http://www.sciaticaselfcare.com presents: The second part provides an exercise for relieving piriformis syndrome and also discusses how to tell the differenc between “true” sciatica and piriformis syndrome.
Duration : 0:5:2
http://www.sciaticaselfcare.com presents: The second part provides an exercise for relieving piriformis syndrome and also discusses how to tell the differenc between “true” sciatica and piriformis syndrome.
Duration : 0:5:2
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#1 by DrGeorgeBest on December 25th, 2009
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My recommendations …
My recommendations will vary somewhat depending on what is known about the cause of your condition. True sciatica from a disc protrusion is a different situation than piriformis syndrome from inactivity or muscle overuse. If you have not had an MRI or CT to evaluate the discs, I think it would be a good idea at this point. If you have not already, I suggest you check out my Sciatica Exercises part 1 video and see if that gives any indication of what may be causing the pain and what helps it.
#2 by soncasey on December 25th, 2009
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Hi Dr.,
I’ve had …
Hi Dr.,
I’ve had intense sciatica/piriformis pain for quite a few months. I’ve been to an osteopath (which was helpful but too far of a drive to make it routine), chiropractor (which was good for temporary relief), and a couple doctors. What do you advise? Stretches and exercise? I’ve been doing some ab/low back/abductor exercises but I haven’t noticed any change. I just borrowed some cross-country skiis, maybe that will strengthen my butt/outer leg? Please help! It’s painful!!
Thank you.
#3 by DrGeorgeBest on December 25th, 2009
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You may have a …
You may have a slight disc bulge going on as well as a sacroiliac issue. The stretch on this video won’t do any harm. You may also get some benefit from the exercise shown on my “Sciatica Exercises – Part 1″ video. Good luck!
#4 by wtflol420 on December 25th, 2009
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Thnx for the reply …
Thnx for the reply doc appreciate it. another quick quest. I also forgot to mention I have stiffness and tightness through my lower back also. Another thing when I bring my leg out straight in a seated straight position and my chin to my chest at the same time I feel that same weird sensation. I was just wondering If i can do these stretcheses anyway? thnx.
#5 by DrGeorgeBest on December 25th, 2009
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It sounds like the …
It sounds like the gluteus minimus is tightening up and most of the time that’s associated with dysfunction in the sacroiliac joint. Sometimes it will fix itself eventually, but I suggest getting it checked by a chiropractor. Chances are it can be fixed up pretty quickly. Good luck!
#6 by wtflol420 on December 25th, 2009
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Hey Doc.Geroge I …
Hey Doc.Geroge I like the info. here. I have a question I have tightness, stiffness and a funny sensation on my right upper buttocks but no pain whatso ever it all started when I started to exercise. So , when i sit down with my feet flat on the floor and lift up my right leg and bring my ankle or toes toward me I fee this sensation on my buttocks. Everything else is fine. I need some help but im keeping a positive attitude but at times im just like “what is this? I’d like your feedback. ty.
#7 by joannacsoutherland on December 25th, 2009
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Thank you. I have …
Thank you. I have been doing what you said after watching your first video and it helps tremendously. And a lot of ice . I have always taught exercise and am wondering – do I stop until all pain goes away — or use upper body only — when it has been part of life for 30 years , I am trying to figure out ways of maintaining fitness level – like wear a long line girdle -just like my grandmom? Thank you so much.
#8 by DrGeorgeBest on December 25th, 2009
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I’d suggest you try …
I’d suggest you try the basic McKenzie exercise shown on my Sciatica Exercises Part 1 video. It’s unusual for an L5 disc to cause symptoms in the front of the thigh. You may just be “wired” a little differently or there may be something else going on, such as another disc bulge higher up. Either way, if one or more bulging discs are the problem, the exercise on the Part 1 video will usually help. Good luck!
#9 by joannacsoutherland on December 25th, 2009
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Dr. Best – thanks, …
Dr. Best – thanks, visit Chiro (did nothing) and neurosurgeon who gave me tons of Vicadin Flexeral – i hate it – my pain is from L5 bulge but pain located i down front of left leg Quads and Tiialis – is there a specific stretch for that area/ I teach xercise so am probably impatient – but anything has to be better than drugs. Thanks so much
#10 by DrGeorgeBest on December 25th, 2009
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Actually I’m a …
Actually I’m a chiropractor, so technically I’m not a “medical professional”, as some M.D.’s point out to my patients when the docs don’t want them to listen to me! I’ve just studied a lot of different aproaches and try to figure out what works best for the individual patient rather than automatically follow the “standard” treatment approach.
#11 by cspace1234nz on December 25th, 2009
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Good video (for a …
Good video (for a medical professional !)
