Thank you , yet again, and again Maryika. I have got an inflamed pirifirmis, as my local osteopath explained, plus therefore other muscles behaving in sympathy, and pressure on the sciatic nerve .. exactly as you also showed. Your instructions are so understanding. Doing a full stretch figure 4 is sooo awful and just caused worse so caution is such good advice. I was trying too hard. Now i am trying to listen ! Thank you for being so clear, words , images, organisation of explanation and demonstration. Keep up the good work, please.
I'm trying too hard too. I told myself ill stop exercising for a week just to give my muscles a break but the burning keeps coming back. Have you been consistent with the things suggested?
@@0famz Me too. Aged 70 trying exercises too hard for overall fitness in preparation for knee surgery. First I damaged my shoulder (torn rotator cuff) on the rower and now lower back with buttock pain. Managed to reach 70 fairly healthily with little exercise and no injuries. I future I will just stick to walking.
Great information - I was 'diagnosed' with Deep Gluteal Syndrome 3 days ago and have experienced all 5 of these mistakes in the 3 days since. It's difficult to know where to start to build back again but this has helped me stay positive and recognise that gentle and often is going to be key at the start until the nerve settles down and the surrounding. Good that you focus on addressing the dysfunction and imbalances of the surrounding muscles to relieve the piriformis for long term health.
Hello, the pain come back again ? Or pain go permanently? I have lumbar and buttock pain but not radiating my feet. And now I feel painful muscle in my butt
Thank you, I've watched a lot of videos on Piriformis Syndrome, yours is the the best explanation I've heard. I've had it for 4 weeks. Day one was the worse, Buttocks, thigh, calf and numbness in side of foot. For the next 4 weeks, I regularly did PS exercises, took supplements, eat good food, and did daily walking. I Improved so much, the only thing left was the numbness in side of foot, then yesterday the buttock pain came back, I still have it, its excruciating. My doctor said it's probably a spasm. I think I heard Rob & Brad on RUclips say, if there is a numbness in foot, then that is coming from the root which is the Piraformis muscle in the buttock.
2 years with pain. No physiotherapists, no massage therapy, no exercise , no stretching were helping. Everything I was trying was just flaring me up. I convinced a physiatrist (specialist in physical rehabilitation) to give me a botox injection. 3 weeks after, most of my symptoms are gone. I can now work on rehabilitation.
I get that pain whenever I sit too long for a week or so..the stretches always help and I'm glad I found this, you demonstrate it well I have done the tennis ball on floor but never tried it on wall, easier.. and not as painful, thanks!
Thank you for sharing this information. Two ortho doctors and a physical therapist could not confirm what I knew - that it is my piriformis muscle giving me issues.
How often should you do the clam stretch? Btw hamstring stretches is what actually caused the problem in the first place. I also have anterior pelvic tilt. Massaging the actual area makes it worse as its lower down. And it literally burns!! Thanks so much for all the info!!
What i was looking for a very long time. Had a sudden pop one night after standing straight from touch toe strech. Was putting hip to alot of work prior to that(badminton). Will try all that you've said for 3 months and update the result. Thanks
Many thanks, I am going to do the stretches and bridges. I fell backwards, fairly hard mostly on the right side of my butt and think my left side is still trying to overcompensate by staying really tight. Two weeks later my right side hurts no more but now the left side is very painful!!
These tips really made me feel better, thank you! I’ve started a daily routine consisting of stretches, massage and strengthening per session. In what order would you recommend doing these in and how many sessions? For now, I’m aiming for 3 sessions per day.
@@eddiemuise4791 foam rolling, by the way I have adjusted my routine according to this very helpful video which suggests to start with stabilizing excersises ruclips.net/video/z5EwzmNgdlk/видео.html
hi lady thanks for healing work you put there for the world to help ourselves. when am sitting and bend my neck head front ward something pain in my left hip. what's that please! thank you
I have pain in buttock leg knee down to heel. Don't have sciatica but but having a hard time for long walk and even sitting it hurts also my heels once I do walking do you this is periformis?
