Sciatica?: Herniated Disc VS Piriformis Syndrome
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- Опубліковано 13 вер 2021
- Are you struggling with sciatica (sciatic nerve pain running down the back of the leg) and are not sure what's causing it? Wondering how to tell if the sciatica is from a herniated disc or piriformis syndrome? In this video, I share an in-depth flowchart to help you navigate the self tests you can do and the questions to ask yourself to ID whether your sciatica pain is coming from a problem in the back (like a herniated or bulging disc) or from deep in the butt/glute (like piriformis syndrome).
And for a more comprehensive guide to help you pinpoint the source of your back, butt, hip, or leg/sciatica pain using simple self movement tests & a step-by-step approach without needing expensive images or a specialist... Grab my FREE “Better Than an MRI DIY Diagnostic Guide” here: www.drcharliejohnsonpt.com/di...
#drcharliejohnsonpt #sciatica #piriformissyndrome #herniateddisc
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• Sciatica?: Herniated D...
![Stop All Back, Piriformis & Sciatica Pain Exercises! [Until You Watch This]](http://i.ytimg.com/vi/2uKFN0pKxP0/mqdefault.jpg)
Thanks so much for watching! Want to pinpoint the source of your back, butt, hip, or leg/sciatica pain without needing expensive images or a specialist? 🔥Grab my FREE “Better Than an MRI DIY Diagnostic Guide” here 👉 www.drcharliejohnsonpt.com/diyguide
Hi! Just downloaded the guide and watched this video. Been in agony for the last 5 months. Ortho specialist said it was PS but no signs of it in the MRI. Went to chiro, did PT and dry needling and nothing has worked. Pain management Dr also said he thinks it’s PS and gave me a steroid shot in the PS muscle a week ago. I didn’t want to go that route but I was desperate. And it still doesn’t feel much better. After watching your video I tried the straight leg test and could barely lift my good leg without it hurting my bad leg, which you said is 95% herniated disc. I also can’t sneeze or cough without being terrified of the pain. I don’t feel much back pain tho. I mostly feel it in my butt and down my leg to my foot. I’m just so confused. Based on your video it seems obvious it’s a herniated disc but they are convinced it’s PS. I’m so frustrated because this ha completely halted my life. Any thoughts or suggestions would be so appreciated!
@@SarahMae-jd6xi hey! Thanks for watching my video and checking out my guide. Sorry to hear about what you’re dealing with. Does sound disc related and I have a hunch but would need more details.
No pressure, but are you open to potentially working together?
I’d be happy to review your case and see if/how we can help and what’s going on. No pressure, but if you’re interested- please visit www.drcharliejohnsonpt.com/apply and select a time to chat with us.
Okay?
Hang in there Sarah!
Thank you!
My comment has nothing to do with the video. I am perplexed by the staircase that seems to go nowhere.
LOL
I couldn’t hear anything else he said after I read your comment 🤦🏽♀️😂
@@relaxbeenatural Roflololol. He hearted the comment, but gave zero explanation.
Had gone to so many chiropractors, PTs and massage therapists but bar none, you are the most common sense and articulate doctor out there both in real life and on the internet. Been telling everyone I know to check your channel. Thank you.
indeed
💯💯💯🎯🎯🎯
I had a slipped disc serious bulge at L4 L5 and I tried everything physio therapy massage everything that I could throw it's way I did full diet change and I was still using 4 to 6 gabapenton per day I flew to Thailand and had to do business class because of the length of flight to see a recommended Thai lady I have been here for 8 days now I'm staying for 6 weeks and I've seen this lady every day I am now free from gabapenton use I use 1muscle relaxer and 1 pain killer Thai medicine each day,she identified my problem as being in a totally different place although the MRI showed the disc prolapse she said it has been caused by extremely tight fascia in my right leg mainly in the location of the hamstring she did the most painful therapy I have had which left me bruised basically from knee to hip give or take a few places but the results are amazing I am confident that before I fly back this issue will be sorted,I feel the western way of dealing with things is treating the problem but that will present again unless you treat the cause.
Brilliant! Putting it all together on a diagnostic flowchart simplifies things, prevents useless anxiety, avoids unnecessary tests and saves a lot of time and expense. May your tribe increase, Dr. Charlie Johnson!
Thanks a million!
