Do I Have Piriformis Syndrome Or Sciatica?

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  • Опубликовано: 29 июн 2024
  • Are you confused on whether you're suffering from piriformis syndrome or sciatica? I'm going to give you the details about how to distinguish between the two, and know which one you have going on, so that you can know what to do next, how to treat the problem that you've got.
    You've likely got some hip pain, some pain in the butt, literally pain in the butt cheek area, and this pain in the butt cheek area is causing your symptoms. But it can be confusing to know whether it's sciatica or whether it's piriformis syndrome.
    First off, let's define the two just to get some clear-cut borders on what is sciatica and what is piriformis syndrome. Let's start with piriformis syndrome. Piriformis syndrome refers to the piriformis muscle which is a muscle deep in the butt cheek area.
    #elpasomanualphysicaltherapy #drdavidmiddaugh
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Комментарии • 52

  • @karaleeallen8523
    @karaleeallen8523 9 месяцев назад +3

    I wish your advice for professional helps was helpful . I’ve seen 4 physios and a chiro and none helped . No one listens . My only real help has been a rolfer who is the only one who actually checked my pelvis and was it was rotated and twisted . And it was obvious to me when she did this . She has helped gently adjust and have so much relief but your videos explain why and then how to maintain them in the right place . I am fit and strong with a sitting/ then very physically demanding job ( EMS) which is where I was injured . Which is why I couldn’t understand this pain!!! I wish I was in El Paso and not in Canada lol but I think between you and her I can get back on track

  • @RandomRads
    @RandomRads 7 месяцев назад +4

    Thanks a lot. I didn’t understand 90% of what you said. But all I know now is it’s Periffff stupid thing and NOT Siatica. Such a relief.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  7 месяцев назад

      Hey Pranneth! We are terribly sorry to hear that you weren't able to understand the majority of the information in this video, based on your feedback we can assume you still found this video useful so thank you! If this is due to a language issue, you can go to the settings section at the bottom of the video (where you can make it full-screen) and you can click on auto-translate.
      Here is an additional resource you might find helpful regarding sciatica pain:
      "Sciatica Pain Exercises & Stretches"
      ruclips.net/p/PLJVIPiFvv1maZPQPPtirn4oxj8oCPuIMR
      We hope this helps! 😄

  • @KarenReyes-nu9ii
    @KarenReyes-nu9ii Год назад +6

    Wow!! You are describing me. I have both going on. I describe this all the time to doctors. I have low lumbar problems also. Mild arthritis in hips. PT did not help. I have been to pain try center with no solution. 😢I am in bad shape now. Your videos are amazing. So much information. I may be calling you.

    • @rolandovivar6864
      @rolandovivar6864 4 месяца назад +1

      Precisely same problem here too. Drs always point to lumbar for the root of the pain. But I always that I have very little if any pain there. Informative & clear explanation!

  • @pmmac2382
    @pmmac2382 Год назад +10

    Amazing info doc. You are so generous with your time and knowledge thank you

  • @ahmeemfarish1381
    @ahmeemfarish1381 10 месяцев назад +3

    highly helpful. i did follow your advices. it is evident and logical.

  • @Kathy-kr1sv
    @Kathy-kr1sv 9 месяцев назад +5

    Have to say. I could kiss you (in gratitude). Hasten to add I'm old enough to be your mother 😊. You DR. are a blessing. Thank you so much 😘

    • @cyndimanka
      @cyndimanka 3 месяца назад +1

      I could be too lol. My oldest is 45.

    • @aleksandrazimpel8097
      @aleksandrazimpel8097 2 месяца назад

      @@cyndimankacould be me too lol. Love the doc, my daughter is 50!

  • @esterkahingunga5813
    @esterkahingunga5813 11 месяцев назад +1

    I have chronic neck and lower back pain on my right side, with multiple level of degeneration and arthritis of the spine. C3/4, C2/5, C5/7, L2/5, L5 Rhyzotomy was performed . I have also pain my left hand. When I sitting for long time and also when I sleeping.Please help me, it is now for more then 7 years. I listen always on your U-tube and you are one of the best doctor for me so far. Thank you !

