I have both. Herniated bulging disc in my L5-S1 disc and Piriformis Syndrome. When it happens at the same time I've colloquially named it "The Double Whammy" effect.
Thank you!!! This has helped me to understand the pain I've been having for many years. I appreciate the time and effort you have taken to explain this!
After total knee replacement my gait was compromised. Eventually I was unable to walk without debilitating pain. I opted for decompression surgery of L4-5, L5-S1. Bone spurring L5 also addressed. Post surgery I still could not walk without severe pain. MRI of piriformis muscle indicated inflammation and piriformis syndrome. Steroid injection along with Botox provided some relief.
This narration is highly informative and allows the patient to clearly understand the fundamentals of the various conditions. I will be seeing my doctor Monday and have benefited greatly from this tutorial allowing me to be interactive. Thank you. 👋👱♀️🇺🇲
I think the comments are the best knowledge for todays society. I ve got a bad injury 3 years ago on my left hip, and im still researching what exactly do i have, because the doctors won't tell you nothing, they see you as a number more, that's all
@@Ahmed-dc8ep لكم التقدير والاحترام من كل قلبي وأتمنى لكم وللجميع القائمين على نشر المعلومات المفيدة من أشخاص يشار إليهم بالبنان.... ونعم انا مسلم ولله الحمد واتصور انك من مصر المحروسة 😊
Accrding to this video my doctor in Sweden SHOULD consider the POSSIBILITY that my sciatica and walking difficulties are caused by a piriformis syndrome. As I am almost sure is the case. But no... In Sweden´s FREE public health care the preferred diagnosis is hip arthritis and no attention at all is given to piriformis syndrome. The doctors tells me that "oh no, the piriformis is a very small muscle and can not cause a serious sciatica, your problem is severe hip arthritis"... well I KNOW I have hip arthritis now and I am SURE it is because I have had a piriformis syndrome with sciatica for many years. Now I will pay a private physioterapeut specialist what is needed to investigate this problem further. If I can cure the piriformis syndrome maybe my hip will heal to some degree. These videos by Nabil Ebraheim are very good indeed and the public health care in Sweden is severely corrupt.
@@sezgigi No, I´m not ok, but after choosing supportive exercise programs as my method for improvement I am at least better. Previously I had a lot of pain in my left buttock and it was quite painful to move. I have also done some MRT´s and they discovered lots of lumbar spine problems and I treat therm now by doing water gymnastics. That works also ! My back is rapidly getting better and that decrease the pressure on my hip joint. I believe any joint surgery is bad for You if You are able to exercise, improve and find relief that way.
I need to know how to fix this. Over 5 years of physio and varous treatments are not working. I'm getting muscle loss in hamstring and calf now because of the pain.
Eat more Protein. You're probably not getting enough protein. Try to eat 1 gram per each pound that you weigh. The less should be 0.7 × (your weight)= the amount of grams per pound per day.
@@Eros13adiosoh my, no that's way way too much protein! Just eat an adequate amount according to body size, activity level, man or woman. Probably 60 to 70 grams per day for men, 50 for women, a little more if pregnant. There abouts.
@@rir78 It all depends on your current weight, height and age. But getting enough Protein plays a big role. As well for all the needed Amino Acids that specially animal proteins provide.
Thank you 🙏 so much Dr Nabil, the best video I ever watched I am in pain for the last 3 months. I have mainly pain in the morning when I start walking, from the buttock down the leg, have bursitis, and some lower back stenosis. It started from not being able to stand on my left leg, so I had to crawl on knees in order to go to the toilet. I really would like to have MRI. I was also very fit, I always had lower back pain. The buttock pain & the back of the leg is very severe 😢
Hello Sir, i've been suffering with scitica symptoms from 9 years and have other conditions too. I have had a failed surgery as well 6 years ago to no improvement. I am diagnosed with Ankylosing Spondylitis as well. I am struggling to get my condition properly diagnosed even after consulting about 35 specialist doctors last few years and several sessions of physiotherapy. Can I share my condition in detail over email or here itself, and would you be kind enough to help me diagnose properly? Or atleast provide your assessment so that I consult someone locally and move in that direction? Thank you.