I think people are getting this from injections to the glute. I think I have it now after an IM injection a few weeks back. Same symptoms exactly that get better with anti inflammatorys.
It could be something to do with your nerve that runs around your fibular bone's head. The treatment will depend on what is causing the irritation on the nerve and that can only really be established through an assessment. So, I would consult a physiotherapist who can test it for you and help you understand what treatment is appropriate for your case.
6 weeks later and still in acute phase. Have tried weekly Chiro,acupuncture,, massage, ice/ heat And still can’t get it to settle down enough to do her first stretch. When I try to pull leg up smallest amount it goes into spasms… frustrating I can’t call things down enough to do rehab…
That stretch is not for everyone and it sounds as if in your case, stretching is not the right rehab route. Rehab has to be adjusted to suite the specific person because every person's injury is usually unique (even if it is the same structure). Some patients who are in your situation benefit more from gentle strength training and modifying their daily activities. This is something that a physio can help assess and determine for you. If you wanted more specific rehab advice and an exercise plan, this is also something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/
My sciatic nerve root is damaged, so my sciatic nerve hurts me 24/7. My piriformis muscle huts me 24/7 also. My pain mgmt doctor is not interested in finding out what is causing the extra severe pain.
Piriformis injuries can take a long time to sort out but if you're not seeing improvements, then it can be useful to change treatment and adapt different habits. If a treatment is going to work, you should be seeing significant changes within 4 weeks at least. If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/services
I was told over the years that my issue was sciatic and have just lived with my once or twice a year episodes. Usually from putting on a sock, of all things. Doing Google-research I have realised that it's the piriformis- I can feel the entirety of the muscle, it is so inflamed and painful to the touch. Picked up a spiky massage ball at the drugstore and that did wonders. It's just so frustrating when you are normally active!
Hi Heather, if you only get sporadic episodes it is usually something that you can get rid of if you strengthen the area up as well. So it may be useful to speak with a physio and get some exercises - stretches and massage can be really useful to help with the pain but you need to also strengthen up. It may likely be that you have to strengthen your back as well as your glutes to see results.
@@SportsInjuryPhysio Hi Doc, I just watched your video by chance and found it very informative, and I've subscribed to your channel now. I have a similar experience as Heather except it took me only about 2 months before I realized what I have is "piriformis" but not "sciatica" as it started from the buttock, not the lower back. After performing some relevant exercises from RUclips videos, I think the pain and other sensation have practically gone. (1) In general, can piriformis syndrome be healed by conservative treatment (exercises, stretching) at home? (2) Do I need to continue doing the exercises now that I no longer feel any pain? (3) Finally, will any exercises that strengthen glutes muscles useful as a preventative measure? I hope you can see this message. 😀Thanks.
It's not really something you can do on yourself - a therapist of doctor have to do a though assessment of your injury history and movement tests and likely order scans if needed.
It can work via online, because you can still perform the movement test etc. in front of the camera. Scans will just still have to be ordered through you doctor if they are needed but we can write a letter for that. If you were interested in an online appointment, I would recommend my colleagues Kevin and Barry for this. You can find more information about the online service and book an appointment on our website: www.sports-injury-physio.com/
Lower back injuries very often cause the piriformis to be painful and vice versa - gluteal or piriformis injuries can cause the lower back to hurt. With this type of pain, you usually don't need (and often can't get) a definitive diagnosis because the areas are so interlinked. Treatment works best if it is tailored to the specific patient and according to what their symptoms allows - so, the diagnosis has little impact on the choice of rehab exercises etc. If you want help figuring this out, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com
I tried your routine and single leg bridges and it worked like a miracle so how many times do I do this since I did 10 reps 10 second hold .Should i also try side lying abduction?im seriously not gonna do clamshells I finally found my weak link
Sports Injury Physio my left foot is hyper pronated so I do clamshells there but than I get pain in si and more buttock pain . I feel my inner thigh muscle working trying to stabilise when doing clamshells on the left leg compared to right .are my external rotators weak on the left ??
