Hi, please find a normal neurologist which can send you to get MRI and blood test. Don't waste time as I did, physical therapy may help feel better but don't solve your problem. I may send you some PRI exercises for sciatica symptoms on mail if you need (it helped me to reduce my pain symptoms about 40%). But first get MRI and find good PT
After 5 years of pain and trying every treatment imaginable, I was finally properly diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy. I still need daily meds but the pain has improved significantly
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 .
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.
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
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 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.
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.
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.
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.
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.
My butt and hip pain wake me up screaming after two hours of sleep and panicking. Not sleeping is making the pain feel more intense. 2 hours of sleep is better than no hours. This too shall pass.
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.
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.
Because there is no money in it??? I've had 2 failed back surgeries my last being a fusion. Still same pain as before only now dealing with new pain. This DGS is exactly what I feel. I've done everything from steroid injections physical therapy pain medications as well as nerve burning nothing has worked thus far I believe I have been wrongly diagnosed I also mentioned to my orthopedic surgeon that they are paying too much attention to the wrong spot and I feel that they are going by the MRI results and not listening to what my pain is they are solely focused on one area I believe I have multiple issues but they are only focused on the low back problem it's really sad and I feel very traumatized by a few doctor visits now I don't know where to go because I don't trust him
@@sharonlear2097 well like you I have had enough mine is definitely a NHS cover up to protect their paymasters (insurance companies) I have no choice now but to take legal action maybe you should too
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.
@@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.
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.
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?
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?
I think this explains what my pain is. I know I need to exercise, but... old/lazy/weak/tired blah blah blah. Thank you for this. It explains a lot and I will try to spend more time walking. I've gone from thinking it was sciatica to piriformis syndrome and this sounds like the end of the line, the actual reason for my pain. I've been in tears a lot over the past months the pain is so intense/radiating to and fromthe top/bottom of my butt but never down the leg. Actually the top usually has be say it's the hip, and further below I was guessing the end of the piriformis. Hard to move in bed, that's when it hurts the most. Right side only. Only started a year ago which is why it's probably related to my now mostly sedentary lifestyle (loss of loved one).Taking some supplements and now sit with a cushion under the outside edge of that side of the butt (right) when sitting watching TV and while driving. Q: Could me getting a hernia in the right front side be cause for back pain? I haven't had hernia diagnosed as yet, but if I hold that area in when walking around, it seems to relieve butt pain for a while. Thanks for letting me share this crazy information and for you sharing this very informative video. -kate
I've had the pain yes in the butt cheek and underneath and down the leg AFTER a lot if research on my end I figured out its inflammation. So I researched what to do for inflammation I watch my sugar intake & sodium I drink a shot of fresh tumeric & ginger every day and eat a lot of pineapple It subsided a lot and for some reason it's back I know I need to cut back more on the sweets
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!
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.
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!
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.
It really is unbelievable isn't it? I've been dealing with this pretty much since prior to 2019 when I had a laminectomy on my l5 s1. That surgery was considered to be a failed surgery as I now have severe muscle pain along the bottom of my back. I had fusion surgery at l5 l4 in October of 23 I'm now much worse off I do believe and did tell my doctor that I do feel that I have been wrongly diagnosed and that these surgeries have been for absolutely no reason as I still suffer in amazing amount of pain daily. I don't sleep well I can't eat I'm very stressed out with anxiety I used to be very fit and able to do hard labor now I'm so depressed because I can't do much I take my old dog on small walks but that's about it. Sadly it's all I can handle I cannot even drive for longer than 20 minutes to half an hour without my leg fully going numb
Yes, but I had spinal stenosis. As a result I had to have spinal fusion. Vertebrae worn down, pinching nerves. Now nerve pain gone, but have extreme tight hip flexor and piriformis.
Olbas Oil helps me! (Topical & be careful!) Also could have alignment issues in the sacrum. But working on these exercises strengthens weak muscles and really can make all the difference by changing the dynamics of the area.
