Piriformis pain

Piriformis pain2008-03-06T16:53:36+00:00
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  • Gabrielle (The Hot Yoga Doctor)
    Forum Owner
    Post count: 3048

    Thank you so much for your wonderful article on back pain. I have been doing yoga now for 8 years, but about 3 months ago, after not walking for two years, I went back to power walking for only two days when I injured my periformis muscle. I found after an MRI my 4 & 5 disc had a slight tear which probably was there before the walks, but nevertheless I was in awful pain.

    I started my yoga again about 3 weeks ago, but I am no longer as flexible as I was plus my leg muscles are so sore as well as my right & left groin. This all started after that 2 day walk. I have been doing some bikram poses and a lot of the poses who recommended for the lower back that I had remembered from all the years that I have practiced yoga, but I am still tight and uncomfortable. I guess I have to give time, time.
    That periformis muscle takes so much time to heal.

    I’m afraid to start walking again. I guess the problem was starting off with power walking.

    Thank you so much for sending me the issue on lower back pain.
    Posted by JENNIFER on 01/19 at 12:02 PM

    I answered this one in the blog and am transferring it here so that we can get further comment:

    Hello Jennifer

    Thanks very much for your comments.

    Did you know that the people most at risk of getting problems with their piriformis muscles are walkers or runners? This is due to the way the piriformis muscles are used to tighten in producing a forward propulsion of the body. Their contraction can cause irritation to the sciatic nerve.

    It seems that you may have hit the nail on the head – your problem is the power walking.

    I would recommend a gently, gently approach! If you really enjoy the walking then some more preparatory work may be needed.

    Try stepping up the Hot Yoga for a while – get some heat and stretch into those muscles. Please take a look at the answer to Johnny’s question for some assistance. There are some neat ways to enhance your stretches in some key poses.

    You could try some yin yoga classes, which focus on long languid stretches.

    A final point about Standing Separate Leg Stretching pose. This is the pose I talk about (and there are photos too) in Opening up your hamstrings with hot yoga.

    Please Jennifer make sure you DO NOT pigeon toe your feet. Neither a turned in or out position of the feet will benefit you, in fact it could worsen your condition. Please make sure that your feet remain parallel.

    Get yourself to a properly heated studio and wait for some improvement. Try to practice the whole series rather than making a selection. The series works well as a whole.

    Let me know how you go…

    Namaste
    Gabrielle 🙂
    Posted by Gabrielle on 01/20 at 12:46 AM in the blog

    Gabrielle (The Hot Yoga Doctor)
    Forum Owner
    Post count: 3048

    Gabrielle, you are wonderful and I love your advise & comments.
    Maybe you can help me, please.
    I too hurt my periformis muscle many, many months ago. But, now both of my legs are extremely sore, sensitive and I feel tight and sore in both groins and also have lost most of my flexibililty. So my question for you is this, what else might be going on to have caused such tightness and discomfort? I do my bikram yoga, but not even the heat loosens me up. I sometimes think it’s a neurological problem but the neurologist who treated me for the performis says no, I’m fine, but I’m NOT. Do you think this is permanent or do you think down the road it will subside? I am a very young 60 year old, but my body is feeling more like 80, help please. Thank you so much for everything.
    Posted by Alison Kaufman on 01/23 at 06:48 AM

    Hello Alison

    Thanks for being patient for my response! What does your neurologist say about the pain in both sides? Does he/she say that it is related to the piriformis problem?

    Sometimes it is very hard to release into the poses when we know that the pain is lurking. Fear can be quite debilitating. When I am teaching I can often see the tiny changes that students need to make in their poses to make them work for them. I am wondering if you would please tell me about a difficult bikram pose so I can get a sense of your practice. And we can take it from there.

    I am going to transfer these notes (from you and the previous piriformis question) over to my new forum. Perhaps that will invite some other comments too.

    Over to you now
    Kind regards
    Gabrielle 🙂

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