Pain in the butt - It's NOT Piriformis Syndrome
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- Опубліковано 14 тра 2024
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#physiotutors #piriformissyndrome
00:00 - 00:30 Intro
00:30 - 01:22 Anatomy Background
01:22 - 01:55 Sciatic Nerve Variants
01:55 - 02:40 What about nerve pain?
02:40 - 03:30 It's usually not the piriformis
03:30 - 06:18 Diagnosis
06:18 - 07:20 Pain Relief Options
07:20 - 09:23 Exercise Options
09:23 - 09:48 Outro
🎶 Intro/Outro Track: Pharien - What You Say
Link: • Pharien - What You Say
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.
My friend you out did yourself on this video top notch my man 👍🏼
Thank you ….. you explain things so simply which makes it easier for us to understand xx
More of these please! Awesome
Thank you for this video and knowledgeable content
Glad it was helpful!
I feel so grateful that this channel exists. You both are so clear and your content is of utter most pertinence, backed up by articles, critically analysed. Thank you !
Much appreciated 💜
😂🎉❤😅😮😊😢🎉😮😢❤😂😂🎉
I started pain in my butt very sharp .2ys on vibrating down mostly left side pins and needles . This came on after the AV covid never been well since . I know my body well as i am a ballet dancer . I do most of these exercises . Some days better than others ....??? I wish my life could get back to normal doctors usless. Love your platform it really helps .thankyou.
Mine came from smashing my ass on a ramp while skating. My life is ruined. It's been 3 years and my toes are numb and I can barely walk. Makes me just want to die.
Sorry for you 2. I feel your pain. This kind of pain is crazy intense and people who have never dealt with it will never understand. Please though don't wish for death and I hope you are joking about that. Maybe check for herniated discs as well. I ruptured 3 from SI up. It's been 20yrs now and I still get crazy tightness at times that cause this insane pain. Myofascial release helps me more than anything and you can do at home. Some good videos on here about what to do. Best wishes to you 2
Appreciate the current research and visual aids showing different causes of pain. You guys are the best.
Thanks a lot 💜
Can a 80 yrs person do this excercise this eexercise who is affectef hip pain.😊
.
Good information,thank you so much ,God bless you. 👍
Very good video, keep it up!
Great information, thank you!
Im having a very tough time, barely can move because of my pain in the butt and back of leg. Unable to even stand properly. Its been 3 days with painkillers but no improvements ! Thank you for sharing and best wishes to you 🙏
У меня была такая же проблема,простите,я не иогла дойти до ванной комнаты,пришлось уколоть тр укола гармонального лекарства,если бы не это лекарство,я бы умерла💯😭
I agree and studied this deeply, although the piriformid may be tight and those stretch exercises help. I believe the glut medius was the most affected area and some stenosis.
Thanks so much for sharing !
you're welcome!
Keep spreading the good news and share the love towards others
Wet and cold weather really works mine up! I get terrible thoracic and butt pain on left of body, neck pain, and lower back, often upper back.
Thank you so much!
I really want to THANK YOU and your channel for sharing such in depth information that I've frankly, not seen some of before, regarding this subject!
EDUCATION is SO IMPORTANT when we're suffering from unresolved pain! If we're PROACTIVE in learning about our condition, we're more likely to help professionals HELP US! 🎉❤❤❤ I just wish you also would consider Nutritional imbalances that CAN & DO CONTRIBUTE to UNRESOLVED PAIN CONDITIONS.
loves
France
Very helpful channel
Grazie mille video molto chiaro.Tutti problemi che mi interessano e che non non ho mai risolto ho provato di tutto.
What can be the reason for repeated spasms in that area? I get 10+ a day and it is not related to posture, it just comes out of the blue, even when I've not moved. I'm really fed up.
Thx a lot looking useful
You forgot that tight muscles or lack of mobility in the myofascial parts are able to reduce the blood supply of the nerves (vasa privata). Not a Kompression of the nerves themselves but of the blood vessels that are doing the 'catering service' to the glia cells, so that the nutrition of the nerves is reduced.
In this case you also can have tingling or pain at the backside of the leg.
Pain at the side of the leg is rather a myofascial problem.
