause

piriformis and trochanteric syndromes. Does she drive a great deal???

Ice on the trochanter and advil / alieve are a great place to start.

Also a small pillow in sthe bucket seat may help a great deal.

Hope this helps..

TKOPT

taurusrc@... wrote:

She has pain at the Greater Trochanter when she sits. Do you think

she has the

right diagnosis?

Ora

>Hi Ora,

>Yes, But alot depends on the cause.

>If the cause is biomechanical it will come back if you don't

correct the

>biomechanical cause 1st.

>EAMPLE: If the sacrum is torsioned it will pull on the piriformis

and

>cause a trigger.

>

>Having said that, if no biomechanical issues, you can treat it with

a

>piriformis release using counterstrain and it always works.

>You would have to find someone who knows how to do it. Face down,

>affected leg off the table and resting on someones knees, hip

flexed to

>aprox 110 degrees, abducted aprox 45-60 degrees and int / ext

rotate to

>fine tune... hold that position motionless for 2 min for your

>daughter, she must not use her muscles

>.

>OR, have her lay on a tennis ball, slowly rolling onto the

piriformis

>(center of the buttocks) untill it really hurts and stay there

until all

>the pain is gone.. 3-10 min.

>Hope this helps..

>TKO

>

>

>

>taurusrc (AT) sbcglobal (DOT) net

wrote:

>

>> My daughter's doctor told her she has piriformis tendonitis.

Can she do

>> anything to alleviate the pain?

>>

>> Ora

>>

>>

>

[Guest guest]

Ora,

I would not rule out a trochanteric bursitis. A piriformis can cuase

this but it is usually due to dysfunction of the gluteus medius and

that muscle is usally aggrevated by pelvic asymmetry. So right

there,she has to find someone who is expert in muscle energy as well as

counterstrain.

Is she a runner? Also I have found that bucket seats can cause

piriformis and trochanteric syndromes. Does she drive a great deal???

Ice on the trochanter and advil / alieve are a great place to start.

Also a small pillow in sthe bucket seat may help a great deal.

Hope this helps..

TKOPT

taurusrc@... wrote:

She has pain at the Greater Trochanter when she sits. Do you think

she has the

right diagnosis?

Ora

>Hi Ora,

>Yes, But alot depends on the cause.

>If the cause is biomechanical it will come back if you don't

correct the

>biomechanical cause 1st.

>EAMPLE: If the sacrum is torsioned it will pull on the piriformis

and

>cause a trigger.

>

>Having said that, if no biomechanical issues, you can treat it with

a

>piriformis release using counterstrain and it always works.

>You would have to find someone who knows how to do it. Face down,

>affected leg off the table and resting on someones knees, hip

flexed to

>aprox 110 degrees, abducted aprox 45-60 degrees and int / ext

rotate to

>fine tune... hold that position motionless for 2 min for your

>daughter, she must not use her muscles

>.

>OR, have her lay on a tennis ball, slowly rolling onto the

piriformis

>(center of the buttocks) untill it really hurts and stay there

until all

>the pain is gone.. 3-10 min.

>Hope this helps..

>TKO

>

>

>

>taurusrc (AT) sbcglobal (DOT) net

wrote:

>

>> My daughter's doctor told her she has piriformis tendonitis.

Can she do

>> anything to alleviate the pain?

>>

>> Ora

>>

>>

>

[Guest guest]

Mara,

Can be easily corrected by someone who has the skills.

If they we having the problem themselves, believe me they would be

concerned.

Since they do not know how to correct the problem perminently, they

just blow it off .

The pelvis rotates to accommodate or addapt to some biomechanical

factor.

TKOPT

www.tomocklerpt.com

Mara Fortes wrote:

Hello,

My piriformis bothers me sometimes, it used to be especially bad when I

ran and when I sat for very long periods of time. Mine tends to

compress the sciatic nerve, and the pain extends from the sacrum to the

trochante, and to the lower back. I think in my case, i have a very

slight hip rotation, and a piriformis that consequently tends towards

spasm.

But after a year of yoga, stretching and butt-on-tennis ball exercise,

I have had no more problems.

I have a question for though, several people point out this

"slight hip rotation" (including orthopedists and chirpractors),

but

none seem to be too concerned. Is there a way to actually correct

that through excercises? Or is that just my anatomy? just curious.

