What is piriformis syndrome and how to tell if you have it.
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- เผยแพร่เมื่อ 16 ธ.ค. 2016
- Tired of dealing with a pain in the butt from back, hip, piriformis or sciatica problems? If you're looking to get to the root cause of your pain and are looking for natural treatment over drugs, injections, or surgery... grab a free copy of my "Better Than An MRI DIY Diagnostic Guide" - www.drcharliejohnsonpt.com/di...
Piriformis syndrome is super rare- yet most people have heard of this muscle being a primary cause of sciatica- or leg numbness/tingling. While it is true that the sciatic nerve passes underneath this muscle (therefore making it prone to compression) and in 15% of cases the nerve pierces through the muscle... most sciatica is caused by a herniated disc in the lower back- Some other things that cause buttock and leg pain include hip problems, back issues, and the SI Joint.
With any muscular problem- the laws state that if a muscle is injured it will hurt when it contracts and when it is stretched. In this video I go over two tests I use in the clinic to help you determine if you have piriformis syndrome.
If you think you have piriformis syndrome-- but also feel lower back pain- then chances are the back and leg pain is coming from an issue in your back- NOT the piriformis.
It is estimated that the true piriformis syndrome accounts for only 6% of people who have sciatica. With it being so rare- chances are much more likely that a problem in the back is causing your buttock and leg pain.
#drcharliejohnsonpt #piriformissyndrome #piriformistest #piriformisstretches
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• What is piriformis syn...
![Your Piriformis Isn't Tight, it's WEAK! [4 Exercises to Get it Strong]](/img/n.gif)
Thanks so much for watching! Want to pinpoint the source of your back, butt, hip, or leg/sciatica pain without needing expensive images or a specialist? 🔥Grab my FREE “Better Than an MRI DIY Diagnostic Guide” here 👉 www.drcharliejohnsonpt.com/diyguide
Thank you so much. You deserve your title. I went, three different physiotherapists. They did not even figure out what is the problem. Luckily TH-cam recommended your videos.
Thanks Caner!
I've had sciatica in the past, but for the last 6 months sciatica like pains.Been having physical therapy almost every month and two torridal injections, nerve conductor test,and a joint injection scheduled this February 27th. Along with the sometimes excruciating pain what's been happening is if I stand on my left leg and raise my right leg, my right foot points to the right about 45 degrees. If I stand on right foot and raise the left it points straight.I used to run long distances years back and was running 1-1.5 hours twice a week about 6 months ago.I had an x ray of my right tibia, fibula last week. Your description fits my symptoms to the tee. At times the pain is excruciating and after walking from parking lot to sign in at Kaiser for appointment I have to kneel down as my right leg hurts very much.The pain pills help lower the pain for about 2-3 hours. Thank You for posting this video.
I cannot believe I finally found this! I was diagnosed with cuada equine syndrome 15 years ago and had spinal fusion. For the last 10 years I've been having burning sharp pain right in that area. I even had another MRI, but they only focused on the fusion. Thank you so much!
So you’re doubly incontinent?
Thank you so much for this, was confused by other people trying to explain it.. most of my pain comes from my tailbone
Wow! That 90 degree leg-lift test is so simple. Recreated the pain in the right hip. Thank you for making this information available. You really know your field!
Thanks Tyco!
I think this is the most helpful video I have ever seen in my life!
I've been in severe pain all day and this was very helpful. Thank you!!!
Glad you found it helpful Amanda! You're welcome. thanks for watching
Definitely had pain in that area when doing the test. Almost like a strong cramp. I couldn’t hold it very long. Tried the exercise on your other video and it’s already helping some. I’m only 28 but feel 58 with this issue lol. Walking and also lying in bed seems to aggravate the muscle for me. Hoping I won’t have to deal with it much longer since finding this video. Thanks so much for sharing!!
Awesome, Chelsea! You're welcome. Thanks for watching. How are things going now?
@Mom Life Aneng I've had no issues for almost a year .
@@chelseaabernathy5945 HOW LONG DID YOU HAD PERIFORMIS PROBLEM AND HOW DID YOU SOLVE IT??
