Piriformis Inflammation?

[Superdave]

See original posting of mysterious thigh pain. Without a Dr to analize source of prblm, therapist proceeded to work on piriformis muscle. He believes the problem to be a pinched piriformis muscle, putting pressure on my sciatic nerve, also L5 Nerve Root, L5 disc, Sacro-iliac joint, and L5-S. He did some pressure movement of the priiformis which irritated it to where the pain
remained for 13 hrs. after he left.

Prblm appears worse. Soreness develops when trying to walk, stand or sit at this location: to the left and bottom of left rear pants pocket, in the hollow area...more movement makes it more sore, no pain just very sore.Additionally, either of two trigger areas on outer left thigh midway up begin to give pulsing pain. And new symptoms occurred.. When walking, the fott gets pins and needles. Stops when I stop walking. If I walk with long left foot stride produces same. If lying on back right knee bent, rest left foot by ankle on right knee get pins and needles under foot also when lying on stomache get pins and needles down the lower thigh to knee and under foot.

Allergic to NSAIDS icing or heating areas not effective. What causes pins and needles, something pressing on nerve? false pins and needles? Why does area by back pocket get continually sore with yuse? Irritation? Inflammation? Dont wish this on anyone..totally unable to
do anything no walking, sitting or standing! Almost imposs to go to clinic, have to walk stand and sit! Appreciate anyone that has had similar symptoms, and thanks Heidi for any feedback!

[Renewed Myo Therapy]

Hey Superdave

Often piriformis problems are secondary to this pelvic region condition. The main culprits are most likely the flexors and adductors. I would like to make a suggestion that is that you try stretching your hip flexors (Ilio-psoas, Rectus femoris) and your adductors muscles they may be tight and restricted. Make this a daily routine at least two times a day. You can also stretch the piriformis but for now stay away from applying any direct pressure on the piriformis.

I wish you well in your pursuit to wellness
Ray

[Heidi]

Yes it could be piriformis related. If the problem has worsened since treatment to the piriformis then it may be that the treatment was too severe. It is common for the area to be sore after treatment although this seems excessive!
Continue to rest it as much as possible.
I agree about stretching the hip flexors and piriforms if you can.
Strengthening the hip abductors such as gluteus medius may also help.
Once the soreness has gone down some more gentle massage worse may be helpful.
http://www.sportsinjuryclinic.net/cybertherapist/back/buttocks/piriformis.htm