My pain does not go down my leg. It goes across the bottom of my butt where it meets my thigh, starts midway, goes along the curve and up to my inner thigh. It shocks like stinging bees near my private area which is devastating. Has anyone had this and what did you do to help it? I had a piriformis injection, pain completely went away and two days later came back. Not as strong as the original pain, but still hurts like heck when it hits the area of the inner thigh between the legs.
I can’t walk - Had to get crutches - Feels like a hemorrhoid - Pain travels - Originally under left butt cheek - Down the left leg - Across butthole - And sometimes to the right side - Up to both hips - Feels like I broke my pelvis - have to have a pillow between my legs when laying down to the side - with the crutch could not lift my leg - Each day getting better - Still on crutches - 4 days now
@@dzheath I found out that my PAIN was irritation of the CLUNEAL nerves. There are 3 on each side of our butt cheeks and when irritated they cause pain across the area. There is the superior cluneal nerve on top, middle cluneal nerve, and inferior cluneal nerve on the bottom. There are blocks for this to block the pain. They are sensory nerves that cause pain and stinging/shock feeling across the butt, into the privates, hips, and down the leg. You can google cluneal nerves to read up on it.
I have this pain and I have a lumbar disc herniation, but I do not have any pain down my leg, it stops at my buttock but it is painful. Thankfully it is not down my leg but there is NO way any doctor can tell for sure what is causing it.
I know exactly what you mean. My pain doesn’t travel all the way down to my leg. However it does travel sideways from one glute to the other one. Especially the upper part of the glutes
I was diagnosed with that by an orthopedic surgeon. He does surgery only… not physio or musculoskeletal balancing. He said he has no idea on all that - it’s not his focus. I learned that even the wrong exercise can irritate the nerve to the point of stenosis so all the doctors see is the result of your issues, not the cause which in my case they simply say are the disc bulges. It ain’t necessarily so. I have a several disc bulges etc, bad MRI. but apparently most people have that, including asymptomatic ones…. Many sciatica surgeries fail to solve the issues, according to what I read. I almost solved my issues going at it myself, with a vibration plate. See my other comment. No surgeries, injections or infiltrations. Medication reduced to the minimum, only when I expect to walk or stand a lot.
When I go from sitting to standing my buttock hurts so much, and it hurts when I raise my left leg forward. No amount of stretching is helping to relieve these symptoms.
I have a pain in my right butt and either when I'm sitting in a certain Position or driving after 20 minutes or more,and the pian wich is not just pain,also comes with cold sensation and . ( numbness mostly my right foot)
Thank you So!! Much! Doc! For being detailed and explaining everything so simple. This information will help my conversation with the orthopedic physician.
I have this for sure when Im sitting if I move my bottom and back hurts if I try to stand my bottom and back hurts when I walk my lower back hurts I can’t wait until this goes away I believe I had this b4 no pain in the legs tho
I’m overcoming it slowly. This video is helping a lot. ua-cam.com/video/V4wMKAF6ZzA/v-deo.html I do it twice a day, first thing in the morning and right before bed.
Hey doctor, I had something like a piriformis or sciatica issue for 4 months I tried everything... But stretches would be so painful even though I did it for 2 months but then I decided to get injections or last result surgery as they are saying there is something showing in he mri.... I've never had a back issue it's always been my butt then down the right side of my leg to my calf but miraculously it has been gone for more than 1 week would I still go ahead with the injections they still havent called for my appointment it takes weeks I hear thanks
Thank you for a very informative video! I fell off my bike about 3 weeks ago. 2 weeks after iv still got a very painfull sting/burning/pinching pain in the top portion of my right buttocks. Im guessing this is what the video suggests it to be!! "Periformis syndrome" Would i be correct in saying that i hit my right buttocks so hard that i have brused the muscle and maybe irritated the si joint? I am following a stretch routine for Periformis syndrome and treating with pain relieve when needed but how long would it take for the muscles to settle and the sciatic nerve pain to fade away? Many thanks
Has anyone had any success in alleviating this condition from treatment with Traditional Thai Massage, or could such treatment potentially be too aggressive & aggravate the symptoms ?