Thank you! I think I have both sciatica from the back and the piriformis due to one sided leg use due to knee injury and endless sitting with wrong posture. Your video convinced me that I have both, before I wasn’t sure. The back pain is there, but the piriformis as well. On the good side I am so weak I can’t even lift the leg, on the bad side it’s easy to lift and much shorter than on the good side. Also I always tend to stand like you said with one leg rotated out. Thank you also for the other video with the strengthening exercises!
Thanks for this. I was convinced I had PS until watching this. I think not now. Probably sciatica or a disc since my hip and lower back have issues.
This is why i come to youtube. Chiropractor and my Dr are saying i need surgery for a disk problem but i dont have back pain. This was clear and i have these symptoms although it is a problem atleast it puts my mind at ease somewhat thank you
I don't care how many times you say OK -- because it's so refreshing that you're not stitching clips together every second or so, and are instead filming in a single take. Oh, yeah, also great advice. I've been struggling with sciatica for a while (injections and microdicotomy). I don't think I have piriformis problems, but your vids are a a great diagnostic tool.
Now I'm sure.
Thanks Doc.
Glad TH-cam put you in my feed.
Something to work with.
I had Sciatic nerve pain (when driving/sitting more than 20 mins) start about 5 yrs ago (when I was 45). Stretching my piroformis muscle on that side everyday or every few days would alleviate it. Then it suddenly stopped helping it. I had SI injection 3 years ago and it did nothing. Then recently I saw a different dr that spent about 30 mins w me. He examined me and listened to me about my symptoms and diagnosed me with piroformis syndrome. I had a cortisone injection in my piroformis muscle a few days later and it actually helped a lot. I’d been taking a pretty high dose of gabapentin the last 3 yrs, which barely helped w the pain and caused me to gain substantial amount of weight. I stopped taking the gabapentin completely within a wk of the injection. I’ve noticed when I stretch the piroformis muscle, it actually makes my symptoms worse. I’m going to try these exercises starting today. Thanks for sharing.
This was a great explanation of what my diagnosis was. My dr. Just told me the name of it and that I could "look it up and read about it" then began showing me my pt stretches. Not much relief with him after 6 weeks of therapy. Thanks for this video.
Cuz I DO stand with my one leg out a little. He never mentioned that. Smh😔
what a great video,this answer my right foot leaning outside lately along with the sciatica pain
Six years of pain has wrecked my life.
Thanks to your flow chart and this video I'm pain free for the first time since 2016. I had back surgery in 2019 and just could not get rid of the vestiges of pain. These two exercises and I'm good to go. worked fast too. Thank you thank you!
Awesome! So glad I could help you!
What did you find most valuable about the flowchart?
Dr. Charlie
What exericeses did you do
@@drcharliejohnson the way you used elimination. I’m still pain free! Thanks!!!
@@bozzigmupp510 th-cam.com/video/VH76dMUSmIs/w-d-xo.html
Excellent quick analysis. If your subscribers are truly interested they will have learned a lot. As a fellow PT I appreciate your professionalism. Thank you.
Great guide. I was thinking I might have piriformis but my feet don’t want to be rotated outward and I also have lower back pain. Thanks a lot!
I've been feeling so depressed and downright paranoid over my buttock and leg pain. Your videos just came to show what I thought happened but I got misdiagnosed.
1. One morning I left like a pulled muscle sensation in the buttock. Kinda ignored it.
2 later that day I was having excruciating pain on my left outer hip, some burning sensation on my outer left calf and numbness of my toes.
3. During this whole time no back pain.
4. Dr told likely to be sciatica. I went with it. After a bunch of pain relieving meds and anti inflammatory meds there was little improvement
5. Was given some exercise that stretch the piriformis and they are excruciating!! Still no further improvement on my condition
6. Your videos make me think I was right all along and that the underlying cause was deep muscle constricting the sciatica nerve, for which stretching will only constrict further.
7. I'm starting the exercises on your other video today. Will keep you posted.
Thank you for being so clear and sharing this info with everybody
Ricardo, has anything helped you with your condition that is similar to what I have?
How did you fix it?