Absolutely brilliant and you've helped me differentiate what has been extremely baffling with my hip, buttock and sciatica pain. I guess I'd hoped it was piriformis syndrome but all the tests point to a herniated disc. You've been more helpful than the MDs, Chiropractors and massage therapist---and I've been to many. Thank you Dr. Charlie
Thanks Cheryl! Glad I could help you so far 👍. Now just gotta get you up to full speed! 💪🏻. Hang in there!
Great video Dr. Charlie. This really makes it clear. Awesome charts! 👏
I thought my problem was piriformis syndrome, and flowchart and tests confirmed that. Thank you for the clear explanation!
Hey Leslie! Thanks for watching- glad it helped!
What are you currently doing for treatment?
Hello Dr Charlie, please keep bringing videos for treatment of different orthopedic issues
After completing several test I've confirmed that I have a back issue for sure. Excellent job
Your material is amazing! Very insightfull.
Great explanation and flow charts. Thank you so much for the information.
Hey Bob! Happy Sunday! Thanks a million for watching and for your support! If ya haven't already- feel free to grab a copy of my entire DIY Diagnostic Guide at www.drcharliejohnsonpt/com/DIYGuide
Let me know if ya get stuck or have specific questions- here to help!
Dr. Charlie
VERY helpful! Thank you!
Very educational and understandable. you made it so easy, thank you
You're welcome!
Best informational video, thank you sir
Welcome! 👊🏼👍
I am a chiropractor using Applied Kinesiology (as originated by Dr. George Goodheart, the developer of AK) and of course, whole spine adjustments. I test the strength and flexibility of the piriformis as well as hamstring and iliopsoas for every low back and leg pain patient. I appreciate this video as well as the others by PTs and chiropractors concerning low back and all the other maladies humans suffer. Always good to go over the basic anatomy.
Great and informative video. I’ve had the hardest time figuring out what is wrong with my back. Now I’m 99% sure it’s a herniated disc. Thank you for your help Dr. Johnson. Now that I know the problem maybe now I can fix it. Going on 6 months of constant pain from sciatica
Lumbar Thoracic junction, piriformis/sciatic pain. THANK YOU for all you teach. Much to rehab.. if even possible.
A lot of work for you …thank you
You got it, Jack. Thanks for watching!
This is the only video that made it clear for me. Thank you!
You got it Mike! Let me know if you’re interested in some help.
Dr. Charlie
Thank you this is very informative
I just discovered your channel. I was searching on UA-cam yesterday to find something on PIRIFORMIS S. And today? Your channel was recommended. Glad I clicked on it.
I'm in therapy now. I just started therapy last week. I've been going through pain since the last week of Nov. I thought it was just a sprain, pulled muscle, etc. And just let it be. It got better and after the new year? It got worse.
Your video was very thorough, informative and explained everything in detail; the difference in the conditions, types of pain with each one, etc. I already did the side exercise, you recommended. I'm so exhausted from this and just want to go back to my normal routine. I feel hopeless someday's and keep wondering, will I ever get better. THANK YOU for all the information.
I seem to have the herniated disc’s problem. Thank for such distinctive clarifications!
Thanks for this video, educating
Glad it was helpful!
best video I've seen. Have to find out more
Well the bend to the right fires the pain off - my butt then the outside of my ankle and foot. I've dealt with this since the beginning of the year. A month or so of excruciating pain while trying to walk (sitting brings relief but lying down does not so sleep disturbance is a problem) and then it gradually goes into remission only to come back after a month or so. MRI shows a variety of issues - disc bulges, stenosis, arthropathy, synovial cyst(?). Oddly, and thankfully, riding my bike is virtually pain free. I appreciate your thorough and matter of fact approach.
Hey Chris - thanks for watching. Are things getting any better?
What are you currently doing to solve this?
This is such a helpful video. Great explanation of the 3 differences.
Thanks for explaining the difference between a disc and piriformis!!
You got it Donald!
Glad I could help.
Do you have any questions for me?
-charlie
Such an educational video❤
Great video thanks
Glad you enjoyed it - thanks for watching!
This is fantastic, thanks so much. ✨
Sure thing! Glad I could help.
Wow! Thank you!!!
No clue for me, I'm too freaked out by the STAIRS TO NOWHERE that nobody else seems to see!!
I saw that too!
Dude this video helped so much !!!!
Awesome!
Great presentation 👏
Thanks for watching!