دكتور انا عملت الاشعة الرنين والدكتور يقول انزلاق غضروفي طبعاً قالي تحتاج الى عملية انا رفضت وقلت اخذ ابر الستيرود وبعد مافادتني لكن بعد فترة الاحظ ان الالم اكثر في اسفل الارداف اذا جلست على سطح صلب يصير عندي تنمل . فهل الي اعاني منه متلازمة الكمثري .
I watched few of these and they never show a proper diagram, why don't they show a normal person standing and show the area on the buttock that the piriformis is and where it hurts. These stupid diagrams do not show the exact spot of the location I can't tell if it is low on the hip or high on the hip there is nothing to gauge it by on this diagram but a big hip bone, we need a better reference, how can these people not know any better. I have not found once half way decent doctor
Surgery ??? Not necessary. I have piriformis syndrome occasionally. If it is severe I visit a chiropractitioner, if it is mild I use some simple exercises. But I would never accept surgery for it.
Does a person here know if, or not that iritation causes a reaction to the muscles? Small, or even greater iritation levels? Please, and thanks in front. And thank you again Sir for spending your time in making another video to teach. Oh. Does a person also know if the human lungs emit its own body chemicals? Is all human chemical production just hormonal production?
Get into a sports medicine doctor. I developed piriformis syndrome after delivering my baby. My discs also were bulging, which happened before delivery. I was being treated for my bulging discs and nobody could figure out why I wasn’t getting better (literally couldn’t walk). Almost 2 months after having my baby, I got into a sports medicine doctor & she knew immediately what was wrong..did imaging to confirm, gave me a cortisone injection in the piriformis muscle and 2 days later I could walk and finally was able to do pt.
I am going thro the same thing a lot of back pain numbness in the back of my thigh and calf and foot after xrays doctor said it was lower spine arthritis but the physio says its piriformis syndrome thing is its not respondong to physio treatment so now i am confused and in more pain😢
Thank you Doctor. Your overview has answer many of my questions. Exceelent presentation!!!
Thanks
I have both. Herniated bulging disc in my L5-S1 disc and Piriformis Syndrome. When it happens at the same time I've colloquially named it "The Double Whammy" effect.
How are u now
I too have l5 s1 disc problem and symptoms similar to piriformis syndrome
Hi frnd Please reply,
Did you recovered?
This was the best video for people who are trying to figure out what is causing the source of the pain for the appropriate treatment.
Thank you so much. Have had this for far too many years but have never heard it explained so well.
Thank you
Thank you!!! This has helped me to understand the pain I've been having for many years. I appreciate the time and effort you have taken to explain this!
Fantastic, very clear and transparent showing knowledge, great visualisation, thank you Dr. Nabil Ebraheim.
After total knee replacement my gait was compromised. Eventually I was unable to walk without debilitating pain. I opted for decompression surgery of L4-5, L5-S1. Bone spurring L5 also addressed. Post surgery I still could not walk without severe pain. MRI of piriformis muscle indicated inflammation and piriformis syndrome. Steroid injection along with Botox provided some relief.
Did you get any feedback about the cause of inflammation of the piriformis muscle?
Now I understand why I am in sooo much pain. I definitely had a failed back surgery. Thank you for a clear explanation.
Wonderful as usual our prof
Thank you so much. I m going through a confusion, whether my sciatica is due to Piriformis or disc bulge.
Thank you for making this video. This is very helpful.
This narration is highly informative and allows the patient to clearly understand the fundamentals of the various conditions. I will be seeing my doctor Monday and have benefited greatly from this tutorial allowing me to be interactive. Thank you. 👋👱♀️🇺🇲
Very helpful, well put together
I think the comments are the best knowledge for todays society.
I ve got a bad injury 3 years ago on my left hip, and im still researching what exactly do i have, because the doctors won't tell you nothing, they see you as a number more, that's all
سلمت الانامل بروفيسورنا الغالي.. انا اسمي هذا الشرح بالمختصر الوجيز... ارفع لك لك القبعة لك ولعلمك.. بارك الله فيك. تحياتي واحترامي لشخصكم الكريم.
من اين انت؟؟
@@Ahmed-dc8ep من كردستان (شمال العراق).
