Piriformis Syndrome or Deep Gluteal Syndrome?
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- Опубліковано 30 чер 2024
- One of the most challenging clinical diagnosis to make is 'Piriformis Syndrome' because there are so many alternative causes of Buttock Pain +/- Sciatica. This video will hopefully explain why it's far less common than it's being diagnosed and why keeping a broad perspective of alternative causes is essential.
- Наука та технологія
I've been stretching the piriformous. Been told I'm overly flexible. I've had trigger point massage, (also done by myself), deep tissue, used a golf ball and lacrosse ball for this. I've had sports massage, I've had acupuncture. I've heated, iced, taken anti inflammatory's. Rested. Stayed active through pain. Seen an osteopath who now says ring the doctor. I had an MRI about two years ago where nothing was found. I've used resistance bands, strengthened, eaten right. Taken supplements, I've respected all of these processes and I'm still in pain. I meditate, listen to healing music, I seriously don't know what else I can try apart from the knife.
Just massage your calf muscle. Some time it's go away
I totally get you. I have been experiencing this pain for over three years. I'm exhausted. My doctor also seems not that interested in helping me to find the root cause. To go from one doctor to another takes months and I still have no confidence that they know what this pain is caused by. I'm tired of hoping that by stretching and building glute muscles it will get better because it hasn't helped yet. I'm still to try some of the stuff that you have to see if any of that could potentially help but it's hard to stay positive and hopeful. I have been now referred to the soft tissues specialist so I'm hoping that he will be able to help me. Fingers crossed.
I hope it goes well for you and you get the results you want. It's a horrible distracting thing to have fr a long time. All the best x
im praying for you
Me too! I feel exhausted and now I'm pregnant so it's getting worse (I'm actually on the floor with a hot water bottle at the moment). I saw a physio recently as I've moved to a new city. They told me to use a different massage ball which I did and now the pain is worse, its painful to just move around, get up, ,ie down etc I saw a blog post saying that it's better to strengthen the muscles around it rather than putting pressure on/massaging an area near a nerve or stretching it. Who knows, I'm willing to try anything at this point
I just want to live my normal life again
Me too, buddy. Me too….
Amen. Bench and Rich.
“The world ends when you’re dead. Until then, you got more punishment in store. Stand it like a man, and give some back.”
Al Swearengen
Oh just so you guys know, I’ve been chasing this awful pain for 6 years. It’s derailed my life profoundly.
Thousands on physio, in and out if hospital trying to figure it out. Travelled half the way across the world for stem cells in my lumbar spine to be told by a surgeon back home that this could well be caused by my SI joint.
SI joint issues commonly masquerade as lower back and Piriformis type issues and are often misdiagnosed as such. Piriformis syndrome is grossly over diagnosed. I did have an MRI on my SI joint early on which revealed nothing. The new surgeon said that’s not enough to determine anything as there could be all sorts of soft tissue/nerve/tendon/ligament issues chasing the pain. He’s pretty confident it’s the SI joint. I’m currently awaiting at “CT SPECT” scan.
I suggest chasing this up and seeing whether this might be the cause of your pain because if it is, nothing in this video will help you and there’s probably very little else that will beyond surgical intervention.
I’m not sure if I’ll remember to keep you updated but I’ll be more than happy to if you drop a message here and remind me.
Me too
Everyone!!!! GET AN EMG! If you find any lumbar SI radiculopathy without any evidence of a disc bulge or herniation you can validate you’re diagnosis to doctors who aren’t taking you seriously.
This video is amazing. You cover this topic really well, without being dismissive of the condition(s).
I've been suffering pain in the posterior pelvic area and am not sure whether the pain is lumbar neuropathy or actually coming from the soft tissues themselves in the posterior gluteal space. Would you be able to a video discussing differential diagnoses between myopathies and neuropathies? For example, if NSAIDS are able to take away the pain significantly, is that indicative it's more likely myopathic? Or if I do exercises/movements that require the contraction of a certain muscle, and those movements increase pain in that muscle area, then is more likely myopathic?