Очень прошу совета...у меня адские боли в позвоночнике, ходить почти не могу - немеют ноги, начинается адское жжение и боль в анусе и влагалище...в этот момент я не чувствую ягодиц, они становятся не чувствительными...мне приходится сесть куда придется...чуть отпускает.
@@user-bl3sd6nl5esearch for neuro surgeon. It is saddle area pain which needs to be treated early.
Thank you
Excellent presentation
Thank you 🙏🏼
excellent diagnosis ....is the most important in therapy....
Healing is most important
SUPER HELPFULL!
Thank you❤
my above-buttocks pain goes into lateral thighs and calves. Clam shells exercise with some resistance aggravates symptoms. MRI showed lumbar anatomical stenosis but with no nerve compression. Can I assume it is piriformis or gluteal muscles causing the problem then?
Very helpful!
This makes since.
Solutions please!
Thank You
Thank you very much 😊
Hi, I´ve actually that pain for almost 10 months, been to 4 doctors and NO one have taken that pain away. Stoped trainning. I´ll try this! Thxs
how often to do these exercises?
Nice video! I like the music playing during the exercise portion
Glad you liked it!
I've been to a chiropractor first for some treatments. They have a stretching table. The pain moved from my back and left leg to the right buttocks and down the leg.
Went to 1 PT guy but he didn't have an opening for 2 weeks. I went to a different PT. Both use stretching and massage. I can drive with little or no pain. The pain hit when I get out of the car.
I don't care what terminology you use. My butt still hurts and the pain makes its way to my ankles. I do all the exercises and work out 3-4 times weekly. It hurts when I continually walk around a table or stand (part of my work). I have been to PT. The irritation has been going on for 4+ years. Doctors get hung up on terms. What I seek is results.
I understand that you are suffering and that it's really frustrating. I'm in the same boat. However terminology matters because diagnosis matters ...and if you don't get the right diagnosis then you can't get the right treatment. And you can't get the right diagnosis if your doctor or physical therapist doesn't understand the difference between one condition versus another; and they have to know and use the correct and precise terminology to do that.
Go to a chiropractor and get adjusted. You'll feel so much better
Thanks@@lisag18
My mine too!!
Bilkul be ni@@lisag18
Thanks for video! When problem solved it is possibile to do regular deadlift? It is a good exercises or not and can cause that problem? Deadlift i think it is best exercises exisisting for all body! Also i asked if leg extension end lying leg curl ar good or not for this problem?
Started down my left leg with sciatica pain. Over time became worse and developed weakness in both legs, deep butt.pain , lower back pain and pain down both legs.
Now in constant pain, and live on pain relief medication
If they are prescription pain meds, you’re doing your body a world of hurt and it will be very difficult to come off of opioids. Your calf needs stretching, the back of your knee, your quads, and hamstrings all need to be stretched in addition to the piriformis muscle. Try doing them several times a day.
, looking for good physical therapy, wedges any recommendation?
Really appreciate your channel, helps staying up to date as a therapist. Thank you!
Thank you! Very helpful!
Thank u so much. I e been so sad and scared 😂😅
I am a 65 year old female and was first diagnosed with myofascial syndrome until the pain had spread on both sides equally, back of neck downward to scapula to under and sides of my arms and my buttocks where you show this In your video. Now I have been diagnosed with Fibromyalgia since 2020. I am so afraid to stretch because it can make my symptoms worse the next day. I am wondering if PT would help me to ease in to stretching exercises to show me how to do it correctly? Thank you sir for your wonderful video!
Thank you very much.
May i add smth.
Acupuncture!
When a pain-locus was settled you HAVE to ruin it. Your movements are very painful, and it will not diminish by itself unless you will diminish it with needles.
Im going to opposite way, Ive been misdiagnosed with sciatica due to a lumbar fracture for years but I might have piriformis syndrome
Did massage and stretching help it?
Did mine pushing my stalled car up an incline and then pushed car a few blocks. Injury went away after few months; now month ago Frigid air made this injury Flair up. Will cortisone shot help? Thanks
Apart from pain in the glutes there are other neurological symptoms. While sitting pain hugely grows and gas incontinence due to sudden loss of muscles control appears (it is not mentioned by anyone but it is worse than any pain).
It sounds like you have nerve damage. Ideal would be an MRI read by a competent person. A good physiotherapist could perform tests to confirm which nerve has been damaged, and perhaps offer manipulation treatment to relieve it. Deep tissue or Thai massage might help.
