Hi everyone. I would really appreciate some advice. I've read the old PF (piriformis) threads. Bottom line is that many people suffer for years and never get better. I've had this injury for 2.5 years. I've tried running through it, cross-training, deep tissue massage, anti-inflammatories, one month of total rest, two rounds of PT, currently in PT with a very good (sports focused) facility. I haven't run in 3 months but that isn't even what has me so upset. The bottom line is that ALL forms of exercise hurt me. I used to run 50-70 miles per week, for years, before this hit me. Now all forms of exercise cause some pain. The latest PT has reduced the pain to minor, dull ache, but my exercise level is still very low (maybe 30-40 min on elliptical trainer with several days off per week). I had a doctor friend give me a recent NY times article explaining that cortisone shots can actually make things worse. After reading that article, I have decided that I do not want cortisone shots.
Even worse--my PT thinks that I may have reached a plateu where I may not get further improvement. Basically I'm facing a life where all forms of exercise cause pain. I'm beyond devastated.
He thinks maybe I should try either oral steroids (prednisone) or a new treatment called prolotherapy (small injections of sugar designed to increase bodies own anti-inflammatory processes). Prednisone has bad side effects, supposedly only if taken long term. But a life without exercise also has (obviously) bad side effects and besides I can't live that way. Surgery is out of the question in my case.
Has anyone taken prednisone for PF syndrome? Anyone tried prolotherapy for anything?
I would really appreciate any thoughts or ideas.