Thank you so much, like many sufferers my condition has been misdiagnosed for years. I’ve had repeated nerve block injections in my back plus Rhizolysis, for sciatica even though I had no back pain. Finally I’ve been told it’s probably Piriformis syndrome, I’m waiting and hoping to see a hip specialist, but first I have to get past the ‘gatekeeper’ (the physiotherapist) who 18mths ago told me to go home and learn to live with it, he said there is no treatment available and I’ll never get rid of it. I can’t sit or lie down, I’m desperate, and at the end of my rope. Sorry for such a long message. I’m praying I get to see a Hip specialist who can help.
How old u r. And how is condition now
Thanks for your fabulous lecture !
This is good info, doc!
Wow, didn't realize this issues is affecting so many people like myself. I've been dealing with this for over a year, spent thousands of dollars, sever and debilitating pain. I tried everything under the sun with NO relief. Just had 2 injections over the last 3 weeks, MRI, x-rays, massages, chiropractor, stretching, balls, you name it and I've tried it. I know this feed is from a year ago but, has anyone found relief? Thanks!
I have just hit my 1 year mark of having this...Atleast thats what I think it is. I wish I had an answer
I'm in South Africa and suffering from the same too for 2 years. I've been to a Bio, Physiotherapist, Chiropractor, Orthopedic, Neurosurgeon and found no help. I've done XRays and MRI Scan, still no help. I'm currently seeing a Homeopath
Have the shots helped? Does your pain improve when your leg is kept more tucked? Whenever I extend the pain is excruciating. I saw another post someone got relief from the cortisone shots I believe that’s what they called it from a specialist after a couple of attempts with a device to locate the nerve or something to stop the pain signal.
Have you had any luck yet? I think I have found a fix but I'm curious if it would work on an individual who does not compete in powerlifting. Please let me know, I'd like to help if I can for free.
I'll see your efforts and raise you an unnecessary hip replacement.
You want to talk about being discouraged. I have just recovered from a total hip replacement only to start back at it and have the same issue return
Wonderful video, thank you
I have deep gluteal syndrome and I’ve been like this for a year, I’m so tired, I’ve been going to physiotherapist and they told me I have piriformis, I wen to a traumatologyst and he told me I don’t have that, I’m so confused! This video really helped me than you so much
Trix, how are you doing regarding the deep gluteal syndrome? I have 2 muscle tears right around the sciatic nerve and ischium. My symptoms seem to mostly fit the DGS as opposed to piriformis syndrome. The pain has been brutal for me, prolonged standing or walking has been very difficult. I've been doing a lot of different treatment techniques but it's been a slow heal. I'm looking for anyone else's insight/advice
It’s so damn confusing I feel you
how did you get injured?
Seriously traumatologists should be same for their speciality,you should seek for a hip orthopedic professional.When I went to traumatologist he said that I need to go to a psychiatrist...
@@constantinekarampelas9954 how did you find out you had 2 muscle tears ?
Very good explained 💪
i also have some brutal high glute pain lateral to the sacrum. I spoke to a doctor and they asked me to get an x ray for spondylolesthesis but i feel like it is just a soft tissue glute issue
How are you feeling now?
So what scans should be taken to see damaged muscle ?
Thank you very much.
What if there’s no pain? Everyone talks about pain but I’ve had this for years and it doesn’t necessarily “hurt.” It’s more like a very aggravating numbness that I feel 24/7. Almost like a knot in my butt and behind my knee. Help!
Really interesting.
mrsbendychicken Don’t say that! Making me anxious!
@@nscott2590 same :( any update?
I always say it’s not a pain but more of an uncomfortable sensation, and it causes anxiety and I end up lightheaded
Thank you
Wow! Very complex topic. I thought I'd made strides thinking my excruciating pain could be piriformis rather than inflamed nerve root from spinal compression. Wish you were in California. The off-the-chart pain comes when I lie down in any position. Much milder pain with standing or sitting. Seems so odd. Could I pay for a telephonic consult? Now to watch your piriformis video.