@@SportsInjuryPhysio thank you so much for responding. Yes my glute pain is there since last 6 months and recently i am also experiencing groin pain along with glute pain. After watching your video i am following massage therapy and stretching and it has started to feel better. Thanks so so much 🤗🤗
Then you may have gluteal tendinopathy or hip bursitis or both (called greater trochanteric pain syndrome) - we have a whole playlist of videos about that: ruclips.net/p/PLkRW4ITRa6bDEJQx5Wr_MjWP2XecrI4Q2
Yes, it can often irritate it for that reason. I find that most people with piriformis syndrome actually don't do well with strong pressure over that area.
@@SportsInjuryPhysio in tracing my steps I could not remember anything that might have caused the onset of piriformis syndrome in my case. Then one possibility came to mind. I had recently purchased one of those electric portable back massagers that you use for your neck and back. The kind with the solid hard rotating balls inside. I started placing it down by my right hip and leaning against it in order to get what I thought was the most effective massage. It was only after a couple of days that I started having intense pain like an electric shock if I may just the wrong movement with my hip during everyday activities. Do you think I could have somehow injured my piriformis muscle or the sciatic nerve doing this?
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
Hey I try doing clams shell like you said and I go into a lot of pain .i have pain when standing on my right glute just where the hamstring attaches to it . I can’t sit at all due to pain and also I am flat feet 🦶.ive strengthened my back and core which was weak and it was later that I found out about my Piriformis syndrome .its been 3 years but they finally diagnosed it .and yes all what you mentioned clicks with me tags why I messaged
I had Piriformis syndrome. Guess what was cause. Hemorrhoids I did all kind of stretch no use. I t was a silent Hemorrhoids till it became to live 😢 you can imagine the pain. I related. Now on process of healing from it. I hope this info can help anyone
Omg. I do all stretches too and its been 6 months. Walking in the water helped a lot. I was a swimming instructor assistant and playing with kids 3 hours a it was awsome. But i had to stop it due to time issue and the pain is back. 😭😭😭😭
Ice can be useful to help with pain and swelling if you feel you need it. But it doesn't necessarily speed up recovery. Just remember to not leave it on for longer than 10min at a time as over-cooling is also not good.
Hi Johnny, you can read more about the video consultations here and if you click the "book now" button it will take you to a page where you can book an appointment: www.sports-injury-physio.com/services
Hi. Thank you so much for this information. I felt that doing clams, sitting on a chair and doing the piriformis stretches shot up the pain upwards on my back. I recently had an injury and the doctor said I had to do piriformis stretches. I was wondering is this pain running down my leg going to be a life-long thing or will it go away after I do these stretches? Is it ok to wear heels while you are doing these stretches? Is it ok to go for long walks as exercise?
It is complicated to do because you have to rule out other causes such as back injury, gluteal tendinopathy, high hamstring tendinopathy etc. So you have to consult an orthopedic doctor or a physiotherapist - they will be able to diagnose it for you.
Thank you , yet again, and again Maryika. I have got an inflamed pirifirmis, as my local osteopath explained, plus therefore other muscles behaving in sympathy, and pressure on the sciatic nerve .. exactly as you also showed. Your instructions are so understanding. Doing a full stretch figure 4 is sooo awful and just caused worse so caution is such good advice. I was trying too hard. Now i am trying to listen ! Thank you for being so clear, words , images, organisation of explanation and demonstration. Keep up the good work, please.
I'm trying too hard too. I told myself ill stop exercising for a week just to give my muscles a break but the burning keeps coming back. Have you been consistent with the things suggested?
@@0famz Me too. Aged 70 trying exercises too hard for overall fitness in preparation for knee surgery. First I damaged my shoulder (torn rotator cuff) on the rower and now lower back with buttock pain. Managed to reach 70 fairly healthily with little exercise and no injuries. I future I will just stick to walking.