Thanks much Dr. Charlie, your flow chart and video were extremely helpful in diagnosis. I originally thought my sciatica was from PS due to overuse from long distance running, and this really confirms that. I also have a THR in that hip joint, so my flexibility on that side is more restricted. My doctor ordered an x-ray of my spine which showed moderate compression in L5/S1, and unfortunately for me, he is convinced that THIS is the cause and says there 's no way you have PS, it's so rare, you probably have back pain, etc. But disc compression at that spot is apparently a pretty common part of the aging process (I'm in my 50s), so I don't put a lot of weight into his opinion, esp. because I've never had back pain, and the back movements you suggested here did not cause any pain down the leg. I just started seeing a PT who did some functional movement tests and also thought it was PS, not a disc issue.
My doctor wants a spinal MRI (very expensive) to confirm the disc compression and then to get an epidural if the pain continues. I'm definitely against that if it's a PS condition! Though I am reading a lot that a coritisone shot into the P muscle itself can help with pain relief. Will continue with PT exercises for now, thanks again!
Outstanding Video.
Thanks a million Robin!!
Great information
Hey Linda! Thanks so much- appreciate you watching.
Any specific questions for me?
These videos are fantastic. I injured this area a couple of weeks ago and it's been brutal ever since. Went to a doctor a few days ago... thinks it's the SI joint, but now my hip joint is very painful when I stand or walk for more than 10 minutes.
I’ve been watching your videos for like 3 hours now. I am beyond frustrated with my medical care, was complaining of low back pain for years and years and now I have excruciating hip pain when hiking and walking, greater trochanter area pain. I need a diagnosis and a plan of action. It’s impacted everything in my life and my super active work and lifestyle!
Sorry to hear! Appreciate you checking out my content! Are you open to a different approach?
Would love to see if/how I can help.
No pressure, but if you're interested, I'd love to review your case and see if I can help... you can schedule a time to chat here- www.drcharliejohnsonpt.com/apply
Wow this is amazing
Dr., Thanks for posting your many videos. I especially appreciated your "decision tree" guide. I"m a 67 year old malel that has had 3 lumbar laminectomies since 1990 to deal with herniated discs (L3/L4, L4/L5, L5/SI). I was miserable prior to surgery for all 3, and pain free for many years after each of the 3 surgeries. Two weeks ago I began having pain in my right hip/groin, no back pain, and no pain at/lower than my knee. Your decision tree w/ "does it hurt to do this exercise vs. that excercise?") helped me identify 2 possible sources: SI Joint or Hip Arthritis. Have appointment with a well-recognized pain MD in a few days to confirm the problem and suggest treatment strategies. I'll be able to walk into the appointment with better insights into my pain that I can share w/ the MD. At this point I want to hear a medical Dx, but I will continue to review your resources. Thanks again. Greetings from Pawleys Island, SC.
Hey Rob! Thanks for watching- sorry to hear about what you're going thru...
Would love to hear how the appointment goes- if you're willing to update!
Thanks
amazing doc ...thank you so
much for sharing your knowledge ...
You got it!
@@drcharliejohnson been taking painkiller but still little bit annoying and try my best to move little more and streaching...Thank you once again..
Great video, I have pain down my right leg ,more on the inside below the knee and on the inside that beside shin bone. no lower back pain
need help
Thank you so much! I definitely know it’s a disc problem now thanks to you after weeks of thinking periformis.
Sure thing michelle! Glad I could help!
Let me know if ya have any other questions or are interested in some help! Hang in there!
Thank you
Thanks so much for watching! Want to pinpoint the source of your back, butt, hip, or leg/sciatica pain using simple self movement tests & a step-by-step approach without needing expensive images or a specialist?
🔥Grab my FREE “Better Than an MRI DIY Diagnostic Guide” here 👉 www.drcharliejohnsonpt.com/diyguide
i'd very much appreciate your input. i'm having mild back pain and a bit more intense sciatica in my piriformis. the pain in my leg basically ends in the glutes even though it seems like my right calve muscle is cramping bad (my hamstring doesn't seem to bother me and it's only in my right leg). Nothing in my toes. seems to be affected by coughing. i had a portion of my l5/s1 cut out about 5 years ago. back then my pain never left or improved at all. it was intense. i basically wake up now sore with my piriformis tight but my back can feel fine, walking and moving feels better than sitting. there's moment's when i almost have no pain at all and sometimes the pain goes to the side of my lower back (maybe where a SI joint might be) and my piriformis feels fine. been 6 weeks so far. but i can also do the leg raise fairly easy. any advice is appreciated.
I think mine is low back. I really thought that it was PS, but I noticed pain on both sides on Yoga movement we did this morning and I also feel pain on the right along the spine just above the right dimple.