@@hawrealimohammed5161 اهلاً وسهلاً بحضرتك
لفت انتباهي بلاغة اللغة وواضح برضو انك مسلم
حاجة جميلة متابعة العرب لفيديوهات زي دي
@@Ahmed-dc8ep لكم التقدير والاحترام من كل قلبي وأتمنى لكم وللجميع القائمين على نشر المعلومات المفيدة من أشخاص يشار إليهم بالبنان.... ونعم انا مسلم ولله الحمد واتصور انك من مصر المحروسة 😊
@@hawrealimohammed5161 حبببي ربنا يكرمك يا رب
ااه فعلاً من مصر ☺️
Accrding to this video my doctor in Sweden SHOULD consider the POSSIBILITY that my sciatica and walking difficulties are caused by a piriformis syndrome. As I am almost sure is the case. But no... In Sweden´s FREE public health care the preferred diagnosis is hip arthritis and no attention at all is given to piriformis syndrome. The doctors tells me that "oh no, the piriformis is a very small muscle and can not cause a serious sciatica, your problem is severe hip arthritis"... well I KNOW I have hip arthritis now and I am SURE it is because I have had a piriformis syndrome with sciatica for many years. Now I will pay a private physioterapeut specialist what is needed to investigate this problem further. If I can cure the piriformis syndrome maybe my hip will heal to some degree.
These videos by Nabil Ebraheim are very good indeed and the public health care in Sweden is severely corrupt.
Hello. Are you okay now?
@@sezgigi No, I´m not ok, but after choosing supportive exercise programs as my method for improvement I am at least better. Previously I had a lot of pain in my left buttock and it was quite painful to move. I have also done some MRT´s and they discovered lots of lumbar spine problems and I treat therm now by doing water gymnastics. That works also ! My back is rapidly getting better and that decrease the pressure on my hip joint.
I believe any joint surgery is bad for You if You are able to exercise, improve and find relief that way.
I agree with you. Hej från Göteborg 💛💙
Thank tou so much. Your videos help me to better understand my issues. And avoid waking them up in my Pilates class!
Excellent explanation!! I am hunting down answers for my issues and this is so helpful. Thank you. 😊
Extremely helpful! Thank you, Dr. Navil! You have helped me understand this hard to understand condition.
Thank you for a very concise and clear explanation, bravo!
Mine start to hurting when im standing longer then 5 minutes from the buttock down to knee, sometime ankle.
I need to know how to fix this. Over 5 years of physio and varous treatments are not working. I'm getting muscle loss in hamstring and calf now because of the pain.
Eat more Protein.
You're probably not getting enough protein.
Try to eat 1 gram per each pound that you weigh. The less should be 0.7 × (your weight)= the amount of grams per pound per day.
@@Eros13adios what do you mean "the less" I am not trying to be rude, but English is not your first language right?
@@matchpoint14I think he meant the lowest daily amount of protein you should consume to be healthy
@@Eros13adiosoh my, no that's way way too much protein! Just eat an adequate amount according to body size, activity level, man or woman.
Probably 60 to 70 grams per day for men, 50 for women, a little more if pregnant. There abouts.
@@rir78
It all depends on your current weight, height and age.
But getting enough Protein plays a big role.
As well for all the needed Amino Acids that specially animal proteins provide.
it's surprisingly common yet underdiagnosed..
Experiencing this right now and I am so done.... There's got to be something that can be done because therapy isn't working.....
Excellent explanation. Thank you so much.
Thank you 🙏 so much Dr Nabil, the best video I ever watched
I am in pain for the last 3 months. I have mainly pain in the morning when I start walking, from the buttock down the leg, have bursitis, and some lower back stenosis. It started from not being able to stand on my left leg, so I had to crawl on knees in order to go to the toilet. I really would like to have MRI. I was also very fit, I always had lower back pain. The buttock pain & the back of the leg is very severe 😢
Thanks for the information!
Thank you Dr. and Love from Sweden. 💛💙
What about pulse therapy directly on the notch??.. that procedure relaxed mine to the point of being non existent!!👍
Hello Sir, i've been suffering with scitica symptoms from 9 years and have other conditions too. I have had a failed surgery as well 6 years ago to no improvement. I am diagnosed with Ankylosing Spondylitis as well.
I am struggling to get my condition properly diagnosed even after consulting about 35 specialist doctors last few years and several sessions of physiotherapy.