I had it for 1.5 years and literally limped when I walked it hurt so much. I tried needing, acupuncture and chiropractic care. I went to the chiropractor about a year and a half into the situation because I had what seemed to be a pinched nerve in my neck. He put me in traction for my neck… The third time I was in traction I noticed that the pain in my buttock left. Traction fixed my issue after 1.5 years of horrible pain. I purchased an inversion table after that and use it from time to time as well. Traction was the KEY though. Something had compressed the nerve and when spinal decompression was used… it disappeared.
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
guyz, I have officially cured my Sciatic nerve pain FOR GOOD, it was totally an accident, not intentional, i had this pain for about 4 weeks, I watched a lot of vids, and i did exercises, it helped for a while, but it keeps coming back a few hours later, and nothing seems to cure it! At the same time, i was going to the dentist for some teeth work, after fixing like 4 teeth, i had pain all day, so the dentist told me to take some antibiotic shot in the butt to ease the pain, anyways, i went to the pharmacy, and the dude there gave me the shot on the same side of the nerve pain, i immediately felt the shot like a small tough ball that is stuck in my butt, it lasted for 15 minutes, then it went away, immediately after that, the nerve pain disappeared, i could bend, stand, do whatever, there was no pain at all! yes ! just like magic, i don't know if these 2 are related, but definitely right after the shot i was cured, and now, a week later, i haven't felt a thing! maybe some real doctor can explain this, hopefully there is a scientific explanation to what happened.
Maybe what happened to u was similiar thing that people have after acupuncture. Needles can unlock nerves, blood vessels etc. Still u got lucky that person giving u shot sniped right spot😅
I have a terrible back, 5 disks in L2 thru S1. 4 laminectomies, laminotomies. I fell. Since then, 2 months ago, the pain is in my right iliac crest. (I'm an RN). Nobody knows or wants to know what it is. all say it's my back because my back is bad. I know my back pain, all on the left, this is on the right. NOT referred, not sciatic, Very localized deep in my right iliac crest. I fell on tile flat on my butt from sitting height. I'm being offered spinal cord stimulators and injections in my back, my SI joint but not one dr, of the two i've seen, have even touched my body. Have even looked at where I say I hurt. They look at my MRI and said "back." It's a new injury. Why can't I get help? Dont' inject me until what you can tell me where it is and what it is. I have CRPS of both legs so it's complicated but I can not just let drs be injecting my back where ever they want as they guess. The hip dr refused my referral because on MRI he is sure it's my back. I could have a fracture or my PT thinks I torn my gluteal muscle. Two months and last week I decided I needed to just stop life and go to bed. it's getting so much worse I can't bear weight on my leg anymore. I've had to stop PT and chiro as it's getting worse but feel so disrespected by drs. yes, lots of back pain - this is different and new! Thanks for this video. It's the first video anyone has pointed to the actual iliac crest. I know sciatica, this is not it. It's a lump in my butt like right where you would give an injection in my butt. Upper right quadrant. What can be done for a torn gluteal muscle. How can it be diagnosed. Do you have a video or can you make one????? Or respond. I fell. and I'm about to end my life because it feels over as I can't walk. And I walk with CRPS from the hips down, you know I have a high pain tolerance. I'm about to sui. Dr.s dont get it. I feel so disrespected. any thoughts. My life is over right now. and nobody cares but me.
I've been put on prednisone 20mg/day just for my PCP to try to do SOMETHING so I can at least get a meal. I live alone. I have responsibilites even just to my cat! ugh. I'm a graphic designer who can't stand, walk or sit. help? just a guess based on location would be more than I'm getting. what does a torn gluteal muscle feel like and is there a test for it. If it's torn, I'm afraid over the 2 months, its gotten more torn. So, i'm in bed trying to diagnose myself and not get depressed.