@@1321FunnyGirl sounds like back to me! What have you tried to solve it?
@@drcharliejohnson Chiropractic adjustments, yoga, only to find I am usually more messed up after Yoga. Chiro gave me stretches to do, I.e. Arm & Shoulder, Pigeon-Towd deep knee bend,Knee to Chest Stretch, Spinal Extension, Circular Neck Rotation (have lots of neck shoulder issues), Neck Rotation with Flexion Extension, Deep breathing and Postural Side Bending.
@@1321FunnyGirl oh no- sorry to hear. Would you be interested in working with me directly? No pressure- but sounds like current approach is not working.
If so, first best step would be to set up a time to chat to see if/how I can help…
Would you would be open to this?
Classic PS I think from getting in and out of a manual transmission pickup feeding cows every day for months. Thanks for the video explaining the difference it was very helpful!! :)
OMG I HAVE A HERNIATED DISC!!! Thanks Doc 😃
Definitely Piriformis. Location and movement test confirm that. Thank you for this video, Charlie!
Glad it was helpful, Ramona!
Thank you doctor Charlie Johnson. I think with your flowchart it helped me pinpoint my problem. Years ago when I was 1st out of high school I was feeding hay into a fbeatbump lifting and twisting, It caused a severe muscle spasm in my lower back on the right side. It has given me problems on and off since that time. Also had a water skiing accident and completely toward 2 of the hamstring muscles off of my pelvis. Now I'm having butt pain On the right side. Sometimes down to my toes. It definitely is affecting my lifestyle. Using your flow chart or listening to it I feel it's probably a disk problem even though it feels like it's the performance problem. I hope you can respond but I understand if you can't but I can imagine how busy you are. So thanks for the good work and I look forward to hearing more of your videos. John burback
hey John! thanks for watching man- and for sharing your story. Sorry to hear about what you’re dealing with. Does sound disc related (most likely). What are you currently doing for treatment?
No pressure, but would love to see if/how I can help.
If you’re interested- feel free to set up a time to chat- www.drcharliejohnsonpt.com/apply
Hang in there John!
Dr. Charlie
Do this test! It worked for me and pain is already gone!
This was great! I have a back problem. I already knew that from my recent MRI (2 bulging discs) but did the tests anyway and confirmed piriformis is not an issue.
Awesome! What are you doing for treatment?
I think it is herniated disc’s. Excellent distinctions made; thank you!
This is fantastic, thanks so much. It's so hard to find clear information like this and there is so much conflicting and muddled information available online, and from various professionals.
As for my story, I have some minor dull low back pain and bad sciatica at the S1 position. i'm positive for all the PS symptoms, plus I have trouble straightening up, really painful to cough or sneeze, I cannot walk without a limp, and I cannot bend forward at the back without reproducing pain. I have my MRI soon but I'm pretty certain it will come up as some form of disc herniation.
What were the results of your MRI? How are you now? What did you do to get better? My story is very similar to yours. Thank you for any details you can share!
@SarahMae-jd6xi my recovery has been a long one. Now I suffer from periods of mild sciatica and back pain, and periods of no pain at all. My mobility is now unaffected. there were periods where I had no symptoms, however I went back to exercise too quickly and put myself back a number of times. Also I have a job which requires I sit all the time, which has massively hindered me. What I would say is give your body time, and don't expect to measure your own recovery against someone else, everyone is unique and everyones story is slightly different. Best of luck on your recovery, I send you best wishes and hope.
@@SarahMae-jd6xi the scan came back l5-s1 disc herniation and l4-l5 disc bulge..
Thank you 🙏
Welcome! Thanks for watching.
@@drcharliejohnson
I have herniated disc L5 S1 since February 9 months ago .. I was told I need surgery Microsectamy ..I have been doing physical therapy and I feel much better the only thing I have is leg weakness and ankle pain with some but pain from time to time I’m still holding off on the surgery…I wish you were in New York to see you .. thanks marko O
@@mcotech1573 hey Marco! Awesome man- yeah, most people do NOT need surgery. So glad you were able to stick it out and work through it. Easier said than done 👊🏼
Keep up the good work. Also, FYI I do work with folks worldwide. No pressure/ but if you’re interested in working with me- just visit www.drcharliejohnsonpt.com/apply 👍
Dr Charlie
This is a great resource. Recently had a powerlifting competition and must have done something to my back. Right after the lift, piriformis muscle hurt a lot and had radiating pain to knees, could barely put weight on that leg. It’s been a week now and with icing, stretch and strengthening, no long hurts with that intensity. So how do you work with a tweaked herniated disks?