  • @christineobinnachristineob2132
    @christineobinnachristineob2132 9 месяцев назад +2

    Last night I couldn't walk.i had to call out of work..doing just a few of these simple exercises..I feel so much better already..I am able to walk and going to work tonight

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  9 месяцев назад +1

      Hey Christine, we are so glad that we were able to help you get back to walking and work! Thank you for letting us know that this helped you!

  • @suzyschuba5795
    @suzyschuba5795 11 месяцев назад +1

    Thank you. I am very grateful for all the information.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 месяцев назад

      Hi Susy, You are very welcome! Thank you so much for the encouraging words and we appreciate you being part of our community. 🧡

  • @patriciaryancurry6250
    @patriciaryancurry6250 10 месяцев назад +1

    So informational and helpful! Thanks

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  10 месяцев назад +1

      Hi Patricia! 👋 Thank you so much for your kind words! 🌟 We are thrilled you were able to find our video so helpful in finding what is going with your body! 🙌

  • @cyndimanka
    @cyndimanka 3 месяца назад

    I am so glad I found this video. I have been searching for three weeks for an answer. I’ve watched many of your videos. I thought it was this and then I thought it was that and I’m seriously thinking it is my piriformis. I’m going to have an x-ray done this week and I think I would like to go have physical therapy. I’m pretty sure the x-rays not gonna show anything. And I don’t want to have an MRI if at all possible.

  • @gipsiesrealm
    @gipsiesrealm 9 месяцев назад +3

    Mind you, I have trained most of my life I only gym for 18 years and my husband and I both did some personal training for people but my quads are always big and my hamstrings are pretty even for when I was lifting but I’m close to 60 now and I need to know how to fix these things, so I can continue the rest of my life with not quite so much pain in my knee and my hip

  • @blainebowling3303
    @blainebowling3303 Месяц назад

    Very, very helpful!

  • @tessainglis2999
    @tessainglis2999 3 месяца назад

    Thankyou so much you have filled in a lot of answers for me. i havealmost fallen recently off of a step and now am having on and off nerve sensation near my pelvis. I also have facet joint problems and that seems to have stired up as well. Havent had problems with my faucet joint for years since the almost fall, have been through a lot. This was a leg that had been surporting me while i had been on crutches a year or so ago and have had no trouble at all with it up to now. I also have severe arthritus in my left leg. Now I am having trouble walking again when I was doing amazing after excercises and advise from you a while ago, thankyou. I will defiantly go and see a physio. This is my right leg. I think i have shifted my pelvis had no idea. I wish you lived in my area you have so much knowledge thankyou so much. you are an amazing Doctorx

  • @marlenewourms6553
    @marlenewourms6553 8 месяцев назад +2

    So I've been diagnosed with antorlosthesis & spondylitis. I also have some arthritis in R hip. Now to top it all of I have sciatica pain & am in agony. I do
    Go to gym do weight lifting & was walking 3-4 kilometres a day. Now I'm so much pain. Saw 4 physio therapist & chiro. Nothing worked. Been looking up stuff on u tube & Facebook. Started watching your videos & several other people on here. Some have helped but not long term
    . Been crying all day I'm in so much pain.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  8 месяцев назад

