Pain in the butt - It's NOT Piriformis Syndrome
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- Опубликовано: 19 июн 2024
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#physiotutors #piriformissyndrome
00:00 - 00:30 Intro
00:30 - 01:22 Anatomy Background
01:22 - 01:55 Sciatic Nerve Variants
01:55 - 02:40 What about nerve pain?
02:40 - 03:30 It's usually not the piriformis
03:30 - 06:18 Diagnosis
06:18 - 07:20 Pain Relief Options
07:20 - 09:23 Exercise Options
09:23 - 09:48 Outro
🎶 Intro/Outro Track: Pharien - What You Say
Link: • Pharien - What You Say
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.
My friend you out did yourself on this video top notch my man 👍🏼
Super professionell, strukturiert und hilfreich! Danke!
Thank you ….. you explain things so simply which makes it easier for us to understand xx
Wet and cold weather really works mine up! I get terrible thoracic and butt pain on left of body, neck pain, and lower back, often upper back.
More of these please! Awesome
Thank you so much. I am tired of reading about pyriformis syndrome & it's exercises.
I will definitely try doing these exercises. You really solved my querry .
I started pain in my butt very sharp .2ys on vibrating down mostly left side pins and needles . This came on after the AV covid never been well since . I know my body well as i am a ballet dancer . I do most of these exercises . Some days better than others ....??? I wish my life could get back to normal doctors usless. Love your platform it really helps .thankyou.
Mine came from smashing my ass on a ramp while skating. My life is ruined. It's been 3 years and my toes are numb and I can barely walk. Makes me just want to die.
Sorry for you 2. I feel your pain. This kind of pain is crazy intense and people who have never dealt with it will never understand. Please though don't wish for death and I hope you are joking about that. Maybe check for herniated discs as well. I ruptured 3 from SI up. It's been 20yrs now and I still get crazy tightness at times that cause this insane pain. Myofascial release helps me more than anything and you can do at home. Some good videos on here about what to do. Best wishes to you 2
@@soundmind69 I hear you, I've had spasms and pain. at the bottom my butt for about a year, it's terrible and crippling. Very hard to function.
Keep spreading the good news and share the love towards others
Im having a very tough time, barely can move because of my pain in the butt and back of leg. Unable to even stand properly. Its been 3 days with painkillers but no improvements ! Thank you for sharing and best wishes to you 🙏
У меня была такая же проблема,простите,я не иогла дойти до ванной комнаты,пришлось уколоть тр укола гармонального лекарства,если бы не это лекарство,я бы умерла💯😭
I feel so grateful that this channel exists. You both are so clear and your content is of utter most pertinence, backed up by articles, critically analysed. Thank you !
Much appreciated 💜
😂🎉❤😅😮😊😢🎉😮😢❤😂😂🎉
Appreciate the current research and visual aids showing different causes of pain. You guys are the best.
Thanks a lot 💜
Can a 80 yrs person do this excercise this eexercise who is affectef hip pain.😊
.
Thank you for this video and knowledgeable content
Glad it was helpful!
Great examples of exercises...please pop round nd fix the chronic pain in my butt hip and leg!❤
Great information, thank you!
I agree and studied this deeply, although the piriformid may be tight and those stretch exercises help. I believe the glut medius was the most affected area and some stenosis.
You forgot that tight muscles or lack of mobility in the myofascial parts are able to reduce the blood supply of the nerves (vasa privata). Not a Kompression of the nerves themselves but of the blood vessels that are doing the 'catering service' to the glia cells, so that the nutrition of the nerves is reduced.
In this case you also can have tingling or pain at the backside of the leg.
Pain at the side of the leg is rather a myofascial problem.
Очень прошу совета...у меня адские боли в позвоночнике, ходить почти не могу - немеют ноги, начинается адское жжение и боль в анусе и влагалище...в этот момент я не чувствую ягодиц, они становятся не чувствительными...мне приходится сесть куда придется...чуть отпускает.
@@user-bl3sd6nl5esearch for neuro surgeon. It is saddle area pain which needs to be treated early.
Good information,thank you so much ,God bless you. 👍
Very helpful channel
SUPER HELPFULL!
This makes since.
Excellent presentation
Thank you 🙏🏼
excellent diagnosis ....is the most important in therapy....