I was always very flexible in my youth, (later diagnosed with hypermobility of the spine), first injury was a fall off the uneven parallel bars in gymnastics when I was 16, I landed on my side and popped my sternum. Then when I was 27 I slipped on a restaurant kitchen floor and grabbing for a half wall to catch myself, I completely threw my back out of line and was flat on my back for months, then I got rear ended and hurt my neck, then I got broad sided by a pick up truck in the driver's side door and ruptured disks from neck to butt and tore the ligaments up and down my spine and was out of commission for a year, all this by age 35. I managed to survive all of this without surgery because I had a good chiropractor from the onset. I'm a bit older now and good body mechanics have kept me on my own two feet. I live with the coming and going of all these irritants, I live with knowing that one wrong move and I could be paralyzed for the rest of my life, (cervical stenosis, I hear the disks popping and crunching with every neck movement). If I listed my MRI verified diagnoses you would never believe I was still living a semi normal life. Good body mechanics is a must and making your movements on purpose not out of reflex. You have to think before you move and move with purpose and change your habits, eat right so your body has the energy and nutrients it needs to heal itself.
I have had leg pain since February finally got an appointment with the Physio who diagnosed Piriformis syndrome, which made sense as during lockdown I was doing a lot of sitting, however none of the exercises worked and the flossing motion caused more pain and discomfort afterwards. Recently though I have had trouble standing up straight after sitting and the straight raise leg test was also very painful - now thanks to this I know I have a herniated disk and may have to go back to Physio for treatment and advice.
Glad I could help Jonathan! 👊🏼. Do you have any specific questions for me?
This is my specialty 👍
I have exact same scenario as you, every word you said resonated exactly to my story
Do you have back pain or sitffness as well or no?
Thank you - very helpful in determining that I have sciatica that is a back problem.
Welcome! Glad I could help! What are you doing for treatment?
@@drcharliejohnson thank you - presently I am trying to have short walks. Also some gentle stretches and as I am overweight I am starting to seriously consider how important it is that losing weight could help me in this area. I am not generally a fan of surgical or pharmaceutical interventions if I can avoid them.
@@Slarti awesome! Good for you 👍
No pressure, but if you get stuck on your healing journey, I’d be happy to review your case and see if/how I can help.
Hang in there!
Looks like I have a back problem L4 L5 disc. Thanks. Now I know.
I have watched so many videos on back/sciatica and this is by far the most easily understandable one i have seen yet to make me understand my condition. I had a Sciatica( herniated disc) back late last year that my Shin still bothers me at time , feels like i have shin splints all the time . I wonder if this could be caused from Nerve damage ? I was bed ridden for 6 wks .. i now ice my back 3x a day and it seems to help alot .. Great video
Glad it was helpful! Yeah, “shin splints” likely due to nerve issue
Piriformis - awesome video.
Thanks Shallow Hal!
This is such an informative video. I have butt pain and now I know it’s from a L3 disc problem. I get this pain in the center of my back along with butt pain. I’m now doing Sciatica stretches. In your opinion, will this help?
Hey, doc, awesome video, thank you! In your clinical experience what would be the average recovery period for a PS flare? It seems to be taking weeks and months, no? Also, how can I access the PS exercise you personally recommend - do you have a video on it? Thanks in advance!
Thank u❤
Welcome Angie! Thanks for watching. Let me know if ya get stuck or need help 👊🏼
@@drcharliejohnson i will your are a saint of a man and words cannot describe my gratitude
Great video thanks!
Just one question .. how come your staircase doesn’t lead anywhere?? 🙄
Thank you for the very informative flow chart. I have Back issue. The problem came from a fall during a 2019 snow/ice storm. Landed flat on my back. Nothing showed on xray at that time but slowly crept in with chronic piriformis pain. Now I definitly have sciatca on my right side with L5-S1 locations.Not alot of pain in the back but a little stiffness. I've seen PT and Chiropracter and had a second xray where there was a shadow appearance in the second to last disc. I am wondering if your programs will help with this extreme pain where meds have masked and stretches help but will not go away completely. The other treatments are breaking the bank!
Hey Karen! Sure thing- glad you found it helpful 👊🏼
Not sure if I can help- but if you’re open to it- I’d love to chat and see.
