Hi folks,
I've suffered from piriformis from May till end of September last year, and together with other symptoms, it almost drove me to suicide. Here's my advice as to what worked for me:
i) You are NOT going to heal if you still think that there is any sort of physical damage. If you want to treat your symptoms as TMS, you have to believe that they are symptoms of anxiety/rage/fear (could be fear or rage about the pain itself). Of course, mental states cause actual and real physical sensations, but as Dr Sarno insits, these are reversible in the case of TMS.
ii) Follow the TMS structured program religiously.
iii) Regarding stretches/physio, only do them for fitness' sake, and not for the sake of 'curing' your body. Stretches can keep your attention focused on the body, that's why Sarno recommends not doing physical therapy. So regarding Ripley's question, yes the pain will go away faster if you stop all attempts to cure it, as long as you also learn to be patient and not judge it as a threat.
iv) I substituted physio for activities I enjoyed, starting out with short walks and swims, and increasing gradually. Towards the end of the healing process, I decided to break into a run - guess what - once I believed that running was not going to be detrimental to me, the pain disappeared.
v) Keep a list of things to prove it's TMS and gradually add to it as you start to realise new stuff. For example, the fact that piriformis might have started suddenly, not during exercise, would mean that it can't be an injury. Maybe look at correlations between flare ups and unpleasant events. Anything to PROVE that the pain is related to emotions and not to an injury or damage. I remember one day I was called urgently and I broke into a short run up the stairs... it didn't hurt immediately, but once I remembered that I had run, it started to hurt! So the pain was definitely a good example of conditioning.
You are in the right place guys on this forum! It has literally saved my life, and I hope it helps you too. Let me know how it goes!