If you could do plenty of modified lunges and squats, that might help.
@@irenemax3574 Thank you👍
I watched many videos before finding this one that provides excellent detail and progressive exercises that I'm sure will help and even eliminate my pain. Thank you!
Thank you sir, how can contact with you
What about tightness and numbness in the perineum? I have pain in my feet too. It started about 10 years ago after getting up off of the wrestling mat. That night I noticed that I lost most of the sensation in my genitals, and the next morning I noticed a lot of pain in my feet. My testicles kind of feel like maybe they’re spazzing. I also have pain in my right testicle from time to time and on the inside of my right knee.
Brilliant
Расскажите о трохантерите и способах лечения .
So why do all the Orthopaedic surgeons do not acknowledge or recognise this condition ?? I have had this since an accident at work in 1996 disc problems have been ruled out
Orthopedic surgeons are looking for an obvious mechanical defect that has a proven surgical solution. Preferably a diagnosis that is written by a radiologist in an MRI report.
Surgeons are looking to do surgery that they have practised and are good at or want to do research on. Surgeons aren't really interested in solving your pain in general, they are interested in if your pain is related to a surgery they are proficient in providing a good outcome to, or a research project they are doing.
Took me a while to figure that one out, but helped me be less offended by what seemed like lack of care. Once I figured it out it's radiologists that diagnose, I got lots of imaging with detailed reports. Then sought out surgeons that are good at doing surgery on that diagnosis.
Get yourself good 3D MRIs that show the nerves, vascular, soft tissue and bone.
There are better options than surgery if it's small and something your body can heal on its own with a little help. If you have already done physio, look into biologics.
@@m.bird. It has been with me since the day of my accident I damaged something deep inside the glute/piriformis area scar tissue is so deep that no treatments have helped there is only one solution that is piriformis release surgery I have been messed around and told lies for so long now they cant back track.
Tb he descubierto dolor en la nalga a nivel de nervio ciatico, compresion dolorosa por herpes.
Yes
I had sciatica in 2017. Not gonna forget it :) ! I did a lot of stretching and it is gone for 6-7 years now!
What type of stretches?
please share
Update please?
Yes - PLEASE tell us specifically which stretches you used!!
I stretch for hours and nothing x(
You know I want that book haha.
Get it on our website 😊
It hurt when im sitting in the truck and driving long time
My pelvis is crooked on the left, and I also have a left leg that is significantly too short. I've been walking around with it for years and now more and more problems arise, my pelvis is becoming more and more crooked, my leg is somehow becoming shorter and shorter, very hard tension in my entire thigh and the whole Leg and foot. and super hard tension in the buttocks with pain. My entire left leg is externally rotated and also my foot. The ankle is also extremely tense and tight. Are there any good ways to get this under control again with targeted exercises? so that my pelvis is completely straight again and my leg is no longer too short? and the tension disappears?
Does diabetic neuropathy play into this syndrome, or it’s all spinal related? Can diabetic neuropathy be treated with massage?
I give up. 25yrs of pain in the butt. Spent perhaps $2.5m and still no relief. Just now i am trying to live with it but this is very difficult.
Did you get a diagnosis?
I dunno if you tried it but this has worked for me cats claw capsules. I was experiencing such butt pain and it has helped tremendously
It could be another problem
Hello, loved the video and how you’re not just claiming everything is “P.S”…. I had a hip resurfacing about 3 years ago and still to this date have EXCRUCIATING pain in my glute (same side as surgery) …paint was there from day 1 after surgery …I’ve done every exercise mentioned, pain has not gone away, done X Rays, MRI’s etc… pain is so bad that some days I cannot put my foot down. I recently saw a Neurologist and he discovered I have “neuropathy”,,, any suggestions? At this point I’m willing to try anything
Thanks
-Peter
hello. I am a physical therapist working in South Korea. If you've done all the exercises in the video and still have pain, or worse, it's most likely because you're not doing them at the right intensity for your current condition. The deep gluteal muscles are susceptible to being affected by pelvic floor overstrain, which can cause adhesions to the various nerves that run around them, and many people with this condition have abnormalized breathing patterns due to diaphragmatic weakness. I would typically recommend that you adjust your sleeping position (90-90 position, use a large pillow), soak in a warm bath for 20-30 minutes to induce relaxation to reduce pain.