If you’re interested- just visit www.drcharliejohnsonpt.com/apply. 👊🏼👍
I was diagnosed by an Ortho of having a herniated disc, after the diagnosis, I chose to have some treatment with a Chiro and showed my Xray and MRI , the Chiro now is doing to get my disc back or at least get it inside the spine space. Somehow I can still feel the tingling sensation and butt pain on the left cheek, I told them(both the Ortho and Chiro) that I had a seated crunch injury that I felt a tore in it. It subsided after 2mos of not doing anything but after sometime of prolonged walking and standing pain in my left butt is getting painful and unbearable that I needed to see an Ortho. (I always sit down in my job, that I may have forgotten to stretch and still work out in the gym)
Fast forward I signed up for 12 sessions in the Chiro and it is my 4th session now and I can still feel pain in my left butt and tingling sensation on my left leg. I am thinking I may have both since I have an MRI bulge with the L4/L5 and no back pain just painful in the left butt as PS?
I had 2 herniated disk 12 years ago I'm a healthy 44 year old man. They removed the the gel that had come out of disk area L4 and L5 I believe. Over the years certain things would irritate it but I would always stop and take a break and it was rare that any pain lasted very long. I did end up with some nerve damage down the right side of my upper leg and butt it's always been numb since the surgery. 4 days ago I was pouring a concrete driveway and the option to stop was not an option as it was just my girlfriend and I so I pushed it and was either raking and shoveling concrete or bent over leveling it out. That night I started getting a deep pain in my right butt cheek and for the last 3 days I have had some pretty good pain going down my right leg. It stops just past the knee but I can walk about 15 or 20 steps at best before I have to bend over and relieve the pressure which it only stops it slightly for a second then the deep pain in my right cheek starts right back up. I had my face boiled off by a radiator exploding in my face and went home for 4 hours without a problem before my family forced me to go to the hospital where they immediately airlifted me to harbor view medical center. I handled that pain for 10 hours before receiving any pain medication without a problem and I walked around for 2 years with those herniated disk before going to a chiropractor who did and adjustment and the next morning the lower half of my body was completely numb which is why I ended up getting the surgery that same day. Apparently it was more serious that I thought. This hurts pretty good and I have an astounding threshold for pain. I don't use and form of pain medication never have and I'm not a fan of hospitals. Do you think it's related to my herniated disk form 12 years ago or is it a sciatica issue?. I am not feeling any pain in the back or lower spine it's all in my butt cheek and back of my thigh down to my knee about? I know your going to tell me to go see a doctor but that's really not an option for me at this time so I'm combing the internet looking for ways to deal with this on my own.
Have gone to specialists and have had scans that pinpoint my problem to t11 serious hernia, l4 crushed vertebrae form a fall, and osteoporosis from former medication. Had been a serious weight lifter until the age of 60, when then found the t11 problem, and now at 75 I have helped my gardener remove a heavy mower from his truck resulting in severe pain in lower back, just above the buttocks area (on both sides). No leg pains. Have concluded this is also related to disc/nerve compression and do not want another doctor's visit. Having seen your videos I am impressed with your approach and explanations. Have not tried the exercises tests yet as it has oly been a few days since this accident and am taking ibuprophen to help reduce the pain. Any thoughts here would help.
I have both 🥺 actually si joint issue and bulging disc.
Great video thank you!
Sure thing Sasha!
Thanks for watching. What are you doing for treatment?
@@drcharliejohnson
It's tricky I find.
Physio exercises which did help to strengthen a bit. Hydro pool for decompression. However after 6 months my bulge is the same.
Specialist still suggesting surgery.
I just purchased a pull up bar to hang 6 seconds here and there (its hard to do more) I find that my si joint doesn't like it, so I do very short hangs.
I am desparate to decompress my spine but its just not budging.
I am thinking now I need to increase my flexibility in hips and pelvis first before I add lots of decompression exercises
@@KingsDaughter. sounds like you're a bit confused about what to do... quite normal actually. Are you open to some help from me to see if you can prevent surgery?
@@drcharliejohnson
Yeah it is very confusing for sure.
thank you for your offer.
I am currently searching some answers myself from videos like yours, to see if I can work it out myself as I've spend a lot of money on this injury already.