Healing is most important
Thank you so much!
Thanks so much for sharing !
you're welcome!
Great Video..... Thank You❤❤❤
Thank you
Very helpful!
Grazie mille video molto chiaro.Tutti problemi che mi interessano e che non non ho mai risolto ho provato di tutto.
I don't care what terminology you use. My butt still hurts and the pain makes its way to my ankles. I do all the exercises and work out 3-4 times weekly. It hurts when I continually walk around a table or stand (part of my work). I have been to PT. The irritation has been going on for 4+ years. Doctors get hung up on terms. What I seek is results.
I understand that you are suffering and that it's really frustrating. I'm in the same boat. However terminology matters because diagnosis matters ...and if you don't get the right diagnosis then you can't get the right treatment. And you can't get the right diagnosis if your doctor or physical therapist doesn't understand the difference between one condition versus another; and they have to know and use the correct and precise terminology to do that.
Go to a chiropractor and get adjusted. You'll feel so much better
Thanks@@lisag18
My mine too!!
Bilkul be ni@@lisag18
Thx a lot looking useful
Thank You
Thank you very much 😊
Very good video, keep it up!
I watched many videos before finding this one that provides excellent detail and progressive exercises that I'm sure will help and even eliminate my pain. Thank you!
Really appreciate your channel, helps staying up to date as a therapist. Thank you!
Thank you❤
Hi, I´ve actually that pain for almost 10 months, been to 4 doctors and NO one have taken that pain away. Stoped trainning. I´ll try this! Thxs
So, 3 weeks later, what are your results?
Thank you very much.
May i add smth.
Acupuncture!
When a pain-locus was settled you HAVE to ruin it. Your movements are very painful, and it will not diminish by itself unless you will diminish it with needles.
I really want to THANK YOU and your channel for sharing such in depth information that I've frankly, not seen some of before, regarding this subject!
EDUCATION is SO IMPORTANT when we're suffering from unresolved pain! If we're PROACTIVE in learning about our condition, we're more likely to help professionals HELP US! 🎉❤❤❤ I just wish you also would consider Nutritional imbalances that CAN & DO CONTRIBUTE to UNRESOLVED PAIN CONDITIONS.
loves
France
Everything aggravates the pain. I used to be really fit. I can’t seem to find any solution and can’t really seem to find a diagnosis.
Same :c
Update. After years of pain, they did a CT guided injection into the SI joint. The anaesthesia killled the pain completely for up to 3 hours post injection. The steroid has helped somewhat but it was mainly a diagnostic tool. It all indicates to the fact that we’re barking up the right tree.
I’m trying not to get my hopes up but this is excellent progress after years of ambiguity and negative testing.
I believe I have chronic inflammatory sacroiliitis. I’ve done my research and it’s common not to show up in CT and MRI scans, of which I’ve had several.
I’m preying that they will burn the nerve off so I can get my life back.
I’m fully functional, full strength and range of motion, it’s just the pain and the consequences of movement that is so horrendous and debilitating. If the would go away, I’d be fine.
Sometimes things are hard to pin down but it doesn’t mean there isn’t something legitimately wrong .
FIGHT for your treatment. Fight for yourself. I wish the very best for anyone reading this who is struggling with this stuff.
I am 19 and run track and thought I had hamstring tendinopthy, 5 months after injury I get two MRIs and they found nothing I still have pain in the upper buttocks hamstring area and it travels from private area to mid hamstring. MRIs found no sciatic problem
my above-buttocks pain goes into lateral thighs and calves. Clam shells exercise with some resistance aggravates symptoms. MRI showed lumbar anatomical stenosis but with no nerve compression. Can I assume it is piriformis or gluteal muscles causing the problem then?
Thank you! Very helpful!
Nice video! I like the music playing during the exercise portion
Glad you liked it!
I am a 65 year old female and was first diagnosed with myofascial syndrome until the pain had spread on both sides equally, back of neck downward to scapula to under and sides of my arms and my buttocks where you show this In your video. Now I have been diagnosed with Fibromyalgia since 2020. I am so afraid to stretch because it can make my symptoms worse the next day. I am wondering if PT would help me to ease in to stretching exercises to show me how to do it correctly? Thank you sir for your wonderful video!