      "The Single Most Important Lower Back Exercise"
      ruclips.net/video/NskZAg2axEw/видео.html
      Hello Marlene,
      Having anterolesthesis and a spondy can be so painful and with hip arthritis on top of that. That is a serious muscle imbalance issues. I have added helpful videos for you. But also , there is some info on a virtual consultation or a program that we offer that can be very helpful. We really hope this helps and here's to crying less and less each day because you are taking charge and getting the root of all your symptoms.
      "The Single Most Important Lower Back Exercise"
      ruclips.net/video/NskZAg2axEw/видео.html
      “Hip Arthritis Help”
      ruclips.net/p/PLJVIPiFvv1mbICbP6qlXUZwMyAJlKD1dt
      28-Day Back Health & Wellness Program
      The 28 Day Back Health & Wellness Boost Program is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent back conditions like sciatica, herniated disc, spinal stenosis, arthritis and other back problems.To learn more please click this link: www.epmanualphysicaltherapy.com/back-health
      Virtual visit link:
      We highly recommend a Virtual Consultation service with one of our experienced doctors. By opting for a Virtual Consultation, you'll have the opportunity to have a one-on-one conversation with our doctors, where they can delve into the details of your condition and provide you with tailored guidance and coaching. This personalized approach ensures that you receive the individualized support and direction you need to make informed decisions about your health. To learn more about our Virtual Consultations Please click here:
      www.epmanualphysicaltherapy.com/virtual-visit/

  • @thirooputten3232
    @thirooputten3232 9 месяцев назад +1

    Your explanation is crystal clear.😂

  • @mohammadisa9728
    @mohammadisa9728 2 года назад +2

    Hello dr david. Do you think chiropractic can solve piriformis syndrome? I’ve been aching in my butt cheek almost 2 months. Sometimes my left hip and sometimes my right hip. Just exactly like you described in the video. Could you give me some advice on chiropractic?

  • @nnotny
    @nnotny 11 месяцев назад +5

    My pain is in my right butt, but it generally radiates down the side or front of my thigh and sometimes down past the knee to the ankles. It primarily comes on when I'm in bed, around 2-3 am, but will usually go away if I get up and walk around for a couple minutes. So I'm not sure what I have.

    • @nnotny
      @nnotny 9 месяцев назад +1

      I have the same experience. I've just started the video so I don't know what he'll have to say yet.

    • @rolandovivar6864
      @rolandovivar6864 5 месяцев назад +1

      Same here, but walking helps. Even elevating on soft pillows has helped too. Ice numbs the pain. Sitting a big NO! Have hip arthristis, lumbar bone spurs, glute & thigh pain, some calf pain and foot numbness. I 'll try his stretches, etc.

  • @cyndimanka
    @cyndimanka 3 месяца назад

    I do have arthritis in my hip on the sciatic side. Interesting.

  • @adrury0601
    @adrury0601 Месяц назад

    There is so much variation in my symptoms that it is hard to pinpoint the root cause and I think I might have multiple things going wrong along with muscle imbalances. I'm going to look for a PT that does manual therapy or a chiropractor that also does manual therapy. Mine doesn't start in my butt and run down the back of my leg. Sometimes I feel it in my back, a little bit in my butt then it runs down the outside of my leg or the ache in my whole leg just gets really severe and I cannot walk after 10/15 min. OR the pain will run down the inside of my leg to my ankle and foot. Or it starts at the furthest spot, usually my foot or shin with numbness, foot drop and deep ache, and by the time it is back up in my thigh and lower back I cannot walk. I know I have piriformis issues too because the middle of my butt cheek is sore to the touch but excruciating, I tear up from acupressure there and it will not release.

  • @MzTreeLdy
    @MzTreeLdy 10 месяцев назад +1

    Will wearing an SI belt harm? My right side hurt a lot would lock, kept me up at night, etc… (symptoms I now understand can belong to hip arthritis - I have osteoarthritis in other joints so no surprise). Wore and SI belt… right side got better. Now have severe sciatica pain on the left…

  • @rosemarykilcommons112
    @rosemarykilcommons112 6 месяцев назад

    Who would you suggest in the North Dallas or Plano area for Sciatica therapy?

  • @gipsiesrealm
    @gipsiesrealm 9 месяцев назад +1

    My question is how do you get a balance in muscle i had a groin pull on my left side about 5 years ago
    Now I’ve had problems on my left hip probably piriformis for about two years when I start hiking I can’t go very far because I get pain going from the back of my butt cheek to the front of the hip and probably from walking cricket all this time now my right knee is starting to have problems where my meniscus is. I looked at when your videos for that for it might be out of alignment and I’m trying to work on that because it went out yesterday after riding for a couple hours. I have horses , so I’m limping around today so what I want to know is how do you get your body to be even I have had four C-sections so my abdominal wall is not strong I do have the syndrome where are you are back is very curved and my butt sticks out. I still have a bunch, but I have to work hard to keep it.