PIRIFORMIS but not sure. The 'good leg' caused pain when doing the lying on the floor with knee flexed and raising the 'bad' leg? Also, just recently did a lot of moving and lifting of heavy boxes with no physical help and started the 10,000-plus steps daily. hard to move around for repositioning in bed. Standing and bearing full weight on the right(bad) side is painful. Going to stop the typical stretching after the walking ; ; any suggestions for that other than the 2 you show in your "stop stretching" video? Your videos are so easy to understand and informative. Thank you for taking the time to help those of us who simply do not wish to go the 'other' route.
hey doctor i just wanted to find out is piriformis relatively rare ? is it like a really easy to get condition? and if the piriformis is inflammed due to a trauma do the strenthening exercises help or should one wait for the inflammation to come down and then strengthen ? would love a reply
thanksss
I have SI joints problem. No ‘disc-type’ material left. No disc material left at L5/S1.
That guy sure can raise his leg!
I have both bulging and herniated disk and pirformis and trochanter if bursa! Trying to see which is causing the discomfort
Hello, Great information and videos. Im new yo your channel and I am new to this pain. Ok, here is my issue. I just turned 50. My pain began about a few monthes ago in my right butt cheek and right thigh. It mostly hurt while in bed and turning from lying flat position to either side. After about 2mos it went away. It's been about 3mos or more free of pain. Now, this past Saturday I felt pain in my lower back about waistline slightly more to the right of my lower back, then it went away. Then the next day, Sunday I have excruciating pain in my my right butt cheek and runs down half way through my right thigh. All day I have this pain. Last night in bed it was painful to sleep on my back and right side. I woke up today this morning with the same pain in my my right side buttcheek my thigh and now my calf and lower right side of my back.
The calf pain feels like a cramp wanting to come on but no cramp. I was able to lay on my right side with moderate pain this morning as well. So what is going on, do I have a sciatic nerve issue?
Thank you.
You are so awesome been putting up with this for 25 yrs .when I feel down on steps caring my Granddaughter in her tote she was fine I couldn't let nothing happen to her I never let go of her .But the pain was awful yes I cried it split my buttocks muscle in half .I can still see & feel the indentation. My question is there just 1 excise I can do for this pain.?
This helped me understand a depper understanding on this. I defentily have the disc issue, due to over working out. I got PT but its a very slow process as my PT stated. wooo this pain is bad. When is it time to get a MRI vs XRAY if PT does not solve the issue? Heal time from minor injure could be up to 6 months i hear. Either way thanks for posting this information. Much appreciated.
Great video. I have bilateral sciatica but MRI was totally negative. Can this still be discogenic? Thanks!
R u able to sit without pain or sleep on your back ?
Me even walking i get thé sciatic nerves pain from Hip to heel
I have bulging discs L-2 to 5 with referred pain in buttocks. Rolling against the wall for butt pain on yoga balls often makes my back hurt. What can I do to strengthen my low back? Thanks so much!
Great explaniation of the 3differences..Thank you so much.i dont know what i have yet going to extray on whensday.but i think is Sciatica pain it burns so muchat the frant can wear shoes or pants. I will se your explanation igen it is so good like so Thanks very much.
Welcome! thanks for watching!
Where can my husband find someone like you? He has been to 4 different clinics and multiple injections, Accupunture, chiropractor, PT, everything.
Hey Kimberly! Sorry to hear about your husband… not fun.
Is he open to help virtually where he can learn how to solve this himself (with some help of course)?
I do consult with folks internationally.
No pressure- but if he is, first step would be to set up a time to chat to see if it’s a fit and I can review his case. He could do that by visiting:
www.drcharliejohnsonpt.com/apply 👍
I thought for sure but but when I lean back and to the lift I trigger it so it but be my back even though I have no back pain.
Will you please explain the stairs going into the ceiling - I don't get it
I think it's ps, it's great work dr
What about a compression on my traversing left L4 nerve root? Could that be causing my band of pain down the front of my left thigh and inner left knee and inner left leg shin and outside area of my inner left foot?
If taking a high does of magnesium (muscle relaxer) takes the pain away temporarily, can that rule out a disc issue??
Great program! I have been having an ongoing nerve pain at the ball of my left foot. It is especially painful after going for a long walk. I'm going to a chiropractor and podiatrist, but I'm still have pain. It seems to be caused by the L5 nerve. But is it the piriformis? It doesn't hurt in my back though. In the past I had many episodes of sciatic nerve pain with severe buttocks and back pain with locking up.
