SI joint or piriformis

Posted by dougs72 @dougs72, Jul 31, 2024

I have symptoms in both sides of my back, but left side was brought on in last 3 months from overcompensating from the right side for some years. Symptoms are in the SI joint ligament, and in my left but cheek. Also a lot of hamstring and calf pain (pulling feelings) as well as cramps in foot and some mild shock pain in leg and sometimes foot/toe. Also I cannot sit because of left side, where right side sitting would offer some relief. The not being able to sit now is terrible.
Does not seem to be spine related. SI joint shots have offered some very small relief, but have not got piriformis shots.

Has anyone had significant SI joint issues with similar symptoms and can someone tell me what your piriformis symptoms are? They are trying to pinpoint my issue but it's been life altering the last 5 months.

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Profile picture for mmr68 @mmr68

I am following I also suffer from SI joint pain and i'm diabetic (insulin ) and I have tried PT with no luck or relief. I receive injections every 3-5 months and that seems to give me a short period of relief. But I am tired if the steroid shots due to it throws my sugar into a whirlwind. Any suggestions would be appreciated. When my SI acts up i cant even lye on my sides ( either one) without having the leg cramps after ready some on it i now know they are connected. No-one has ever told me this. It disturbs my sleep and starts to mess with my emotional health cause it hurts so bad. I am not on any thing but otc meds due to my choice but they don't help and don’t want any pain meds because of addition. I have tried Lyrica and gabapentin but it makes me crazy feeling and I don't like them.

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@mmr68 try MFR therapy. Works great for your SIJ!

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Make sure you've had a spinal MRI, seen an orthopedic doctor to rule out lumbar compression. Then if that is not the cause go to an MFR therapist. A kinesiologist is helpful for an eval.

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the sitting is what causes it so go to an MFR therapist to relieve the muscles. Also BOTOX works great!

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Profile picture for pilates24 @pilates24

@loriesco I’m a Pilates instructor coming on to learn more about my clients suffering from SI joint issues. Though there are many PT approaches I utilize, it is difficult to know how long their efficacy lasts.

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@pilates24 understandable. That is because it may be due to different sources. Is it in the bone or is it the tendons or is it myomuscular?! So, over time it can be figured out. Mine is a combination. I couldn't keep up the pilates... but honestly, that IS the best treatment! I have tight SI joints (can't do anything about that); I aged with arthritis (can't do anything about that!), but I can enjoy a great dry sauna and my heating pad!) The myomuscular problem I can go for treatment, exercise and not sit so much. Its all a balancing act!

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I just got the Sprint PNS system inserted into the nerves in my piriformis area and have two months with it connected to see if it takes care of the pain in those nerves. So far, it seems like it’s helping. It is like a built in TENS machine.

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