I don’t mean to be rude but your approach is quite seriously different to most medical professionals. I suspect you have either had this complaint yourself and/or are actually a practitioner of yoga so have a particular awareness that goes beyond theory?
Anyway, it’s refreshing as you are the first one I have come across in a lot of years with a really down to earth approach. I had to discover all this stuff on my own over a lot of years, funny thing !
#12 by triisgaard on December 25th, 2009
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Wow. My pain …
Wow. My pain disappeared immediately after I did the piriformis-test.
#13 by DrGeorgeBest on December 25th, 2009
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Your description of …
Your description of the problem sounds like true sciatica, most likely from a bulging disc. While you are young for this type of problem, it is not unheard of in teenagers. I suggest you try the exercise in my video “Sciatica Exercises, Part 1″ and see if it helps. You might also get some benefit from the resources at my website, shown on the video. Good luck!
#14 by DrGeorgeBest on December 25th, 2009
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You’re welcome! …
You’re welcome! Since it appears that your problem is true sciatica, likely from a disc problem, I suggest you try using the exercise on my video “Sciatica Exercises, Part 1″. Good luck!
#15 by Luvmypets123 on December 25th, 2009
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Hi, DrGeorgeBest; I …
Hi, DrGeorgeBest; I have taken your advice fromthe other video; ‘What causes Sciatica’ and come on here to determine which it is.
I have tried the first exercise for true sciatica, but I can hardly lift my leg and it is agony in my pelvis, thigh and back.The other exercise didn’t cause hardly any pain except in my back.
THANK YOU VERY MUCH.
KIND REGARDS from THE U.K
#16 by cruorem1 on December 25th, 2009
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hey dr ive been to …
hey dr ive been to phisiotherapists and sports doctors and they both say that i have sciatica but i only realy get pain in the hamstrings and sometimes the calves when i outstretch my leg. Another symptom i have is a really tight feeling in my lower back. Im only 16 so this shouldnt be happenning my question is wether this seems more like scitica or piriformis or a completely different syndrome?
#17 by DrGeorgeBest on December 25th, 2009
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I suggest getting …
I suggest getting an opinion from a chiropractor. With minimal abnormal findings on the MRIs, my suspicion is that there may be some functional problem in the sacroiliac joint that may be producing trigger points in the piriformis and/or gluteus minimus muscles. A chiropractor who also offers massage therapy or who works closely with a massage therapist would be a good place to start. Good luck!
#18 by DrGeorgeBest on December 25th, 2009
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It’s difficult for …
It’s difficult for me to predict the outcome of a given treatment when I can’t directly assess you, but assuming your chiropractor’s assessment is correct, I think his treatment recommendations have a pretty good chance of helping you get to the point you can run again. Good luck!
#19 by MsDiane007 on December 25th, 2009
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hi there, i have …
hi there, i have pain in my right leg down the knee. i had the mri of my back and it showed a small annular tear at L5. so my pain doctor gave me one epidural injection with no relief. he reffered me to neuro and he looked at my mri and was quite positive that this pain is not from my back so he ordered another mri of my pelvis to see piriformis muscle compression but it didnt show anything. now my neurologist has told me to wait and watch. what should i do….i will appreciate your response
#20 by kelly5sons on December 25th, 2009
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I have pain in my …
I have pain in my butt that radiates all the way down to my foot. The chriopractor stated that I had Piriforis Syndrom /Sciatica. He suggested that I stop running and strengthen my hamstring which I have had a constant issue with for the past 2 years (repetetive strain). He stated that I should only crosstrain on a rowing machine and that I should be doing deadlift squats to strengthen my hamstring and glute.
Will this work, so that I can train again.
Thank Mark (Dying to run again)
#21 by DrGeorgeBest on December 25th, 2009
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It is fine to use …
It is fine to use the homeopathic medicine along with doing the exercise. Good luck!
#22 by craftpals on December 25th, 2009
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Very informative …
Very informative videos.
Thanks very much!
#23 by mibbel on December 25th, 2009
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well doc i ;m …
well doc i ;m suffering from true sciatica and am doing McKenzie Exercise but it’s extremely painful for me to lie like that hope i will be benefited with that though am taking homeopathy medicine along with that cos am tired of taking NSAIDS and just wanna ask u wether its normal if i do exercise along with homeopathy medicine
#24 by RRED2 on December 25th, 2009
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THX Doc very …
THX Doc very helpful
#25 by firedraft1 on December 25th, 2009
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Thanks for the …
Thanks for the video, i am sure my girl friend will find it very usefull, doctor prescribed pain killers as usual. Thanks again Doc, regards Brian from Spain ( but English)