I think i got this from sitting in a bad pasture
you mean in a meadow with cows etc.? i.e. in a 'pasture' or do you mean posture?
Thanks for video! When problem solved it is possibile to do regular deadlift? It is a good exercises or not and can cause that problem? Deadlift i think it is best exercises exisisting for all body! Also i asked if leg extension end lying leg curl ar good or not for this problem?
Apart from pain in the glutes there are other neurological symptoms. While sitting pain hugely grows and gas incontinence due to sudden loss of muscles control appears (it is not mentioned by anyone but it is worse than any pain).
It sounds like you have nerve damage. Ideal would be an MRI read by a competent person. A good physiotherapist could perform tests to confirm which nerve has been damaged, and perhaps offer manipulation treatment to relieve it. Deep tissue or Thai massage might help.
If you could do plenty of modified lunges and squats, that might help.
@@irenemax3574 Thank you👍
Im going to opposite way, Ive been misdiagnosed with sciatica due to a lumbar fracture for years but I might have piriformis syndrome
What can be the reason for repeated spasms in that area? I get 10+ a day and it is not related to posture, it just comes out of the blue, even when I've not moved. I'm really fed up.
I ruptured L5 and L6, I have shooting pain in my butt and down my left leg to my ankle. My Neurologist tells me its not Piriformis but I have 4 different Physicals Therapist who says it is.
Your arms and chest look great. They add to your credibility. This program was just what i needed. Thx so much.
I had sciatica in 2017. Not gonna forget it :) ! I did a lot of stretching and it is gone for 6-7 years now!
What type of stretches?
please share
Update please?
Yes - PLEASE tell us specifically which stretches you used!!
I stretch for hours and nothing x(
You know I want that book haha.
Get it on our website 😊
Brilliant
Είναι πολύ...πολύ ΣΩΣΤΟ !!!!! Γιατί το έχω καρατσεκαρη. Ευχαριστώ πάρα πάρα πολύ ...
how often to do these exercises?
Расскажите о трохантерите и способах лечения .
Thank u so much. I e been so sad and scared 😂😅
It hurt when im sitting in the truck and driving long time
What about tightness and numbness in the perineum? I have pain in my feet too. It started about 10 years ago after getting up off of the wrestling mat. That night I noticed that I lost most of the sensation in my genitals, and the next morning I noticed a lot of pain in my feet. My testicles kind of feel like maybe they’re spazzing. I also have pain in my right testicle from time to time and on the inside of my right knee.
I believe i have piriformis syndrome. I tried a deep release with a soft ball and then tried to do some exercises afterwards and i couldn't do the exercises because of the pain.
Thank you for this video! Is it common in teens to have sciatica?
You’re welcome 👍🏼 not too common no.
My pelvis is crooked on the left, and I also have a left leg that is significantly too short. I've been walking around with it for years and now more and more problems arise, my pelvis is becoming more and more crooked, my leg is somehow becoming shorter and shorter, very hard tension in my entire thigh and the whole Leg and foot. and super hard tension in the buttocks with pain. My entire left leg is externally rotated and also my foot. The ankle is also extremely tense and tight. Are there any good ways to get this under control again with targeted exercises? so that my pelvis is completely straight again and my leg is no longer too short? and the tension disappears?
Hello, loved the video and how you’re not just claiming everything is “P.S”…. I had a hip resurfacing about 3 years ago and still to this date have EXCRUCIATING pain in my glute (same side as surgery) …paint was there from day 1 after surgery …I’ve done every exercise mentioned, pain has not gone away, done X Rays, MRI’s etc… pain is so bad that some days I cannot put my foot down. I recently saw a Neurologist and he discovered I have “neuropathy”,,, any suggestions? At this point I’m willing to try anything
Thanks
-Peter
hello. I am a physical therapist working in South Korea. If you've done all the exercises in the video and still have pain, or worse, it's most likely because you're not doing them at the right intensity for your current condition. The deep gluteal muscles are susceptible to being affected by pelvic floor overstrain, which can cause adhesions to the various nerves that run around them, and many people with this condition have abnormalized breathing patterns due to diaphragmatic weakness. I would typically recommend that you adjust your sleeping position (90-90 position, use a large pillow), soak in a warm bath for 20-30 minutes to induce relaxation to reduce pain.