  • @martynaaries6045
    @martynaaries6045 9 месяцев назад +2

    I have thr problem of both..soo. lol..is yhere a diagnosis that includes the both ? 😢

  • @esterkahingunga5813
    @esterkahingunga5813 11 месяцев назад

    I have chronic neck a

  • @user-sn9eh1oz9l
    @user-sn9eh1oz9l 10 месяцев назад

    Are the exercises the same?

  • @KarenB-jp3tx
    @KarenB-jp3tx 3 месяца назад

    Its periformus syndrome.. with knee issues bad. And theres an injury clearly to a muscle in my right quad. How its going to be diagnosed i have no idea. And some Pelvic issues too..
    Muscle balances for sure. I need alot of help. Now what doctor will do all this for ME..
    Pelvic prolapse.

  • @jewelwalker4940
    @jewelwalker4940 9 месяцев назад

    My l4 and l5 herniating problem causes severe pain down the front of my thigh not the back of thigh??

  • @almacisneros6339
    @almacisneros6339 9 месяцев назад

    I have all the symptoms 😢

  • @doyen101
    @doyen101 2 месяца назад

    Could one have both problems at the same time?

  • @deborahdomenici1445
    @deborahdomenici1445 Год назад +2

    I have severe pain in my FRONT upper thigh-starting at the inner groin line area. And my right hip is so out of alignment. My right knee is farther out than my left knee-when sitting-looks like almost 2 INCHES. My right hip is rotated outward. I can see it sitting on toilet-rt leg is dropped down and outward. WHAT do I do to fix hip alignment. My upper thigh BURNS

    • @kittenheels1958
      @kittenheels1958 9 месяцев назад +1

      I have this exact same thing you describe and I can’t seem to find a solution!

  • @solidfuel0
    @solidfuel0 22 дня назад

    My symptoms gets better with walking, so which one I have

  • @andreafelton689
    @andreafelton689 3 месяца назад

    5:04 arch of foot, not arc

  • @itsgabegutierrez
    @itsgabegutierrez 8 месяцев назад +1

    I have suffered from sciatica for years. On two different occasions doctors referred me to physical therapy. Just my luck but both therapists told me they did not have specific treatment for sciatica. They were basically winging it. I got no relief. I never went back.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  8 месяцев назад +2

      Hey Gabe, sorry to hear that you have been suffering from sciatica for so long :-( We have some great content available that can help you find the treatment that works for you. Here is our playlist of videos for what to do and not to do for sciatica in case you are interested in learning more:
      "Sciatica Pain Exercises and Stretches"
      ruclips.net/p/PLJVIPiFvv1maZPQPPtirn4oxj8oCPuIMR

  • @faithfultita1585
    @faithfultita1585 Год назад +1

    Where are you located?

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  Год назад +2

      Hey Faithful! We are located in El Paso, TX :-) If you are interested in a virtual visit, here is the link below!
      Virtual visit link
      www.epmanualphysicaltherapy.com/virtual-visit/

    • @martynaaries6045
      @martynaaries6045 9 месяцев назад

      Do you accept Medicare insurance 😭

  • @VaporRize08
    @VaporRize08 2 месяца назад

    Do you see sciatica caused by neuropathy?

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  2 месяца назад +1

      Hi Mickie, Sciatica it can be related to neuropathic pain as it deals with nerve pathways.

    • @VaporRize08
      @VaporRize08 2 месяца назад

      @@epmanualphysicaltherapy thanks for answering. Disheartening because seems there's no structural cause for mine on an MRI. But I have it in both legs currently. Hope it goes away. Very hard to walk and it's making my neuropathy foot pain at night 100 x worse.