I'm in similar situation. It's awful. This has been going on for years. I have had the same issue as far as doctors seeing my MRI and just blaming my low back my back is a mess we all know this also they don't look anywhere else I keep telling them that my right hip is killing me as well as my feet nobody will look at anything they just keep saying that you're back I'm so tired of being gaslight and being told that it shouldn't be that bad I have now been out of work for over a year I have become majorly depressed I used to work so very hard and now I feel my life has been taken right away from me and they wonder why we think about suicide daily
Its been 3days my left butt hurting ..sonetime i cant even walk . Even when i laugh its hurt.. today it happening 3-4 times that I can't even walk..when i put pressure on left leg to walk its hurt i cant sit i cant stand whenever its hurt..
Its called nerve tension. Its a burning pain you get when you put tension throughout the nerve the more tension the worst it gets....ts caused by scaring on the siatic nerve from disc bludges. it will only go away once you have the surgery to remove the disc thats hitting the siatic nerve Once its removed the nerve can start the process to heal which is years depending on how much and how bad the scar tissue on the nerve is... it goes away n cones back but will eventually stay. The longer you put off surgery the worst your final recovery will be in the long run.. Been there done that...
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?
I have this pain right now an have never before not been able to walk. I can’t bare weight on it because it hurts so bad in my calf an butt an hip area.. I don’t know what to do but cry. I’ve been in bed for 3 days.😢😢😢😢
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.
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
Plz tell me that i dont have pain in may back but my report says disc buldge in L4 L5 and SI... I only feel pain in my butt and leg and i dont feel pain when i walk but it shoots only when i sit on chair... What the problem is...
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.
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
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.
I've had 3 back surgeries in past 2 and a half years, lamenectomy, then fusion of L4 and L5 8 weeks ago S1, still in terrible pain I don't think this guy is for me , also been to PT 4 times after each session couldn't get out of bed next 2 day's, I've done all of this and Narcotics nothing work's I have piriformis syndrome
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.
You say "first rule out Radicular syndrome"; but... patients look to therapy to keep them from having surgery. I go to a spine doctor and he says I need surgery; it is what he does. But as a patient I want to do the opposite of your instructions. I want to rule out all other reasons for my burning butt and leg first before going to sleep under surgery and that long recovery period.
The usual tests for piriformis syndrome can give a false negative. The reason is that flexing the hip (leg forward) causes the apex of greater trochater to rotate posteriorly. The apex of the greater trochanter is the location of the insertion of the piriformis muscle. Thus, flexing the hip relaxes the muscle which prevents the pain associated with tensioning it by internaly rotating the femur. A better test is extend the leg. This extension rotates the apex of the greater trochanter anteriorly, putting slight tension on the piriformis muscle. This alone may cause pain, but if not internal ration of the fenur, with the hip in extension, will.
@@andreadalex8893 "which is the answer" - what is the question? "solution" solution to what, the diagnosis or the cause or the treatment? (I prefer full sentances so I don't have to write an answer to every possible interpretation of a question.) "what exercises can cause it" or perhaps you mean what causes it, not necessarily an exercise. Piriformis syndrome is caused by many things, from malformed piriformis to a mal positionied sciatic nerve, or weakness of any of the other hip muscles which cause s the pirifomis to be overworked and strained. "Which can solve it" it really depends on the cause from strengtheing the gluteus medius, to stretching (gently) the piriformis, strengthening it or even resting it - so the cause of piriformis realy dictates the treatment. The first thing to do is image the lumbar spine to ensure that other (and more common) causes of sciatica and or buttock pain are not present.
@Worldsbiggestloner A short post in a comment secion is not a replacement for a detailed history of symptoms, and physical exam. If you are over 55 then wear and tear arthritis could be the cause but it could be a disc Remember that when have an MRI it is laying down, but when you stand things get compressed downward, so the appearance on an MRi may be less than what you experience standing up. There's nothing wrong with getting a second opinion from another doc.