Great information - I was 'diagnosed' with Deep Gluteal Syndrome 3 days ago and have experienced all 5 of these mistakes in the 3 days since. It's difficult to know where to start to build back again but this has helped me stay positive and recognise that gentle and often is going to be key at the start until the nerve settles down and the surrounding. Good that you focus on addressing the dysfunction and imbalances of the surrounding muscles to relieve the piriformis for long term health.
Can I ask who did you go to for a proper diagnose ?
Hello, the pain come back again ? Or pain go permanently? I have lumbar and buttock pain but not radiating my feet. And now I feel painful muscle in my butt
Thank you for this, and I have to say I love how “real” this video is!
You're welcome!
After shattering my ankle, I have been watching many of your videos and really appreciate them
Good to hear!
Thank you, I've watched a lot of videos on Piriformis Syndrome, yours is the the best explanation I've heard. I've had it for 4 weeks. Day one was the worse, Buttocks, thigh, calf and numbness in side of foot. For the next 4 weeks, I regularly did PS exercises, took supplements, eat good food, and did daily walking. I Improved so much, the only thing left was the numbness in side of foot, then yesterday the buttock pain came back, I still have it, its excruciating. My doctor said it's probably a spasm. I think I heard Rob & Brad on RUclips say, if there is a numbness in foot, then that is coming from the root which is the Piraformis muscle in the buttock.
Thanks for sharing, and good luck with your recovery.
@@SportsInjuryPhysio thank you 🙏🏽
For the longest time I thought it was the side of my hip that's tight, tried this and now my hip feels loose thank you so much I feel relieved.
Great to hear!
You’re so flexible! I’m impressed and love your videos; they are informative, practical, and very helpful.
Glad you like them!
2 years with pain. No physiotherapists, no massage therapy, no exercise , no stretching were helping. Everything I was trying was just flaring me up. I convinced a physiatrist (specialist in physical rehabilitation) to give me a botox injection. 3 weeks after, most of my symptoms are gone. I can now work on rehabilitation.
botox didn’t help me at all
@@tanairigonzalez9793 how many injections did you get?
@@hael8680 4
I get that pain whenever I sit too long for a week or so..the stretches always help and I'm glad I found this, you demonstrate it well
I have done the tennis ball on floor but never tried it on wall, easier.. and not as painful, thanks!
Does it not irritate you using ball
@@eddiemuise4791 if you do it against a wall it's not as hard on you like when you do it on the floor
I also just make a fist with my hand on that side and roll over it.
Excellent video! Very informative and I got so much relief on the very first stretch. Thank you!!
Great to hear!
Love the way you are explaining ❤️ i am gonna do these. In pain since last 6 months.
Thank you.This is exactly what I was looking for. The stretch helped me relieve the pain quite a bit
You're welcome!
Thank you for sharing this information. Two ortho doctors and a physical therapist could not confirm what I knew - that it is my piriformis muscle giving me issues.
You are welcome!
Excellent explanation. Thanks. It helped me understand the reason for my pain better.
Glad it helped!
Thanks very much. The knee to chest exercise worked wonders.
Great to hear!
Thanks so much, this is very helpful information.
Glad it was helpful!
Very good advice 6 months sorted then done a garden job. Now back to answers had x ray nothing to see
Perfect timing. Pulled lower back muscles yesterday!
I love ❤️ this two men because my hip is better now …thanks so much
How often should you do the clam stretch? Btw hamstring stretches is what actually caused the problem in the first place. I also have anterior pelvic tilt. Massaging the actual area makes it worse as its lower down. And it literally burns!! Thanks so much for all the info!!
What i was looking for a very long time. Had a sudden pop one night after standing straight from touch toe strech. Was putting hip to alot of work prior to that(badminton). Will try all that you've said for 3 months and update the result. Thanks
You're welcome!
Many thanks, I am going to do the stretches and bridges. I fell backwards, fairly hard mostly on the right side of my butt and think my left side is still trying to overcompensate by staying really tight. Two weeks later my right side hurts no more but now the left side is very painful!!
Ciekawe i konkretne porady. Spróbuję ćwiczyć ale nie jestem aż tak rozciągnięty.
