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06-07-2006, 04:08 AM #1Senior Member
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Piriformis, sciatica, and too many glute injections
So - I've been going through this sciatica issue for MONTHS now... retracing the actions leading up to it looking for ANY possible causes - potentially enabling me to better isolate where the problem is, and thus, creating a course of remedy.
First I thought maybe the weight I've gained since starting AAS might have been more than my back was prepared to handle ... as ridiculous a notion as that may be .... I had to consider it. Basically, it was my crude initial analysis that possibly it compressed a disc and thus induced herniation. I got health insurance, x-rays, and finally, an MRI. Nope - not a herniated disc.
Sure, my legs could use some stretching ... maybe that was the problem - but why the sudden issue? Why not gradually?
Given the amount of pain caused by this ... I've been using Advil and Tylenol (non-steroidal anti-INFLAMITORY-drugs ... aka NSAIDs) ...and then it hit me - since I was doing Tren , just before it happened, maybe the Letro (which obviously kept my estrogen and progesteron to a minimum, and clearly reducing the pro-inflamitory aspect of the immune system ...) was MASKING a problem that advil couldn't suppress equivelent to a strong AI.
Possible - however, unlikely.
Maybe I developed some muscle unevenly ... and thus created muscle tension that wouldn't routinely occur in a person not taking anabolics.
Presently ... my current idea is that my preference for taking my medicine in the glutes (which commonly resulted in swelling, inflammation, tightness, and possibly even scar tissue, etc) may have all contributed to aggrevating the piriformis (described by wikipedia, below).
Although I can't say for certain whether this is the culprit or not until I CURE my issue through stretching out the piriformis (trust me when i tell you it's presently EXCRUCIATING to stretch it much) ... my gut feeling tells me that this is something that can easily be overlooked ... and is just one more reason to site-rotate your injections. Although it probably accounts for not more than a single percent of you who'd ever experience this... the amount of disability it could cause is worth the mentioning of it.
Additionally ... if any of you have other ideas as to the cause, or a particular idea for treatment, please feel free to contribute to this thread.
The piriformis (from Latin piriformis = "pear shaped") is a muscle in the gluteal region of the lower limb. It runs from the base of the spine to the top of the femur, or thigh bone.
More precisely, it originates from the anterior (front) part of the sacrum, the part of the spine in the gluteal region, and from the gluteal surface of the ilium (as well as the sacro-iliac joint capsule and the sacrotuberous ligament). It exits the pelvis through the greater sciatic foramen to insert on the greater trochanter of the femur. Its tendon often joins with the tendons of the superior gemellus, inferior gemellus, and obturator internus muscles prior to insertion.
The piriformis is a flat muscle, pyramidal in shape, lying almost parallel with the posterior margin of the gluteus medius. It is situated partly within the pelvis against its posterior wall, and partly at the back of the hip-joint. It arises from the front of the sacrum by three fleshy digitations, attached to the portions of bone between the first, second, third, and fourth anterior sacral foramina, and to the grooves leading from the foramina: a few fibers also arise from the margin of the greater sciatic foramen, and from the anterior surface of the sacrotuberous ligament. The muscle passes out of the pelvis through the greater sciatic foramen, the upper part of which it fills, and is inserted by a rounded tendon into the upper border of the greater trochanter behind, but often partly blended with, the common tendon of the obturator internus and gemelli.
Variations:
It is frequently pierced by the common peroneal nerve and thus divided more or less into two parts. It may be united with the gluteus medius, or send fibers to the gluteus minimus or receive fibers from the superior gemellus. It may have only one or two sacral attachments or be inserted in to the capsule of the hip-joint. It may be absent.
See also
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