The sciatic nerve makes me feel like I want to take my leg off
Hi, please find a normal neurologist which can send you to get MRI and blood test. Don't waste time as I did, physical therapy may help feel better but don't solve your problem. I may send you some PRI exercises for sciatica symptoms on mail if you need (it helped me to reduce my pain symptoms about 40%). But first get MRI and find good PT
After 5 years of pain and trying every treatment imaginable, I was finally properly diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy. I still need daily meds but the pain has improved significantly
Thank you for sharing this video❣
It's almost a month that i'm suffering pain from my left buttock down to my left leg
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 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?
I used to walk more than a mile. Now, I can hardly walk less than 1000 steps due to pain in my right butt.
Did you get any relief? Any pills? Or exercises ?
Currently me. Been dealing with it for six months
After undergoing physical therapy, I started to feel some relief, which motivated me to persist in walking despite the difficulties.
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.
@@АмираЛорsearch for neuro surgeon. It is saddle area pain which needs to be treated early.
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
have you try squat university exercise? try searching it on youtube, hope it help
@@RichRobinson did you get further treatment in that area?
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?
Thanks , at 6.40 the glute streches really helped man.
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💯😭
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.
This type of weather affects me too. It stiffens any spot that is troublesome and brings out more pain and discomfort.
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.
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(
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👍
My friend you out did yourself on this video top notch my man 👍🏼
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.😊
.
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.
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.
Very interesting information. Thanks for the details.
I'm going to see a doctor about this problem
Super professionell, strukturiert und hilfreich! Danke!
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.
My butt and hip pain wake me up screaming after two hours of sleep and panicking. Not sleeping is making the pain feel more intense. 2 hours of sleep is better than no hours. This too shall pass.
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.
Great examples of exercises...please pop round nd fix the chronic pain in my butt hip and leg!❤
Keep spreading the good news and share the love towards others
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
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
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.
Because there is no money in it??? I've had 2 failed back surgeries my last being a fusion. Still same pain as before only now dealing with new pain. This DGS is exactly what I feel. I've done everything from steroid injections physical therapy pain medications as well as nerve burning nothing has worked thus far I believe I have been wrongly diagnosed I also mentioned to my orthopedic surgeon that they are paying too much attention to the wrong spot and I feel that they are going by the MRI results and not listening to what my pain is they are solely focused on one area I believe I have multiple issues but they are only focused on the low back problem it's really sad and I feel very traumatized by a few doctor visits now I don't know where to go because I don't trust him
@@sharonlear2097 well like you I have had enough mine is definitely a NHS cover up to protect their paymasters (insurance companies) I have no choice now but to take legal action maybe you should too
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.
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
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?
Thank you for this video and knowledgeable content
Glad it was helpful!
This makes since.
Great information, thank you!
Excellent presentation
Thank you 🙏🏼
Very helpful channel
Good information,thank you so much ,God bless you. 👍
Thank you
Really appreciate your channel, helps staying up to date as a therapist. Thank you!
I got this and it travels down to behind of knee is this sciatica?
It hurt when im sitting in the truck and driving long time
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?
Worse pain ever....I had it 6 years....
So, I’ve been diagnosed with a unstable SI joint. How does that cause deep buttock pain?
Me too. And in my experience... yes, it does cause me pain in the general area.
I think this explains what my pain is. I know I need to exercise, but... old/lazy/weak/tired blah blah blah. Thank you for this. It explains a lot and I will try to spend more time walking. I've gone from thinking it was sciatica to piriformis syndrome and this sounds like the end of the line, the actual reason for my pain. I've been in tears a lot over the past months the pain is so intense/radiating to and fromthe top/bottom of my butt but never down the leg. Actually the top usually has be say it's the hip, and further below I was guessing the end of the piriformis. Hard to move in bed, that's when it hurts the most. Right side only. Only started a year ago which is why it's probably related to my now mostly sedentary lifestyle (loss of loved one).Taking some supplements and now sit with a cushion under the outside edge of that side of the butt (right) when sitting watching TV and while driving. Q: Could me getting a hernia in the right front side be cause for back pain? I haven't had hernia diagnosed as yet, but if I hold that area in when walking around, it seems to relieve butt pain for a while. Thanks for letting me share this crazy information and for you sharing this very informative video. -kate
Yıllardır bu ağrıyı çekiyorum ve sizi çok iyi anlıyorum 😢
I've had the pain yes in the butt cheek and underneath and down the leg
AFTER a lot if research on my end I figured out its inflammation. So I researched what to do for inflammation
I watch my sugar intake & sodium
I drink a shot of fresh tumeric & ginger every day and eat a lot of pineapple
It subsided a lot and for some reason it's back
I know I need to cut back more on the sweets
Im going to opposite way, Ive been misdiagnosed with sciatica due to a lumbar fracture for years but I might have piriformis syndrome
how often to do these exercises?