Thank you so much for putting the time and effort into education us. I got some great tips out of it - like beware of the hamstring stretch.
Glad it was helpful!
These tips really made me feel better, thank you! I’ve started a daily routine consisting of stretches, massage and strengthening per session. In what order would you recommend doing these in and how many sessions? For now, I’m aiming for 3 sessions per day.
Ĺĺ
Ĺĺ
P
What kind of massage if I may ask.ty
@@eddiemuise4791 foam rolling, by the way I have adjusted my routine according to this very helpful video which suggests to start with stabilizing excersises ruclips.net/video/z5EwzmNgdlk/видео.html
Thank you so much. Very good explanation!
You're welcome!
How are you suppose to do these stretches if you’re in so much pain from this injury??
Lol that was my issue too.
dear lady when I bend my head front ward I get sharp pain in left hip. what's that please! either sitting or standing it pains.
The point is how to know you have a good diagnostician!
Spot on !
hi lady thanks for healing work you put there for the world to help ourselves.
when am sitting and bend my neck head front ward something pain in my left hip. what's that please! thank you
Thank you so much Dr I found these tips very useful
very important messeges ..thanks
I have pain in buttock leg knee down to heel. Don't have sciatica but but having a hard time for long walk and even sitting it hurts also my heels once I do walking do you this is periformis?
It can be one of several things - the only way to know is to have it assessed.
thank you!!!… this pain is so annoying
Thanks for watching, and good luck with your recovery!
Possibility why muscle is painful even without much activity. Thanks
Which specific muscles in the low back can cause the piriformis to be tight?
Nothing specific - most types of lower back injuries can also irritate the piriformis.
What do you think of percussion massagers for helping address the nerve issues?
They aren't really advised for nerve issues - I discuss the current research and dos and don't here: ruclips.net/video/tA99gl-72Ac/видео.html
Thank you. Very informative
If you have bad hips from falls can I still fix my hamstrings.ty
Excellent video with advice. Thank you.
How long does it take to heal completely ...I have been visiting a physio for 3weeks
I think people are getting this from injections to the glute. I think I have it now after an IM injection a few weeks back. Same symptoms exactly that get better with anti inflammatorys.
I have numbness around IT band... Why is it??? How to get relief...?
It could be something to do with your nerve that runs around your fibular bone's head. The treatment will depend on what is causing the irritation on the nerve and that can only really be established through an assessment. So, I would consult a physiotherapist who can test it for you and help you understand what treatment is appropriate for your case.
6 weeks later and still in acute phase. Have tried weekly Chiro,acupuncture,, massage, ice/ heat
And still can’t get it to settle down enough to do her first stretch. When I try to pull leg up smallest amount it goes into spasms… frustrating I can’t call things down enough to do rehab…
That stretch is not for everyone and it sounds as if in your case, stretching is not the right rehab route. Rehab has to be adjusted to suite the specific person because every person's injury is usually unique (even if it is the same structure). Some patients who are in your situation benefit more from gentle strength training and modifying their daily activities. This is something that a physio can help assess and determine for you.
If you wanted more specific rehab advice and an exercise plan, this is also something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/
My sciatic nerve root is damaged, so my sciatic nerve hurts me 24/7. My piriformis muscle huts me 24/7 also. My pain mgmt doctor is not interested in finding out what is causing the extra severe pain.
How you doing now? You figure it out?
Hi im experiencing it now how are you now? 😢
Very helpful, thanks
Glad it was helpful!
Thank you for sharing. Thank you very much
My pleasure
Thanks Mam for your valuable information
It's my pleasure
Great information. Is it normal to have it for over 8 weeks without much improvement? Thanks
Piriformis injuries can take a long time to sort out but if you're not seeing improvements, then it can be useful to change treatment and adapt different habits. If a treatment is going to work, you should be seeing significant changes within 4 weeks at least.
If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/services
12:45 Thank you for this video, and all your other. Is it 1 rep 10 seconds, or several reps?
