Backcountry Forum
Backpacking & Hiking Gear

Backcountry Forum
Our long-time Sponsor - the leading source for ultralite/lightweight outdoor gear
 
 
 
Backcountry Gear Clearance and Sale

Amazon.com
Backpacking Forums
BackcountryGear.com
backcountry gear

---- Our Gear Store ----
The Lightweight Gear Store
 
 ULTRA-LIGHT 

Ultralight Backpacks
Ultralight Bivy Sacks
Ultralight Shelters
Ultralight Tarps
Ultralight Tents
Ultralight Raingear
Ultralight Stoves & Cookware
Ultralight Down Sleeping Bags
Ultralight Synthetic Sleep Bags
Ultralight Apparel


the Titanium Page
WM Extremelite Sleeping Bags

 CAMPING & HIKING 

Backpacks
Tents
Sleeping Bags
Hydration
Kitchen
Accessories

 CLIMBING 

Ropes & Cordage
Protection & Hardware
Carabiners & Quickdraws
Climbing Packs & Bags
Big Wall
Rescue & Industrial

 MEN'S APPAREL 

Jackets
Shirts
Baselayer
Headwear
Gloves
Accessories

 WOMEN'S APPAREL 

Jackets
Shirts
Baselayer
Headwear
Gloves
Accessories

 FOOTWEAR 

Men's Footwear
Women's Footwear

 CLEARANCE 

Backpacks
Mens Apparel
Womens Apparel
Climbing
Footwear
Accessories

 BRANDS 

Black Diamond
Granite Gear
La Sportiva
Osprey
Smartwool

 WAYS TO SHOP 

Sale
Clearance
Top Brands
All Brands

 Backpacking Equipment 

Shelters
BackPacks
Sleeping Bags
Water Treatment
Kitchen
Hydration
Climbing


 Backcountry Gear Clearance


 WINTER CAMPING 

Shelters
Bivy Bags
Sleeping Bags
Sleeping Pads
Snow Sports
Winter Kitchen

 SNOWSPORTS 

Snowshoes
Avalanche Gear
Skins
Hats, Gloves, & Gaiters
Accessories

Stay Healthy--Eat Well

MARY JANES FARM ORGANIC MEALS

Mary Janes Farm Organic Backcountry Meals

NATURAL HIGH GOURMET MEALS

Natural High

 

Topic Options
Rate This Topic
#192214 - 10/12/15 10:31 PM strained piriformis
skcreidc Offline
member

Registered: 08/16/10
Posts: 1590
Loc: San Diego CA
Long time no post here. Glad to see most of the regulars are still active, especially OM.

Not about me, but my 59yo climbing mentor and half time partner apparently strained his piriformis muscle about 9 months ago. Its still a major issue as made obvious to me this past weekend when we hiked up to Yosemite Falls and climbed the 2 pitch Lost Arrow Spire route and did the Tyrolean. That's about 8 miles of hiking over 2 days along with the climbing. By the time we got back home he could barely walk up the stairs to his apartment. Anybody have any experience with this kind of injury? The man has larger Yosemite plans, and at a minimum I need to make a decision as to if I stay on this train if he can't get this problem under control. He has gone to various professionals about the injury.

Top
#192216 - 10/13/15 08:56 AM Re: strained piriformis [Re: skcreidc]
Pika Offline
member

Registered: 12/08/05
Posts: 1726
Loc: Rural Southeast Arizona
Hi Chris. Can't help you with your friend's problem but it is great to hear from you again.
_________________________
May I walk in beauty.

Top
#192220 - 10/13/15 12:35 PM Re: strained piriformis [Re: skcreidc]
Rick_D Offline
member

Registered: 01/06/02
Posts: 2801
Loc: NorCal
Made me look, as I'd never heard of it. Wiki presents this, which perhaps is what your friend is experiencing if among the 17% with the anomaly.