Can I share my condition in detail over email or here itself, and would you be kind enough to help me diagnose properly? Or atleast provide your assessment so that I consult someone locally and move in that direction? Thank you.
How to treat it
My pain does not go down my leg. It goes across the bottom of my butt where it meets my thigh, starts midway, goes along the curve and up to my inner thigh. It shocks like stinging bees near my private area which is devastating. Has anyone had this and what did you do to help it? I had a piriformis injection, pain completely went away and two days later came back. Not as strong as the original pain, but still hurts like heck when it hits the area of the inner thigh between the legs.
I can’t walk
- Had to get crutches
- Feels like a hemorrhoid
- Pain travels
- Originally under left butt cheek
- Down the left leg
- Across butthole
- And sometimes to the right side
- Up to both hips
- Feels like I broke my pelvis
- have to have a pillow between my legs when laying down to the side
- with the crutch could not lift my leg
- Each day getting better
- Still on crutches
- 4 days now
@@dzheath I found out that my PAIN was irritation of the CLUNEAL nerves. There are 3 on each side of our butt cheeks and when irritated they cause pain across the area. There is the superior cluneal nerve on top, middle cluneal nerve, and inferior cluneal nerve on the bottom. There are blocks for this to block the pain. They are sensory nerves that cause pain and stinging/shock feeling across the butt, into the privates, hips, and down the leg. You can google cluneal nerves to read up on it.
@@CG-sg9blthank you for your comment
@@dzheathSame experience...How are you doing now??
Thanks doc bro...
شكرا الشرح واضح ومبسط
I have this pain and I have a lumbar disc herniation, but I do not have any pain down my leg, it stops at my buttock but it is painful. Thankfully it is not down my leg but there is NO way any doctor can tell for sure what is causing it.
So then that would mean you don’t have this “ piriformis syndrome” ? Or can you suffer from both a lumbar disc herniation and piriformis syndrome?
I know exactly what you mean. My pain doesn’t travel all the way down to my leg. However it does travel sideways from one glute to the other one. Especially the upper part of the glutes
@@MrsGG-id1os I think for sure you could have both. Most doctors just say one or the other, but no doubt you could have both.
Does working out help, glute muscles
From my own personal experience the glute muscles have no positive or negative interplay with the piriformis
You do not mention spinal stenosis?
I was diagnosed with that by an orthopedic surgeon. He does surgery only… not physio or musculoskeletal balancing. He said he has no idea on all that - it’s not his focus.
I learned that even the wrong exercise can irritate the nerve to the point of stenosis so all the doctors see is the result of your issues, not the cause which in my case they simply say are the disc bulges. It ain’t necessarily so. I have a several disc bulges etc, bad MRI. but apparently most people have that, including asymptomatic ones…. Many sciatica surgeries fail to solve the issues, according to what I read. I almost solved my issues going at it myself, with a vibration plate. See my other comment. No surgeries, injections or infiltrations. Medication reduced to the minimum, only when I expect to walk or stand a lot.
When I go from sitting to standing my buttock hurts so much, and it hurts when I raise my left leg forward. No amount of stretching is helping to relieve these symptoms.
I have a pain in my right butt and either when I'm sitting in a certain Position or driving after 20 minutes or more,and the pian wich is not just pain,also comes with cold sensation and . ( numbness mostly my right foot)
I get this pain only while driving. What would you advise?
drive standing
Walking
@@RussellD11😂
Thank you So!! Much! Doc! For being detailed and explaining everything so simple. This information will help my conversation with the orthopedic physician.
Im wondering if acupuncture would help.
I tried this too and dry needling, didn't work
😢
I have this for sure when Im sitting if I move my bottom and back hurts if I try to stand my bottom and back hurts when I walk my lower back hurts I can’t wait until this goes away I believe I had this b4 no pain in the legs tho
Useful video
Anyone here who overcame this? I need to know how'd you do it?
I am also suffering from this do you know how to recover
I’ve been struggling with this for a year. It’s so bad
I’m overcoming it slowly. This video is helping a lot. ua-cam.com/video/V4wMKAF6ZzA/v-deo.html
I do it twice a day, first thing in the morning and right before bed.
Ayurveda can cure
I've been rolling around on a tennis ball. Which has improved it considerably.