I diagnosed myself with Piriformis syndrome. Seems it is tendinopathy, instead. Always good to get an ultrasound 😆
I have had pain for 5 yrs and was diagnosed with Piriformis Syndrome I have worked hard in PT, had injections and even tried painful dry needling. I took major protest from me to the Drs. to get an MRI and it shows a TUMOR in my sacrum. The work-up is continuing. My doctors have not taken my reports seriously. Why didn't they get a scan 5 yrs ago!
I'm so sorry to hear that, and it highlights the importance of imaging. Wishing you well and every success with treatment. Bw Simon
Quality 👌🏻
Can you guide me whom I have to contact for this piriformis syndrome treatment. I’m struggling from last five years. I need some expert to resolve my problem. Kindly help me I live at Near Bristol United Kingdom
Been having this pain for over 5 years now. It's a pain in both legs, and I get it while standing, walking, especially as I'm doing side leg raises, or if I'm standing in one leg and doing lateral movements, it's radiating in the leg that I'm standing on from the top.
It's possible piriformis or disk herniation. But I'm 23 and after MRIs the spine is ok. Also I've been doing a lot of exercises for the lombar spine to strengthen it.. And about piriformis.. I don't know I mean, it's first of all in both legs the same and after I sit down it gets better. It should be the other way right? And the pain doesn't (or at least I don't perceive it that way) stem from the butt area, it's like local islands on the hamstring, quads, calves and heels.
Does this local radiating pain in those areas make any sense? It's not like a string like I see most patients with piriformis complain about.. Can it be something else?
Thanks a lot and if you could help with a tip I'd be so happy!
You said you have leg pain but whic place it come from. I have hot pain in my right leg upper thigh inside. It worse up to knee side and calf
@@soundhill1 I have had same problems in 2014.it came rrom l4 l5 nerve root press. Don't sit long time and don't bend front. Then it go away. Do lite streching. Hang on the bar. Cat and camel exercise
@@charithgamage5126 it's true that I sit a lot, but on the MRI scan there's nothing wrong with my spine.. could it be that I'm compressing my nerve or that the muscles become tight while sitting? I noticed I have a lot of trigger point pain throughout my legs.. The pain doesn't seem to come from a place, it's local throughout the legs.. and I've been having it for like 8 years.. from when I was 20 to now, 28, strange.. it aggravates with walking or standing. All medical examination tests don't indicate anything in the blood though..
@@Mike717ful how are you doing now ??
@@_dheerajgupta the same, thanks for asking
Activated trigger points?
who cares whether they're misdiagnosing? if it's successfully being treated using conservative treatment there's a good chance the condition is not chronic
Useful info, although I sometimes thought I was watching a Monty Python sketch
where i can find second viedeo of piriformis syndrome?
I have hot pain my right thigh inside. Some time it go down up to calf. What is it
charith gamage same what happens now
@@Whatsyourproblemhuh it's better than before.i do lite stretching every day..only 4 exersise.i don't sit long time.it come from l5l4 disc may be
What stretches I have some damage in l5l4 as well as bent coccyx I believe it was coming from coccyx however coccyx has improved after chiro but the glute/sciatica pain has intensified any tips are welcomed
@@leemartinez9211 how to heal it
@@Whatsyourproblemhuh I did micro surgery.but no improvement
The visual material was very good. But the verbal delivery seemed complicated by too many conditional statements. The listener only needs the main point.
Thanks Phillip! I have a very discerning audience so end up regularly failing to please everyone ;)
I felt the video was relatively easy to follow and informative about the topic provided.
I think it's very informative and useful. I'm just trying to find out as much information about how my body works to work out how to stop or reduce the pain and I think this video has helped a lot with that.
Honestly 8 minutes in before you got to what I wanted to hear. ...
Shalom darling
Omg it takes so long to get to the point
He is a consultant => paid by the word.
You talk about pointless stuff for way to long just get to the point