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Mitchell asked...

Last year I was treated for Bursitis and had two hip injections...

I have a problem with my hip area. Last year I was treated for Bursitis and had twin hip injections for that. But more recently I have a problem with the sciatica nerve in the trunk area running from the pelvis, gluteus maximus thigh and down the leg to my foot. (I have all the symptoms of Informs Syndrome according to the computer) . I recently have started some of the recommended exercises which appear to be helping. Is there any further action that I can take to correct this problem. PS the small muscle tissue around my hipbone are still tender and are sore after a lengthy walk around the golf course.(I have all the symptoms of Informs Syndrome according to the computer) . I recently have started some of the recommended exercises which appear to be helping. Is there any further action that I can take to correct this problem. PS the small muscle tissue around my hipbone are still tender and are sore after a lengthy walk around the golf course.

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The answer

Thank you for contacting us with your question, we believe you are referring to Piriformis Syndrome which is where the Piriformis muscle – which is located deep within the buttock-goes into spasm or tightens this causes pain within the buttock which travels through the sciatic nerve down the back of the leg and into the foot. Sometimes swelling in the muscle or bleeding in the muscle can also cause the same symptoms.

In terms of treatment for this syndrome and management of it it’s encouraging that you are finding the exercises helpful. We do think that you may also find a chat with your Gp beneficial, they will be able to examine you to both confirm the diagnosis look more closely at the problems you are having with the hip area which may or may not be related and arrange any further tests that might be helpful such as an Xray of your lumbar spine and possibly an MRI- this is where magnetic resonance imaging is used to provide a much more detailed picture of the discs soft tissues and surrounding structures in your back and pelvis area. This would enable accurate diagnosis by ruling out any underlying cause and help to guide your treatment.

In terms of treatment they may prescribe a muscle relaxant if it is thought to be useful – this is often used in Piriformis syndrome to aid reduction of any spasm or tightness in the muscle alongside the stretching exercises you are doing- they may also give anti inflammatory medicines to reduce any swelling and inflammation in the surrounding tissues for example. You may also like to consider asking for a referral to see a physiotherapist, or, alternatively if you are an AXA- PPP member you are able to see a physiotherapist without a referral by speaking to your policy team. The physiotherapist can be an important component of recovery, they will be able to conduct a full spinal assessment on you as to the nature of your problems and prescribe appropriate exercises and care to help you to overcome it. Bear in mind that it can take several months for Piriformis Syndrome to resolve and that good treatment and physiotherapy can help you both cope with the symptoms and potentially reduce your recovery time from this.

We do hope you will find the above information of use, and wish you the best of luck in resolving this,

Answered by the Health at Hand nurses