Started down my left leg with sciatica pain. Over time became worse and developed weakness in both legs, deep butt.pain , lower back pain and pain down both legs.
Now in constant pain, and live on pain relief medication
If they are prescription pain meds, you’re doing your body a world of hurt and it will be very difficult to come off of opioids. Your calf needs stretching, the back of your knee, your quads, and hamstrings all need to be stretched in addition to the piriformis muscle. Try doing them several times a day.
Can using zeolite, magnesium, turmeric reduce such pain?
, looking for good physical therapy, wedges any recommendation?
I have painful hip to my foot severe pain unable to for than five months. Doctor's have suggested surgery do you think surgery is necessary? Please advice me. My pain are terrible. 😢
Did mine pushing my stalled car up an incline and then pushed car a few blocks. Injury went away after few months; now month ago Frigid air made this injury Flair up. Will cortisone shot help? Thanks
Solutions please!
I have a spinal cord inury at L2/L3. Trust me for 16 years ive dealt with Nerve compression as im addicted to working out. I have tried to strengthen certian muscles however nerve damage is just there and Ive had to accept this. Sitting is the worst thing I can do so I tend to walk more. Salt baths greatly help and I mean I OD on salts and use more than recommended. 😅. Thanks for this video.
… I have a similar issue and wondering if a filtration would have prevented the nerve damage
The sciatic nerve makes me feel like I want to take my leg off
Thank you sir, how can contact with you
I don’t get pins and needles or anything, but my knee wants to “give out “. Which would that be? It’s only when I have the deep ache in my butt an thigh
I give up. 25yrs of pain in the butt. Spent perhaps $2.5m and still no relief. Just now i am trying to live with it but this is very difficult.
Did you get a diagnosis?
I dunno if you tried it but this has worked for me cats claw capsules. I was experiencing such butt pain and it has helped tremendously
It could be another problem
I've had two MRIs and one x ray as a young athlete they say everything is remarkable but I have this terrible pain after exercising, specificly squats running lunging and biking. Pain under my buttock… I need to find out what's going on.
So why do all the Orthopaedic surgeons do not acknowledge or recognise this condition ?? I have had this since an accident at work in 1996 disc problems have been ruled out
Orthopedic surgeons are looking for an obvious mechanical defect that has a proven surgical solution. Preferably a diagnosis that is written by a radiologist in an MRI report.
Surgeons are looking to do surgery that they have practised and are good at or want to do research on. Surgeons aren't really interested in solving your pain in general, they are interested in if your pain is related to a surgery they are proficient in providing a good outcome to, or a research project they are doing.
Took me a while to figure that one out, but helped me be less offended by what seemed like lack of care. Once I figured it out it's radiologists that diagnose, I got lots of imaging with detailed reports. Then sought out surgeons that are good at doing surgery on that diagnosis.
Get yourself good 3D MRIs that show the nerves, vascular, soft tissue and bone.
There are better options than surgery if it's small and something your body can heal on its own with a little help. If you have already done physio, look into biologics.
@@m.bird. It has been with me since the day of my accident I damaged something deep inside the glute/piriformis area scar tissue is so deep that no treatments have helped there is only one solution that is piriformis release surgery I have been messed around and told lies for so long now they cant back track.
Good information,thank you sa much God bless you.👍
Did massage and stretching help it?
Tb he descubierto dolor en la nalga a nivel de nervio ciatico, compresion dolorosa por herpes.
I have pain in right glute when doing lockouts on sumo deadlifts
I'm going to see a doctor about this problem
I have disc bulges and herniations, but no back pain… just butt pain and left leg weakness. .. does it mean it’s from my back?.. without back pain? Thanks
Does diabetic neuropathy play into this syndrome, or it’s all spinal related? Can diabetic neuropathy be treated with massage?
Türkce yazı için teşekür ederim 👍👍
If this area is damaged, will there be swelling and pain?
the woman with pillow give me great release!
Mine happened a few hours after a Chiro adjustment, that included the hips, after a few hours of the adjustment felt the buttock pain and same pain radiating down down the back of both legs, wasn't sure is vagus nerve was involved. Not horribly painful but very noticeable. not sure if it will subside or if I need to go back to chiro. Never had sciatica issue before just lower back, and upper muscles in back from lifting or moving incorrectly.