I have painful hip to my foot severe pain unable to for than five months. Doctor's have suggested surgery do you think surgery is necessary? Please advice me. My pain are terrible. 😢
I was diagnosed with ddd
I have this pain right now an have never before not been able to walk. I can’t bare weight on it because it hurts so bad in my calf an butt an hip area.. I don’t know what to do but cry. I’ve been in bed for 3 days.😢😢😢😢
Everything aggravates the pain. I used to be really fit. I can’t seem to find any solution and can’t really seem to find a diagnosis.
Same :c
Update. After years of pain, they did a CT guided injection into the SI joint. The anaesthesia killled the pain completely for up to 3 hours post injection. The steroid has helped somewhat but it was mainly a diagnostic tool. It all indicates to the fact that we’re barking up the right tree.
I’m trying not to get my hopes up but this is excellent progress after years of ambiguity and negative testing.
I believe I have chronic inflammatory sacroiliitis. I’ve done my research and it’s common not to show up in CT and MRI scans, of which I’ve had several.
I’m preying that they will burn the nerve off so I can get my life back.
I’m fully functional, full strength and range of motion, it’s just the pain and the consequences of movement that is so horrendous and debilitating. If the would go away, I’d be fine.
Sometimes things are hard to pin down but it doesn’t mean there isn’t something legitimately wrong .
FIGHT for your treatment. Fight for yourself. I wish the very best for anyone reading this who is struggling with this stuff.
I am 19 and run track and thought I had hamstring tendinopthy, 5 months after injury I get two MRIs and they found nothing I still have pain in the upper buttocks hamstring area and it travels from private area to mid hamstring. MRIs found no sciatic problem
Thank you for this video! Is it common in teens to have sciatica?
You’re welcome 👍🏼 not too common no.
I have pain in right glute when doing lockouts on sumo deadlifts
I think i got this from sitting in a bad pasture
Tynkiou Good morning❤😊🎉
what about levator ani syndrome
I got this and it travels down to behind of knee is this sciatica?
Είναι πολύ...πολύ ΣΩΣΤΟ !!!!! Γιατί το έχω καρατσεκαρη. Ευχαριστώ πάρα πάρα πολύ ...
Your arms and chest look great. They add to your credibility. This program was just what i needed. Thx so much.
I ruptured L5 and L6, I have shooting pain in my butt and down my left leg to my ankle. My Neurologist tells me its not Piriformis but I have 4 different Physicals Therapist who says it is.
I don’t get pins and needles or anything, but my knee wants to “give out “. Which would that be? It’s only when I have the deep ache in my butt an thigh
So how does this go away or get better???? A pillow between the knees in bed really helps.
I sit with a ball under my butt with a heating pad, usually
I had a shot on my butt on the right side
It helped, but now the pain is excruciating on the left.
Tried tens unit and it didn't really work
Can using zeolite, magnesium, turmeric reduce such pain?
Good information,thank you sa much God bless you.👍
I've had two MRIs and one x ray as a young athlete they say everything is remarkable but I have this terrible pain after exercising, specificly squats running lunging and biking. Pain under my buttock… I need to find out what's going on.
Mine happened a few hours after a Chiro adjustment, that included the hips, after a few hours of the adjustment felt the buttock pain and same pain radiating down down the back of both legs, wasn't sure is vagus nerve was involved. Not horribly painful but very noticeable. not sure if it will subside or if I need to go back to chiro. Never had sciatica issue before just lower back, and upper muscles in back from lifting or moving incorrectly.
I had something similar after a chiropractor adjustment. I went back, told them what I was experiencing and that it came after the adjustment and thankfully they did another adjustment and that took care of the pain.
Das ist mir nach einer Ostheopathie Behandlung passiert.
Seitdem habe ich diese Schmerzen
Hi. My nephew got an injection on his butt, his only 5 years old.., and since then his having trouble moving his leg, please what exercise can he do to release his leg muscles,. We already went to the hospital they said he only needs some exercise to solve it. ,🙏
I read another comment that said an injection did the same thing. Do you know what it was?
Now I have shooting pain in my right butt and down my right leg after a fall. This might be due to Bursitis in my hip due to favoring my left leg that was damaged in the fall. An MGI tells me I did damage to my L3 and L4 this time.