Hey! So, it may be… but difficult to say without more info. Have you checked out this video… it’s possible your back is causing your foot stuff! ua-cam.com/video/B6HoL18QWpg/v-deo.html
Have, seemingly performing, daughter is a pilates expert, been getting deep tissue massage, knee issue, pain, on same side as aching butt cheek, after massages, seems to help, but aggravation for days, this last massage Monday, she worked heavily on lower back and performing, felt good, knee relief, yesterday I bent over and wrenched lower back. Could barely walk. Seemed better after taking ibuprofen and arnica cream, but too much movement, now I am hurting and it concerns me, a other issue is when I bend over or lift in the past, I would feel tired in the lowerback girdle area, would radiate all in lower back, and be painful, would have to sit down, but not had this lower back pain like this, where I can't walkwell, noticed that it it is directly related to the right side issue, that happens ago with a hike a d afewdays later, after driving, sitting would be in excruciating pain all down the right side from butt cheek to foot, my life has never been the same. I am also off balance and use to fall easily on my knees, was walking more, in a quandary? I feel right now a slight ache on right side inner lower back next to the butt crack.
Dr. Johnson. Very helpful information. My wife has on-going pain in the Lumbar-Sacrum area that her doctors haven't been able to determine the cause. I suspect Piriformis Syndrome. And what's going on with the stairway in your video background that seems to go nowhere?
HAHA- stairs to nowhere! FIREWALL between commercial and residential- so they are blocked off... just go strait to ceiling... weird I know.
Sorry to hear about wife- appreciate you watching my stuff. For sure a tricky area. Most of my clients have seen many other providers and still can't crack the code...
Are you guys (you/your wife) open to help? No pressure, but would love to chat to see if/how I can help your wife (this is my specialty... literally all I treat).
If so, you can set up a time to chat at- www.drcharliejohnsonpt.com/apply
Thanks Chris!
Let me know if ya have other questions!
I had a partial herniated disc for more than a decade now, it eventually became more bearable recently until I went cycling with a new saddle about 4 months ago, really hurt my buttocks and my lower back started to flare up and it got worse as the temperature became colder. not sure if I made it worse just by using the wrong saddle?
ok so I have pain in my lower (mostly left) side of my back. waking gives great pain on the side and the front of the thigh but nothing down below the knee. but doing both leg raises in he chair does not significantly hurt the bad side...where does that leave me?
Just wanted to say thank you Doc. Your DIY better than an MRI Guide helped me narrow down that it was indeed Sciatica and not Piriformis Syndrome. I decided to lay off the typical stretches and have just done the press ups almost exclusively and they've been helping over the past couple days.
Awesome! So glad I could help you ❤️👊🏼
Привет 🤝, наши проблемы схожи. Похоже Вы правы- надо укреплять мышцы спины, чтобы уменьшить стеноз.
My tailbone hurt and when I walk stairs putting pressure down on steps I feel pain on my butt and feel like my pelvis is so heavy.
Is it possible to have to both
Courteous, could the butt pain also cause tingling and pain on the foot?
Thank you, Dr Johnson. Your method convinced me I do not have sciatica. I was diagnosed with bursitis of the hip, and the pain seems to be very similar to pirifomis. I am not totally convinced that the problem is bursitis of the hip so I was wondering if there is a flowchaart which might convince me one way or the other?
Hey! Thanks for watching… for sure- check out my DIY Diagnostic Guide if you haven’t already. You can download it here 👇
www.drcharliejohnsonpt.com/DIYGuide
Let me know what you learn- okay?!
Back.
But wow I could have sworn I had PS, even my PT suggested that, but stretching the muscle didn't help.
In your test I found all three bending backwards tests caused my butt and back leg pain (down S1 zone).
But neither of the PS tests caused the pain
Time to go back to checking disc.
Thanks so much for pointing me in the right direction!!
You got it Lord! Glad i could help- let me know if you have other questions. Good luck!
@@drcharliejohnson You are a life saver!! Doing my PT exercises for bulging disc reversed my sciatica pain!!
Can't thank you enough WOW
@@lordw9609 awesome! So glad I could help. Yeah- can be tricky. Way to watch and apply 👊🏼
so great! what a way to figure out what you have....I can now straighten my right leg so I know my problem is getting better but i still have tingling and a numb foot a lot......I think i was in a leg press with too much weight on and caused my problem with that...is that something you see? and would too much weight push out my disc? great videos...you are terrific!
Hey Janelle! Thanks for watching!
I would say yes- lifting injuries are common…. But honestly, there are so many causes of this stuff. With the right motions, strategies, and time- your disc should heal 👍
Let me know if you need more help 👊🏼
@@drcharliejohnson that is fantastic to hear!..i didnt want to think surgery or anything....thanks for answering me so quickly...I really appreciate your help and will continue to get great info from your vids...thanks!!