Quote:
Piriformis syndrome occurs when the piriformis irritates the sciatic nerve, which comes into the gluteal region beneath the muscle, causing pain in the buttocks and referred pain along the sciatic nerve.[2] This referred pain is known as sciatica. Seventeen percent of the population has their sciatic nerve coursing through the piriformis muscle. This subgroup of the population is predisposed to developing sciatica. Sciatica can be described by pain, tingling, or numbness deep in the buttocks and along the sciatic nerve. Sitting down, stretching, climbing stairs, and performing squats usually increases pain. Diagnosing the syndrome is usually based on symptoms and on the physical exam. More testing, including MRIs, X-rays, and nerve conduction tests can be administered to exclude other possible diseases.[2] If diagnosed with piriformis syndrome, the first treatment involves progressive stretching exercises and physical treatment. Corticosteroids can be injected into the piriformis muscle if pain continues. Findings suggest the possibility that Botulinum toxin type B may be of potential benefit in the treatment of pain attributed to piriformis syndrome.[3] A more invasive, but sometimes necessary treatment involves surgical exploration as a last resort.[2]


Can he swim or cycle as a way to work that region without pain?
_________________________
--Rick

Top
#192221 - 10/13/15 03:29 PM Re: strained piriformis [Re: Pika]
skcreidc Offline
member

Registered: 08/16/10
Posts: 1590
Loc: San Diego CA
Thanks Charles. I followed your last JMT experience...can't remember if I posted on it or not...but if I didn't; Great Job! I often think about the wonderfull cast of characters on this site. Unfortunately, an endless amount of time is something none of us are given.

Top
#192222 - 10/13/15 03:43 PM Re: strained piriformis [Re: Rick_D]
skcreidc Offline
member

Registered: 08/16/10
Posts: 1590
Loc: San Diego CA
Hi Rick. That is an excellent find. I keep forgetting that Wiki is a legitimate source of information. I hadn't heard of this muscle either till about 6 months ago when they pinned down his problem; all new news to me. And apparently, my partner might be one of the 17% as him and I have discussed most of what you posted before (including the dr. mentioning he might one of the few with sciatica/piriformis syndrome. The thing I hadn't fully understood, but it makes sense, is this "Sitting down, stretching, climbing stairs, and performing squats usually increases pain". He's gearing up to do the nose on El Cap, 32 pitches I believe, and aid climbing is a bit like climbing a ladder slowly. Oh man.

Thanks Rick

Top
#192226 - 10/15/15 02:35 AM Re: strained piriformis [Re: skcreidc]
billstephenson Offline
Moderator

Registered: 02/07/07
Posts: 3865
Loc: Ozark Mountains in SW Missouri
Nice to see you checking in Chris.

Sounds like the same thing I dealt with years ago. I'll tell you what I learned.

I think he might want to visit a chiropractor. That's how I got back on track. He adjusted my hips, and that brought some instant relief but I was still in pain. He also told me I had to start doing some stretches everyday and that was the only thing that would ever get me right again.

The main stretch I did was lying on my back and pulling my knee up to my chest, one leg at a time. He told me to do both legs several times, several times a day.

When I asked how long it would be before the pain was gone he asked me how long I'd been hurting. It had been about a year. He said if I did the stretches everyday like he told me it would be about a year before I was pain free. He was right.

I made a point to do them but it wasn't easy because I was in severe pain. But I always felt a little better each time I did them. After almost a year the pain was gone and it's never come back that bad again because when I feel it I do the stretches.

The other thing he told me was to buck up and buy good shoes. He insisted on that, and doing the stretches. I've done both since.

That was 27 years ago and I am still thankful for help I got from that guy. I will never forget him, but I'll add that he made a point of telling me that it was up to me. I had to get the shoes and I had to do the stretches everyday and if I didn't do that I would get worse.

I checked and there are some youtube videos that show some stretches for this. They're not exactly the same as what I was taught but they're very close and may even work better.


Top
#192227 - 10/15/15 10:36 AM Re: strained piriformis [Re: billstephenson]
tramp Offline
member

Registered: 01/24/12
Posts: 66
Loc: WV
Good shoes. That's one thing my father insisted on for us kids. And I continue on with that. Whether it helps or not I know it doesn't hurt.