10 sec hold = 1 rep but if that irritates then do shorter holds
how to tell if it's Obturator Internus or Piriformis ?
excellent video
Thank you very much!
very good info, thanks
I was told over the years that my issue was sciatic and have just lived with my once or twice a year episodes. Usually from putting on a sock, of all things. Doing Google-research I have realised that it's the piriformis- I can feel the entirety of the muscle, it is so inflamed and painful to the touch. Picked up a spiky massage ball at the drugstore and that did wonders. It's just so frustrating when you are normally active!
Hi Heather, if you only get sporadic episodes it is usually something that you can get rid of if you strengthen the area up as well. So it may be useful to speak with a physio and get some exercises - stretches and massage can be really useful to help with the pain but you need to also strengthen up. It may likely be that you have to strengthen your back as well as your glutes to see results.
@@SportsInjuryPhysio Hi Doc, I just watched your video by chance and found it very informative, and I've subscribed to your channel now. I have a similar experience as Heather except it took me only about 2 months before I realized what I have is "piriformis" but not "sciatica" as it started from the buttock, not the lower back. After performing some relevant exercises from RUclips videos, I think the pain and other sensation have practically gone. (1) In general, can piriformis syndrome be healed by conservative treatment (exercises, stretching) at home? (2) Do I need to continue doing the exercises now that I no longer feel any pain? (3) Finally, will any exercises that strengthen glutes muscles useful as a preventative measure? I hope you can see this message. 😀Thanks.
So how do we perform a correct diagnosis?
It's not really something you can do on yourself - a therapist of doctor have to do a though assessment of your injury history and movement tests and likely order scans if needed.
@@SportsInjuryPhysio And I guess that it cannot be done on a P2P on-line session? (I am in Malaysia).
It can work via online, because you can still perform the movement test etc. in front of the camera. Scans will just still have to be ordered through you doctor if they are needed but we can write a letter for that. If you were interested in an online appointment, I would recommend my colleagues Kevin and Barry for this. You can find more information about the online service and book an appointment on our website: www.sports-injury-physio.com/
Do you have any videos on SI joint injury?
Does this can cause pain on my lower back ? How can I determine I am suffering from this ?
Lower back injuries very often cause the piriformis to be painful and vice versa - gluteal or piriformis injuries can cause the lower back to hurt. With this type of pain, you usually don't need (and often can't get) a definitive diagnosis because the areas are so interlinked. Treatment works best if it is tailored to the specific patient and according to what their symptoms allows - so, the diagnosis has little impact on the choice of rehab exercises etc. If you want help figuring this out, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com
Do you recommend heat or ice to calm it down after work/pt/stretching? Or both?
Here's our video on heat and/or ice: ruclips.net/video/U_9gjff7ICU/видео.html
I have problem with
While extending Right leg feel pain in left gluteal region
Also difficulty to extend the left leg
Is it dew to piriformis syndrome
I tried your routine and single leg bridges and it worked like a miracle so how many times do I do this since I did 10 reps 10 second hold .Should i also try side lying abduction?im seriously not gonna do clamshells I finally found my weak link
You will have to find your own way with these because I can't tell you how many to do without assessing you. xm
Sports Injury Physio my left foot is hyper pronated so I do clamshells there but than I get pain in si and more buttock pain . I feel my inner thigh muscle working trying to stabilise when doing clamshells on the left leg compared to right .are my external rotators weak on the left ??
How are you feeling now are you pain free?...
Does this muscle gives S.I. and low back pain?
It can, but SI and low back pain can also cause this muscle to tighten and hurt. So it's a bit of a chicken vs. egg situation.
Does this also aggravate groin pain? Please respond. Thanks
Not necessarily - groin pain can have many causes but if your glute pain has been going on for a long time then it can be secondary to that.
@@SportsInjuryPhysio thank you so much for responding. Yes my glute pain is there since last 6 months and recently i am also experiencing groin pain along with glute pain. After watching your video i am following massage therapy and stretching and it has started to feel better. Thanks so so much 🤗🤗
Great informantion
Glad you think so!
The pic of anatomy is clear at all.