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!
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.
If this area is damaged, will there be swelling and pain?
Solutions please!
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!
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.
Thank you so much!
So I can’t sit or stand! Well that should make life easy!!
It really is unbelievable isn't it? I've been dealing with this pretty much since prior to 2019 when I had a laminectomy on my l5 s1. That surgery was considered to be a failed surgery as I now have severe muscle pain along the bottom of my back. I had fusion surgery at l5 l4 in October of 23 I'm now much worse off I do believe and did tell my doctor that I do feel that I have been wrongly diagnosed and that these surgeries have been for absolutely no reason as I still suffer in amazing amount of pain daily. I don't sleep well I can't eat I'm very stressed out with anxiety I used to be very fit and able to do hard labor now I'm so depressed because I can't do much I take my old dog on small walks but that's about it. Sadly it's all I can handle I cannot even drive for longer than 20 minutes to half an hour without my leg fully going numb
SUPER HELPFULL!
I have bilateral sciatica that goes down both legs to the foot and is real bad around my knees. I was just wondering if anyone else has this?
I have it in my right leg. The worst time is at night. It is very hard to find a comfortable position to sleep in.
I have it down both legs continuously
I have lower back and butt pain down the side of my hip to my knee going numb
Yes, but I had spinal stenosis. As a result I had to have spinal fusion. Vertebrae worn down, pinching nerves. Now nerve pain gone, but have extreme tight hip flexor and piriformis.
Thank you very much 😊
5:46, 6:10, 6:33, 7:12
Grazie mille video molto chiaro.Tutti problemi che mi interessano e che non non ho mai risolto ho provato di tutto.
How do you make it go away
Olbas Oil helps me! (Topical & be careful!) Also could have alignment issues in the sacrum. But working on these exercises strengthens weak muscles and really can make all the difference by changing the dynamics of the area.
Magic crystals
I drink a lot of alcohol
I had it for 1.5 years and literally limped when I walked it hurt so much. I tried needing, acupuncture and chiropractic care. I went to the chiropractor about a year and a half into the situation because I had what seemed to be a pinched nerve in my neck. He put me in traction for my neck… The third time I was in traction I noticed that the pain in my buttock left. Traction fixed my issue after 1.5 years of horrible pain. I purchased an inversion table after that and use it from time to time as well. Traction was the KEY though. Something had compressed the nerve and when spinal decompression was used… it disappeared.
Work on your lateral and posterior hip muscles
Tb he descubierto dolor en la nalga a nivel de nervio ciatico, compresion dolorosa por herpes.
I only get pain in the buttock and the back of the upper thigh when sitting. (Pressure sensitive pain)
Very helpful!
Do you anything for a torn gluteus Maximus
How do you survive 7-10 hours sitting on airplane flights?
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
guyz, I have officially cured my Sciatic nerve pain FOR GOOD, it was totally an accident, not intentional, i had this pain for about 4 weeks, I watched a lot of vids, and i did exercises, it helped for a while, but it keeps coming back a few hours later, and nothing seems to cure it!