Top
#192232 - 10/15/15 01:56 PM Re: strained piriformis [Re: tramp]
billstephenson Offline
Moderator

Registered: 02/07/07
Posts: 3865
Loc: Ozark Mountains in SW Missouri
Originally Posted By tramp
Good shoes. That's one thing my father insisted on for us kids. And I continue on with that. Whether it helps or not I know it doesn't hurt.


The Chiro told me that bad shoes make your body subconsciously compensate by changing your posture and the way you walk. One of the first things he did was ask me to walk a few steps towards him and then stand. He looked at my feet and my left foot was pointing outward at an angle when I stood there. That, he told me, was the result of crap shoes and a surefire indicator I was compensating for them and that my sciatic nerve was being aggravated.

I ignored him for about a month and he scolded me about that so I went and got some good shoes. I could feel the difference as soon as I stood up in them. I took a few steps, stopped and looked at my feet, and they were both pointing straight.
_________________________
--

"You want to go where?"



Top
#192233 - 10/15/15 05:07 PM Re: strained piriformis [Re: billstephenson]
skcreidc Offline
member

Registered: 08/16/10
Posts: 1590
Loc: San Diego CA
Hi Bill! Good to hear from you. I passed your info on to my friend, so thanks.

The shoes....you know both of you make an excellent point. If your feet are happy, a lot of the time the rest of you is happy too. And I think his shoe choice is atrocious as his only concern is that they are light. He seems to hobble around in them worse than ever if you as me.

Top
#192953 - 12/22/15 04:27 PM Re: strained piriformis [Re: skcreidc]
skcreidc Offline
member

Registered: 08/16/10
Posts: 1590
Loc: San Diego CA
So interestingly, the strained piriformis turned out to be needing a hip replacement for my friend. In his case the pain appeared to be very similar to a strained piriformis, but apparently his new specialist suspected different and via a MRI confirmed it.

Chris

Top
#193119 - 01/11/16 06:45 AM Re: strained piriformis [Re: skcreidc]
billstephenson Offline
Moderator

Registered: 02/07/07
Posts: 3865
Loc: Ozark Mountains in SW Missouri
They're getting pretty darn good at those. A buddy of mine had one last year and rehab went good and he's walking around great now. I know a few others that have had them too, and all are doing good.
_________________________
--

"You want to go where?"



Top

Shout Box

Highest Quality Lightweight Down Sleeping Bags
 
Western Mountaineering Sleeping Bags
 
Lite Gear Talk - Featured Topics
Bivvy Sack combo Arrangement
by Jim M
10/18/17 01:58 AM
what is the lightest framed backpack around 40L
by toddfw2003
10/16/17 07:23 PM
a worthy challenger to the msr pocket rocket2
by the-gr8t-waldo
10/16/17 01:28 PM
Backcountry Discussion - Featured Topics
Napa Fires
by balzaccom
10/11/17 07:43 PM
Backpacking the Ouachita Trail thanksgiving
by toddfw2003
10/05/17 11:54 PM
Rockfalll on El Capitan in Yosemite
by balzaccom
09/28/17 09:47 AM
Make Your Own Gear - Featured Topics
alcohol stove comparisons
by Bike_packer
10/03/17 08:56 PM
Can footprint plasticizer harm tent ground-sheet?
by Weston1000
09/10/17 02:24 AM
Featured Photos
Breakneck Ridge, New York
May 2012 Eclipse, Lassen Park
New Years Eve 2011
Trip Report with Photos
Seven Devils, Idaho
Oat Hill Mine Trail 2012
Dark Canyon - Utah
Who's Online
0 registered (), 35 Guests and 0 Spiders online.
Key: Admin, Global Mod, Mod
Newest Members
Blackbuzzard, LivelyLiz, Weve, Tones21, Pasquale
12424 Registered Users
Forum Links
Disclaimer
Policies
Site Links
HOME
Backpacking.net
Family Hiking
Lightweight Gear Store
Backpacking Book Store
Lightweight Zone
Hiking Essentials

Outdoor Gear Daily Deals
Outlets, Sales, Bargains

Our long-time Sponsor, BackcountryGear.com - The leading source for ultralite/lightweight outdoor gear:

Backcountry Forum
 
 

Since 1996 - the Original Backcountry Forum
Copyright © The Lightweight Backpacker & BackcountryForum.com