I've been doing Egoscue e-cises faithfully for 10 years. I got my life back but have taken a step back with what I believe is the dreaded piriformis syndrome. I was wondering if there is a specific e-cise I could do for this. I would appreciate any help in the matter.
In order to get your piriformis syndrome diagnosis under control, you must get back to the e-cises. One thing I will say is that in order for this to alleviate, your leg bone (femur) must rotate from its position in every position you get into. In other words, the connection between your leg, your pelvis and your lumbar spine are not working in synchronicity.
Believe it or not, the more scapula and shoulder work you do, the better the chances for the femur to rotate.
Remember, the little piriformis muscle is NOT the problem. It is just the symptom of something being mis-aligned. Knowing that the attachments of the piriformis are the sacrum and the femur bone, if one or both are not moving efficiently and with each other, the result is a "tight" piriformis muscle.
I would start with exercises standing with a pillow at your knees and your feet straight. Some suggested ones would be arm circles, elbow curls and over head extension. I would then move to spinal rotation like the sitting floor twist or the standing wall twist followed by the upper spinal floor twist. You can also do cats and dogs, and breathe in deeply into your low back in the CAT position (hold for two seconds and feel your lower back expand). Then a long static back followed by groins if you can get through it without an increase in pain.
Do the e-cises daily, even it you have to shorten them in the long term.