At the same time, i was going to the dentist for some teeth work, after fixing like 4 teeth, i had pain all day, so the dentist told me to take some antibiotic shot in the butt to ease the pain, anyways, i went to the pharmacy, and the dude there gave me the shot on the same side of the nerve pain, i immediately felt the shot like a small tough ball that is stuck in my butt, it lasted for 15 minutes, then it went away, immediately after that, the nerve pain disappeared, i could bend, stand, do whatever, there was no pain at all! yes ! just like magic, i don't know if these 2 are related, but definitely right after the shot i was cured, and now, a week later, i haven't felt a thing!
maybe some real doctor can explain this, hopefully there is a scientific explanation to what happened.
Maybe what happened to u was similiar thing that people have after acupuncture. Needles can unlock nerves, blood vessels etc. Still u got lucky that person giving u shot sniped right spot😅
Maybe you had an infection and the antibiotics cured it
@@ciaociaociao502no, because training glutes helped for few hours, then pain comes back. besides, it cant cue infection in an instant!
I have a terrible back, 5 disks in L2 thru S1. 4 laminectomies, laminotomies. I fell. Since then, 2 months ago, the pain is in my right iliac crest. (I'm an RN). Nobody knows or wants to know what it is. all say it's my back because my back is bad. I know my back pain, all on the left, this is on the right. NOT referred, not sciatic, Very localized deep in my right iliac crest. I fell on tile flat on my butt from sitting height. I'm being offered spinal cord stimulators and injections in my back, my SI joint but not one dr, of the two i've seen, have even touched my body. Have even looked at where I say I hurt. They look at my MRI and said "back." It's a new injury. Why can't I get help? Dont' inject me until what you can tell me where it is and what it is. I have CRPS of both legs so it's complicated but I can not just let drs be injecting my back where ever they want as they guess. The hip dr refused my referral because on MRI he is sure it's my back. I could have a fracture or my PT thinks I torn my gluteal muscle. Two months and last week I decided I needed to just stop life and go to bed. it's getting so much worse I can't bear weight on my leg anymore. I've had to stop PT and chiro as it's getting worse but feel so disrespected by drs. yes, lots of back pain - this is different and new! Thanks for this video. It's the first video anyone has pointed to the actual iliac crest. I know sciatica, this is not it. It's a lump in my butt like right where you would give an injection in my butt. Upper right quadrant. What can be done for a torn gluteal muscle. How can it be diagnosed. Do you have a video or can you make one????? Or respond. I fell. and I'm about to end my life because it feels over as I can't walk. And I walk with CRPS from the hips down, you know I have a high pain tolerance. I'm about to sui. Dr.s dont get it. I feel so disrespected. any thoughts. My life is over right now. and nobody cares but me.
I've been put on prednisone 20mg/day just for my PCP to try to do SOMETHING so I can at least get a meal. I live alone. I have responsibilites even just to my cat! ugh. I'm a graphic designer who can't stand, walk or sit. help? just a guess based on location would be more than I'm getting. what does a torn gluteal muscle feel like and is there a test for it. If it's torn, I'm afraid over the 2 months, its gotten more torn. So, i'm in bed trying to diagnose myself and not get depressed.
I'm in similar situation. It's awful. This has been going on for years. I have had the same issue as far as doctors seeing my MRI and just blaming my low back my back is a mess we all know this also they don't look anywhere else I keep telling them that my right hip is killing me as well as my feet nobody will look at anything they just keep saying that you're back I'm so tired of being gaslight and being told that it shouldn't be that bad I have now been out of work for over a year I have become majorly depressed I used to work so very hard and now I feel my life has been taken right away from me and they wonder why we think about suicide daily
Thank you! Very helpful!
Türkce yazı için teşekür ederim 👍👍
It’s probably all arthritis. Which has no cure so I’ve been tol
Its been 3days my left butt hurting ..sonetime i cant even walk . Even when i laugh its hurt.. today it happening 3-4 times that I can't even walk..when i put pressure on left leg to walk its hurt i cant sit i cant stand whenever its hurt..
Είναι πολύ...πολύ ΣΩΣΤΟ !!!!! Γιατί το έχω καρατσεκαρη. Ευχαριστώ πάρα πάρα πολύ ...