Hey doctor, I had something like a piriformis or sciatica issue for 4 months I tried everything... But stretches would be so painful even though I did it for 2 months but then I decided to get injections or last result surgery as they are saying there is something showing in he mri.... I've never had a back issue it's always been my butt then down the right side of my leg to my calf but miraculously it has been gone for more than 1 week would I still go ahead with the injections they still havent called for my appointment it takes weeks I hear thanks
Tank u so mch veri hejpful
Thank you for a very informative video!
I fell off my bike about 3 weeks ago. 2 weeks after iv still got a very painfull sting/burning/pinching pain in the top portion of my right buttocks.
Im guessing this is what the video suggests it to be!! "Periformis syndrome"
Would i be correct in saying that i hit my right buttocks so hard that i have brused the muscle and maybe irritated the si joint?
I am following a stretch routine for Periformis syndrome and treating with pain relieve when needed but how long would it take for the muscles to settle and the sciatic nerve pain to fade away?
Many thanks
Good morning sir
Has anyone had any success in alleviating this condition from treatment with Traditional Thai Massage, or could such treatment potentially be too aggressive & aggravate the symptoms ?
Tried this, didn't work. 😢
My hip muscles are melting, what should I do?
Melting?
Please help me i have piriformis and iam constipated. Anal sphincter is not loose 😭😭😭
دكتور انا عملت الاشعة الرنين والدكتور يقول انزلاق غضروفي طبعاً قالي تحتاج الى عملية انا رفضت وقلت اخذ ابر الستيرود وبعد مافادتني لكن بعد فترة الاحظ ان الالم اكثر في اسفل الارداف اذا جلست على سطح صلب يصير عندي تنمل . فهل الي اعاني منه متلازمة الكمثري .
فاذا كان الحقنة في العمود الفقري لم تنفع هل هذا يعني ان المشكلة في الغضلة الكمثرية
I'm only 20, why am I experiencing this?? 😭😭
It could be an injury, did you do anything strenuous? Using back and legs? One commenter got it doing pilates
That's cute I'm 18 had it for 3 years
please if you read this how did you cure am 23 and i have one year😭😭 now it gets worse it hurts whol leg @@jackzeripperno3710
Not sure why I heard ridiculous syndrome somewhere and bust out laughing! 😂
Same here! And it is a ridiculous pain in the ass!!!
I watched few of these and they never show a proper diagram, why don't they show a normal person standing and show the area on the buttock that the piriformis is and where it hurts. These stupid diagrams do not show the exact spot of the location I can't tell if it is low on the hip or high on the hip there is nothing to gauge it by on this diagram but a big hip bone, we need a better reference, how can these people not know any better. I have not found once half way decent doctor
Wow just wow
Surgery ??? Not necessary. I have piriformis syndrome occasionally. If it is severe I visit a chiropractitioner, if it is mild I use some simple exercises. But I would never accept surgery for it.
Does a person here know if, or not that iritation causes a reaction to the muscles?
Small, or even greater iritation levels?
Please, and thanks in front.
And thank you again Sir for spending your time in making another video to teach.
Oh.
Does a person also know if the human lungs emit its own body chemicals?
Is all human chemical production just hormonal production?
It seems like they give you every injection except for the piriformis muscle.
I have Both and i cant Walk
Get into a sports medicine doctor. I developed piriformis syndrome after delivering my baby. My discs also were bulging, which happened before delivery. I was being treated for my bulging discs and nobody could figure out why I wasn’t getting better (literally couldn’t walk). Almost 2 months after having my baby, I got into a sports medicine doctor & she knew immediately what was wrong..did imaging to confirm, gave me a cortisone injection in the piriformis muscle and 2 days later I could walk and finally was able to do pt.
My buttocks is too tight and painful.
@6mins is agony
👍
🙏🌈🙏
I am going thro the same thing a lot of back pain numbness in the back of my thigh and calf and foot after xrays doctor said it was lower spine arthritis but the physio says its piriformis syndrome thing is its not respondong to physio treatment so now i am confused and in more pain😢
Thank you so much 🙏❤️❤️❤️❤️
Dear Doctor, Can we live without piriformis muscle. A Doc wants to remove my Piriformis muscle because I have PS.
I got the injury while dancing i a bboy… I can twist feeling the pain 😢