...

thank you,

mara

--- " K. Ockler"

wrote:

> Hi Ora,

> Yes, But alot depends on the cause.

> If the cause is biomechanical it will come back if you don't

correct

> the

> biomechanical cause 1st.

> EAMPLE: If the sacrum is torsioned it will pull on the piriformis

and

>

> cause a trigger.

>

> Having said that, if no biomechanical issues, you can treat it

with a

>

> piriformis release using counterstrain and it always works.

> You would have to find someone who knows how to do it. Face down,

> affected leg off the table and resting on someones knees, hip

flexed

> to

> aprox 110 degrees, abducted aprox 45-60 degrees and int / ext

rotate

> to

> fine tune... hold that position motionless for 2 min for your

> daughter, she must not use her muscles

> .

> OR, have her lay on a tennis ball, slowly rolling onto the

piriformis

>

> (center of the buttocks) untill it really hurts and stay there

until

> all

> the pain is gone.. 3-10 min.

> Hope this helps..

> TKO

>

>

>

> taurusrc (AT) sbcglobal (DOT) net

wrote:

>

> > My daughter's doctor told her she has piriformis tendonitis.

Can

> she do

> > anything to alleviate the pain?

> >

> > Ora

> >

> >

>

>

>

Mara Fortes

(USA)

011-52-55-55-54-22-95 (Mexico City)

__________________________________________________________

Catch up on fall's hot new shows on Yahoo! TV. Watch previews, get

listings, and more!

http://tv.yahoo.com/collections/3658

[Guest guest]

She wants to know where to put the pillow in the bucket seat. I would assume

that it should be in the center for kind of " level out " the seat but maybe on

the side would be more effective.

Ora

>Ora,

>I would not rule out a trochanteric bursitis. A piriformis can cuase

>this but it is usually due to dysfunction of the gluteus medius and that

>muscle is usally aggrevated by pelvic asymmetry. So right there,she has

>to find someone who is expert in muscle energy as well as counterstrain.

>Is she a runner? Also I have found that bucket seats can cause

>piriformis and trochanteric syndromes. Does she drive a great deal???

>Ice on the trochanter and advil / alieve are a great place to start.

>Also a small pillow in sthe bucket seat may help a great deal.

>Hope this helps..

>TKOPT

>

>

[Guest guest]

She wants to know where to put the pillow in the bucket seat. I would assume

that it should be in the center for kind of " level out " the seat but maybe on

the side would be more effective.

Ora

>Ora,

>I would not rule out a trochanteric bursitis. A piriformis can cuase

>this but it is usually due to dysfunction of the gluteus medius and that

>muscle is usally aggrevated by pelvic asymmetry. So right there,she has

>to find someone who is expert in muscle energy as well as counterstrain.

>Is she a runner? Also I have found that bucket seats can cause

>piriformis and trochanteric syndromes. Does she drive a great deal???

>Ice on the trochanter and advil / alieve are a great place to start.

>Also a small pillow in sthe bucket seat may help a great deal.

>Hope this helps..

>TKOPT

>

>

[Guest guest]

My pleasure Ora, let em know how she does.

TKO

www.tomocklerpt.com

taurusrc@... wrote:

Thanks heaps and again, Tom.

Ora

>Ora,

>Put the pillow in the bucket and not on the sides, try to fill up

the

>bucket only and keep it away from the sides.

>It raises her up and keeps the piriformis away from the side of the

bucket.

>TKO

>

>

>taurusrc (AT) sbcglobal (DOT) net

wrote:

>

>> She wants to know where to put the pillow in the bucket seat.

I would

>> assume

>> that it should be in the center for kind of "level out" the

seat but

>> maybe on

>> the side would be more effective.

>>

>> Ora

>>

>

[Guest guest]

My pleasure Ora, let em know how she does.

TKO

www.tomocklerpt.com

taurusrc@... wrote:

Thanks heaps and again, Tom.

Ora

>Ora,

>Put the pillow in the bucket and not on the sides, try to fill up

the

>bucket only and keep it away from the sides.

>It raises her up and keeps the piriformis away from the side of the

bucket.

>TKO

>

>

>taurusrc (AT) sbcglobal (DOT) net

wrote:

>

>> She wants to know where to put the pillow in the bucket seat.

I would

>> assume

>> that it should be in the center for kind of "level out" the

seat but

>> maybe on

>> the side would be more effective.

>>

>> Ora

>>

>