Its called nerve tension. Its a burning pain you get when you put tension throughout the nerve the more tension the worst it gets....ts caused by scaring on the siatic nerve from disc bludges. it will only go away once you have the surgery to remove the disc thats hitting the siatic nerve
Once its removed the nerve can start the process to heal which is years depending on how much and how bad the scar tissue on the nerve is... it goes away n cones back but will eventually stay. The longer you put off surgery the worst your final recovery will be in the long run..
Been there done that...
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?
I have this pain right now an have never before not been able to walk. I can’t bare weight on it because it hurts so bad in my calf an butt an hip area.. I don’t know what to do but cry. I’ve been in bed for 3 days.😢😢😢😢
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.
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
Plz tell me that i dont have pain in may back but my report says disc buldge in L4 L5 and SI... I only feel pain in my butt and leg and i dont feel pain when i walk but it shoots only when i sit on chair... What the problem is...
Very good video, keep it up!
Yes
Расскажите о трохантерите и способах лечения .
no
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.
Yes I have pain in my butt and I can barely walk sometimes I do have arthritis so maybe it's that.
Is the abductor/adductor machine at the gym good for this?
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
I put hot pad
I have pain in right glute when doing lockouts on sumo deadlifts
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.
I've had 3 back surgeries in past 2 and a half years, lamenectomy, then fusion of L4 and L5 8 weeks ago S1, still in terrible pain I don't think this guy is for me , also been to PT 4 times after each session couldn't get out of bed next 2 day's, I've done all of this and Narcotics nothing work's I have piriformis syndrome
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.
Thank you for this video! Is it common in teens to have sciatica?
You’re welcome 👍🏼 not too common no.
the woman with pillow give me great release!
I pain pain in my butt 24/7
Oh my gaand
You say "first rule out Radicular syndrome"; but... patients look to therapy to keep them from having surgery. I go to a spine doctor and he says I need surgery; it is what he does. But as a patient I want to do the opposite of your instructions. I want to rule out all other reasons for my burning butt and leg first before going to sleep under surgery and that long recovery period.
The usual tests for piriformis syndrome can give a false negative. The reason is that flexing the hip (leg forward) causes the apex of greater trochater to rotate posteriorly. The apex of the greater trochanter is the location of the insertion of the piriformis muscle. Thus, flexing the hip relaxes the muscle which prevents the pain associated with tensioning it by internaly rotating the femur. A better test is extend the leg. This extension rotates the apex of the greater trochanter anteriorly, putting slight tension on the piriformis muscle. This alone may cause pain, but if not internal ration of the fenur, with the hip in extension, will.
And so can tell us which is the answer, the Solution? What exercises can cause it? Which can solve it?
@@andreadalex8893 "which is the answer" - what is the question? "solution" solution to what, the diagnosis or the cause or the treatment? (I prefer full sentances so I don't have to write an answer to every possible interpretation of a question.)
"what exercises can cause it" or perhaps you mean what causes it, not necessarily an exercise. Piriformis syndrome is caused by many things, from malformed piriformis to a mal positionied sciatic nerve, or weakness of any of the other hip muscles which cause s the pirifomis to be overworked and strained. "Which can solve it" it really depends on the cause from strengtheing the gluteus medius, to stretching (gently) the piriformis, strengthening it or even resting it - so the cause of piriformis realy dictates the treatment.
The first thing to do is image the lumbar spine to ensure that other (and more common) causes of sciatica and or buttock pain are not present.
@@granitfog thanks for this answer, kind!
Excellent explanation! Thank you!
@Worldsbiggestloner A short post in a comment secion is not a replacement for a detailed history of symptoms, and physical exam. If you are over 55 then wear and tear arthritis could be the cause but it could be a disc Remember that when have an MRI it is laying down, but when you stand things get compressed downward, so the appearance on an MRi may be less than what you experience standing up. There's nothing wrong with getting a second opinion from another doc.