Thursday, August 2, 2012

Piriform-WHAT?!

So as you may have heard a time or two from me on my blog, on Facebook, or especially on Twitter... my glute has been bothering me a lot since Ragnar.

At first I just thought it was normal post-race soreness.  After all, I ran hard for 15 miles with over half of them in the 7's (if you don't follow my training, I NEVER run miles in the 7's).  But then the rest of the soreness faded away and I felt 100% better everywhere else except my dang glute.

Then a lovely Twitter follower thought maybe it was my "piriformis".  PIRIFORM-WHAT? 


But some lovely searching later and I was up to date on the piriformis and also 90% sure that was my exact problem.

Thanks Wikipedia

The piriformis is this lovely muscle in the middle of your butt that, when it becomes inflamed, begins to irritate the sciatic nerve (or SOMETHING - go read more about it here for the rest of the story).  Anyway, it appears to be a real pain in the butt for runners (pun intended).  I'm not experiencing any back pain as it appears is common although sometimes my hamstring is very tight and that might be related.   Also, I consider this issue fairly minor as of now, but I'd like to keep it that way, and ideally make it dissapear.  I've got places to be and races to run, after all!

Only 3 weeks to go!

So, what have I been doing about it, you ask?

Foam rolling for starters.  But I can't seem to get much of my body weight or pressure on it with the foam roller, probably because its in the center of my body.  So then some lovelies recommended using a tennis ball or a frozen water bottle.  Speaking of frozen water bottle, I've also been trying to ice.  Icing is no longer the modest affair it used to be, however, since I pretty much can't be wearing clothes in order to ice.  I suspect the ice bath is going to make an appearance again soon as well, although I so despise it. 

And finally, I think I'm supposed to stretch and strengthen.  Though I'm not entirely sure how to do these things. 
Possibly this.  source

Has anyone had glute and / or piriformis issues before?  What did you do?  How did you make it go away?  And how did you make it go away QUICKLY?  Is it safe to run through minor piriformis pains?  Give me all your advice!

Comments (12)

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Oh the piriformis....not a fun pain in the butt to have! I had piriformis pain as part of the bundled joy of my compartment syndrome. I originally went to the sports med doc to get a cortisone shot for my piriformis, but then then he said the piriformis was not the root cause for the pain. Just a fun little side effect. :-)
I stretched and foam rolled, but neither really helped. Mine still feels a touch sore/tight, but it is much better. After my research online about it rest is probably the best way to make it better.
I hope that you can get some relief for it soon!
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Don't forget...wear a wetsuit on your top half during the ice bath! It helps make it more pleasant!
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1 reply · active 662 weeks ago
How do you wear a wetsuit on just your top half???
I've had that annoying little pain...foam rolling worked the best for me. It didn't keep me out either, so don't be too stressed, but just give it some extra attention. Also maybe try some hip/glute strengthening stuff? That never hurts.
i had issues last year... clam exercises are AMAZING for strengthening glutes
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I foam rolled the heck out of it but found it tricky to get the right position. If you imagine doing that stretch in your picture while sitting on the roller and then tipping your whole body outwards towards the side of the sore piriformis you might be able to roll onto it. (Hope that description made sense). Otherwise I know it can be a tricky problem for runners. I have issues on and off and lots of sciatic/back pain related. Calmshells do help...
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I have had the same issues off and in since November. No real advice, since I'm still dealing with it....but that stretch you posted is good and so is the "pigeon' stretch in yoga. Also when I do long runs I wear compression shorts which helps a bit. Hope you get more good advice.
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ohhhh no...maybe a visit to the PT? do you have one?
I went today, will write a post later and it was great
lots' of good advices
for that on the roller I would do one side at the time leaning more on one side and use all your weight on that side ...did you try the stick? maybe someone would need to help you with that and roll it while you lay on your stomach

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Freaking piriformis. I agree that the stretch you have is a good one, as well as pigeon, like sugarmagnolia70 said. I would be careful with the tennis ball. I dug in to my glutes once with one and I had so much pain in my lower back for days. Really sharp pain. This isn't what anyone wants to hear, but if stretching and icing don't do it, you might want to get it checked out to make sure you're addressing things correctly :S Odds are it will go away on its own though.
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yep yep yep. i’ve had piriformis issues. My PT also said it is somehow attached to your IT band/hip area so make sure to foam roll all of that. I have figured out the perfect angle for hitting it on the foam roller and wish i could show you. i’m sure I look ridiculous but it helps. when I was in PT I did tons of hip strengthening because again, it is somehow all attached and working together. a sports massage will also help!
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my glute has been hurting lately too but i don't know if it is this same thing. i was assuming it was stemming from my recent back 'injury'/strain. hope the stretching and rolling helps clear it up!
Going through the same sort of thing currently I'd suggest reading up about High Hamstring Tendonopathy (they talk about it in an article in the current (8/12) issue of Trail Runner magazine coincidentally. From the people I've seen / talked to, this is much more likely than having a Piriformis problem due to running.

Good luck, and keep us filled in if you find a solution.
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