I had something similar after a chiropractor adjustment. I went back, told them what I was experiencing and that it came after the adjustment and thankfully they did another adjustment and that took care of the pain.
Das ist mir nach einer Ostheopathie Behandlung passiert.
Seitdem habe ich diese Schmerzen
I am exercising few years but goting worse ann worse.
Same to me
My pain is mostly in 1 and 8 but when I stand up after sitting it also hurts in 2, 3, 4, and 7 😩 Laying on my back or stomach is literally the ONLY relief. Going to try these workouts to see if any of it helps. Thanks for sharing 😊
Depending on the small amount of information I have I would advice you to let someone do the straight leg raise test on you and see if that is painfull as well. There might be more going on because of the 'laying on my back or stomach is the only relief'. If positive, seeing a doctor might be good if negative try these exercises.
Thanks for the exercises but the more I exercise the more the pain increase.
Both butts and legs , it's now eight months
For any personal health or rehab questions we recommend to consult with our partners at yourphysio.online for a remote physiotherapy consultation.
I have the same thing as you do, I have bilateral sciatica that goes down both legs to the foot and is real bad around my knees. How are you doing/feeling?
I had that deep pain in the butt and other horrible, painful symptoms. So, I could no longer run for exercise. Walking was painful. I put on weight. I was in denial. The belt was long before on its last belt hole. I had trouble admitting to myself that I needed to start buying "extra-large" underwear. After I realized that the light clothes was causing me horrible extra pain in the hip and down the leg, and I started wearing larger size clothes, and now that deep pain in the butt has become quite rare.
My clothes becomes tighter around the waist when I sit.
Please tel me what did you do to feel better
@@mimi-dq1tx I comment became way too long. I would not post. I will try something else.
@@mimi-dq1tx Loose fitting clothes...the larger point is that the pain in the butt is apparently a tendon strain, because is starts and stops hurting quickly. It doesn't have the weird symptoms of a nerve problem. It doesn't get better with I take a nutritional supplement called "Nerve Regen Formula." And, it doesn't hurt like a muscle strain, where it gets more acute for about 40+ hours and then gradually becomes less severe for about ten days. I can deliberately cause that pain by straining against the blockage of the internal rotation of my left leg. I can deliberately not cause that pain. See second reply.
Any part of range of motion that is not used for weeks or months accumulates a bad molecule that causes pain and stiffness. Apparently, too much of that lack of motion cause a part of the range of motion to become 'frozen' due to points of adhesion. My remedy plan is to do seven or more repetitions of moving through that range of motion. At the apparent end of the range of motion, pause, and move a little farther. Don't strain. Do those repetitions three or more times a day every day.
Now I have shooting pain in my right butt and down my right leg after a fall. This might be due to Bursitis in my hip due to favoring my left leg that was damaged in the fall. An MGI tells me I did damage to my L3 and L4 this time.
I had my 1st literal pain in the arse from a recent job due to heavy lifting.. made me very immobile and took about 3 weeks to go, its still niggling but i can walk much better.. worst injury ive had.
Sciatica.
Yes
Besides the pain in both glutes I also have pain on my hips all the way to my feet I really don’t know what to do because if I do something then another area got pain is the whole area hips, glutes and pelvic floor pain everywhere, cold and heat doesn’t helped either
So how does this go away or get better???? A pillow between the knees in bed really helps.
I sit with a ball under my butt with a heating pad, usually
I had a shot on my butt on the right side
It helped, but now the pain is excruciating on the left.
Tried tens unit and it didn't really work
Hi. My nephew got an injection on his butt, his only 5 years old.., and since then his having trouble moving his leg, please what exercise can he do to release his leg muscles,. We already went to the hospital they said he only needs some exercise to solve it. ,🙏
I read another comment that said an injection did the same thing. Do you know what it was?
superior and middle cluneal nerve is one of the reasons...
Yes, you are absolutely right, and you can also have the posterior femoral nerve, inferior cluneal nerve and pudendal nerve irritated. Sorry for my English
I've been to a chiropractor first for some treatments. They have a stretching table. The pain moved from my back and left leg to the right buttocks and down the leg.
Went to 1 PT guy but he didn't have an opening for 2 weeks. I went to a different PT. Both use stretching and massage. I can drive with little or no pain. The pain hit when I get out of the car.