So, I’ve been diagnosed with a unstable SI joint. How does that cause deep buttock pain?
Me too. And in my experience... yes, it does cause me pain in the general area.
How about massage chair would that help
I have a spinal cord inury at L2/L3. Trust me for 16 years ive dealt with Nerve compression as im addicted to working out. I have tried to strengthen certian muscles however nerve damage is just there and Ive had to accept this. Sitting is the worst thing I can do so I tend to walk more. Salt baths greatly help and I mean I OD on salts and use more than recommended. 😅. Thanks for this video.
… I have a similar issue and wondering if a filtration would have prevented the nerve damage
Türkce yazı için teşekür ederim 👍👍
I've had 3 back surgeries in past 2 and a half years, lamenectomy, then fusion of L4 and L5 8 weeks ago S1, still in terrible pain I don't think this guy is for me , also been to PT 4 times after each session couldn't get out of bed next 2 day's, I've done all of this and Narcotics nothing work's I have piriformis syndrome
My pain is mostly in 1 and 8 but when I stand up after sitting it also hurts in 2, 3, 4, and 7 😩 Laying on my back or stomach is literally the ONLY relief. Going to try these workouts to see if any of it helps. Thanks for sharing 😊
Depending on the small amount of information I have I would advice you to let someone do the straight leg raise test on you and see if that is painfull as well. There might be more going on because of the 'laying on my back or stomach is the only relief'. If positive, seeing a doctor might be good if negative try these exercises.
superior and middle cluneal nerve is one of the reasons...
Yes, you are absolutely right, and you can also have the posterior femoral nerve, inferior cluneal nerve and pudendal nerve irritated. Sorry for my English
Yes I have pain in my butt and I can barely walk sometimes I do have arthritis so maybe it's that.
When I do squats the very next day I get pain in my buttocks extended till bottom of my foot will it be a piriformis or something else ?
the woman with pillow give me great release!
I am exercising few years but goting worse ann worse.
Same to me
I think this explains what my pain is. I know I need to exercise, but... old/lazy/weak/tired blah blah blah. Thank you for this. It explains a lot and I will try to spend more time walking. I've gone from thinking it was sciatica to piriformis syndrome and this sounds like the end of the line, the actual reason for my pain. I've been in tears a lot over the past months the pain is so intense/radiating to and fromthe top/bottom of my butt but never down the leg. Actually the top usually has be say it's the hip, and further below I was guessing the end of the piriformis. Hard to move in bed, that's when it hurts the most. Right side only. Only started a year ago which is why it's probably related to my now mostly sedentary lifestyle (loss of loved one).Taking some supplements and now sit with a cushion under the outside edge of that side of the butt (right) when sitting watching TV and while driving. Q: Could me getting a hernia in the right front side be cause for back pain? I haven't had hernia diagnosed as yet, but if I hold that area in when walking around, it seems to relieve butt pain for a while. Thanks for letting me share this crazy information and for you sharing this very informative video. -kate
Yıllardır bu ağrıyı çekiyorum ve sizi çok iyi anlıyorum 😢
I've had the pain yes in the butt cheek and underneath and down the leg
AFTER a lot if research on my end I figured out its inflammation. So I researched what to do for inflammation
I watch my sugar intake & sodium
I drink a shot of fresh tumeric & ginger every day and eat a lot of pineapple
It subsided a lot and for some reason it's back
I know I need to cut back more on the sweets
Where are you from? Can i have a exam from you?
I have bilateral sciatica that goes down both legs to the foot and is real bad around my knees. I was just wondering if anyone else has this?
I have it in my right leg. The worst time is at night. It is very hard to find a comfortable position to sleep in.
I have it down both legs continuously
I have lower back and butt pain down the side of my hip to my knee going numb
Yes, but I had spinal stenosis. As a result I had to have spinal fusion. Vertebrae worn down, pinching nerves. Now nerve pain gone, but have extreme tight hip flexor and piriformis.
Same i still don’t know the cause of it I can’t stand for long and lost my job due to it i think i got this injury from a fall but im not sure I have a L5-s1 disc protrusion but it’s so small that it looks just like my other discs idk what’s causmy bilateral sciatica in my knees and feet/heels when standing i get like a pulsating sensation and have to sit down been like this for 4 months im trying to apply for ssi