I heard physical therapy can really help with Piriformis. I’m sure I have the exact same diagnosis after wearing a heavy duty belt on my hips the last 20 years. I can lay down at night and can feel my sciatic nerve jumping faster then a racing heartbeat.
I have had MRI’s on both my cervical and lumbar spine. No signs of herniated disc or nerve damage. I had just started doing certain exercises and stretches that help the Piriformis muscle. I’m hoping that will bring relief to the Sciatica.
That sounds like what I’ve been through. Mine was caused by a fall on the ice where I landed directly on the affected hip. I’ve been through PT, deep needling, stretches, walking, etc. Unfortunately, it has ultimately always returned. I’m 68, so I don’t heal like I did at 20.