Hi how do you know if stretching Will help or Hinder me.ty
6:40 best stretch ever I can sleep now 😮💨
Thanks for your info.Harith,Germany
Our pleasure!
Thank you 👏
You're welcome 😊
Mine is the outer hip buttocks. The pain runs into my outer lower leg like a deep ache 😢
Then you may have gluteal tendinopathy or hip bursitis or both (called greater trochanteric pain syndrome) - we have a whole playlist of videos about that: ruclips.net/p/PLkRW4ITRa6bDEJQx5Wr_MjWP2XecrI4Q2
You’re amazing!
Excellent... 👍
Thanks
Can forceful massage such as kneading your piriformis muscle with a tennis ball actually put even more pressure on your sciatic nerve?
Yes, it can often irritate it for that reason. I find that most people with piriformis syndrome actually don't do well with strong pressure over that area.
@@SportsInjuryPhysio in tracing my steps I could not remember anything that might have caused the onset of piriformis syndrome in my case. Then one possibility came to mind. I had recently purchased one of those electric portable back massagers that you use for your neck and back. The kind with the solid hard rotating balls inside. I started placing it down by my right hip and leaning against it in order to get what I thought was the most effective massage. It was only after a couple of days that I started having intense pain like an electric shock if I may just the wrong movement with my hip during everyday activities. Do you think I could have somehow injured my piriformis muscle or the sciatic nerve doing this?
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
Please disc
Hey I try doing clams shell like you said and I go into a lot of pain .i have pain when standing on my right glute just where the hamstring attaches to it . I can’t sit at all due to pain and also I am flat feet 🦶.ive strengthened my back and core which was weak and it was later that I found out about my Piriformis syndrome .its been 3 years but they finally diagnosed it .and yes all what you mentioned clicks with me tags why I messaged
Same pain won't let me lay down to exercise
What causes the pain?
I had
Piriformis syndrome. Guess what was cause. Hemorrhoids
I did all kind of stretch no use. I t was a silent Hemorrhoids till it became to live 😢 you can imagine the pain. I related. Now on process of healing from it. I hope this info can help anyone
Omg. I do all stretches too and its been 6 months. Walking in the water helped a lot. I was a swimming instructor assistant and playing with kids 3 hours a it was awsome. But i had to stop it due to time issue and the pain is back. 😭😭😭😭
I found the pigeon stretch was useful but had to ease off.
Ice can be useful to help with pain and swelling if you feel you need it. But it doesn't necessarily speed up recovery. Just remember to not leave it on for longer than 10min at a time as over-cooling is also not good.
so how can i get an appointment with you i have so much pain .i need a proper diagnosis.
Hi Johnny, you can read more about the video consultations here and if you click the "book now" button it will take you to a page where you can book an appointment: www.sports-injury-physio.com/services
yeah the clam shell, make my pain worse
lol I couldn’t even pull my leg at all in the first one. Just the hand on my ankle hurt
I'm not sure what my problem is, but crossing one leg over the other for me would cause me to pass out with pain. I'll pass!
Madam you are God to me...
Hi. Thank you so much for this information. I felt that doing clams, sitting on a chair and doing the piriformis stretches shot up the pain upwards on my back.
I recently had an injury and the doctor said I had to do piriformis stretches. I was wondering is this pain running down my leg going to be a life-long thing or will it go away after I do these stretches? Is it ok to wear heels while you are doing these stretches? Is it ok to go for long walks as exercise?
Stretching made it worst for me, I did more squats, lunges, Clams or the peeing dog and this is working better for me.
Do strength training first. Stop stretching.
@@godzeus777 surely strength training would enlarge the surrounding muscles, which may worsen the condition?
So tip 1!!! How exactly do you get the right diagnosis? You don't really explain sorry.
It is complicated to do because you have to rule out other causes such as back injury, gluteal tendinopathy, high hamstring tendinopathy etc. So you have to consult an orthopedic doctor or a physiotherapist - they will be able to diagnose it for you.
Thank you so much. It’s really useful
Glad to hear that