@Ricardo Goncalves have you any update on your condition as this sounds similar to what I'm suffering from. Thanks.
thanks iv tried everything and this really helped
Thank you for this explanation!! I have had this deep hip-pelvis pain condition off and on for ~30 years. It can occur on either the right or left side, more recently it happens on my right side. I can always (every time) trace it back to bad sitting posture (airplane, long car ride, movie theater, desk-work...etc). Or if I fall asleep sitting up in bed, and I slowly slide down into a poor ergonomic position I will wake up with this pain inside my hip. It is hit and miss though. Sometimes I catch myself slouching in my chair at work and I think "Oh no I am going to hurt"... but then nothing happens. So I definitely think there is a time exposure element too. The longer I sit poorly the greater the risk of exposure. When I do hurt, I take ibuprofen for two days and it completely goes away if I catch it early enough. 600mg in the morning and 400mg at night before bed. I HATE taking anti-inflammatory pills but it totally works every time. So far its the only thing that works too. I am going to try regular piriformis exercizes... THANKS!!!
So far (knock on wood) I haven't had any condition where I feel pain in my back, or my leg. It's only been an inflammatory pain in the ass... hahaha
Sure thing! Happy to help...
Sounds like you've tried to narrow it down- way to go. but still have some confusion there
Let me know if ya have questions or would be interested in working together.
Would love to see if/how I can help.
Thanks for watching!
Thanks Charlie, I used to teach a couple of different courses in Shenzhen and after one trip, in 2017, I ran a club XC the afternoon I arrived back. I started getting significant pain in the middle of both hamstrings. My physiotherapists never got on top of the pain, but eventually I self-diagnosed PS. Apparently all the sitting on the trip back compressed the piriformus, which compressed the sciatic nerve. Multiple banded clams and side leg raises later it went away. More recently my right hamstring started to feel tight, but when I saw my physio I was more concerned about the quadricep tendinitis, caused by my new Nike Invincibles, than my hamstring. Anyway, my son and I were stretching after our runs yesterday and, because he always does the stretch you showed, I did them too. They really triggered my right hamstring pain, compared to the left one, which was fine. I just did the first test and the left one hurt a bit but the right one hurt a lot. I have now failed both tests, so does that mean I have PS again?
Banded. Clams?? What's that..
Exactly how confused people r when he explains.. I have that pain more when I am up from a night's sleep. Or working throughout the day. Nothing he says is clear
And what did he say to cure.. Nothing I guess??
If you tell the doctor I have sciatic pain, then he will tell you, let's do injection, and if you tell the doctor I have a hamstring, he will say take Tylenol, so at the end nobody knows anything.
Good explanation and easy self tests. Keep up your good work!
thanks for watching! appreciate the feedback!
Thanks so much for watching! Want to pinpoint the source of your back, butt, hip, or leg/sciatica pain using simple self movement tests & a step-by-step approach without needing expensive images or a specialist?
🔥Grab my FREE “Better Than an MRI DIY Diagnostic Guide” here 👉 www.drcharliejohnsonpt.com/diyguide
Many thanks, it is such a relief getting a decent and clear explination . I am less anxieus and more hopefull now.
Thank you Dr. Johnson I will mention this to my P.T. the Piriformis name to this new pain repeated 3 times in short time ,from the chronic sciatic pain, this one got me in bed with very little mobility( pain in any position, or standing up) Thank you !
Thank you so much...johnson
All joking aside thank for the lesson. Very useful.
I sleep the same as your test, probably why I’m in pain in the morning!
Thank you for making such helpful useful knowledge and practice available.
I has been interested in the piriformis in their function to ensure more stability in the sacroiliac joint...
I guess i must strengthen them. They are stretched through my usual yoga-sitting posture.
Hey Edwig! Appreciate you checking out my channel- happy to help.
Let me know if ya have specific questions!
Thank you doctor
Thanks very useful video
Watching this helped me figure out what is causing the pain in ny rear. I have a nasty habit of sitting on my right leg while working 9 hrs per day. My right leg definitely rotates out looking like a duck foot. Now the break the habit and do these exercises! Thank you sir!
I thought i had sciatica, then thought ok maybe its piformis but these stretches actually make me feel better almost or bring on some relief ..i'm so tired of all this, been 4-5 months, went to doctor and he said its nothing just inflammation and will go away in a week, well its been 4 months
How do you feel now??
@@SamMoreno970 much better, but its still sort of there after a year
@@tarek307 thanks for replying. I've been doing the long piriformis things today and felt instant relief. I'm at month five of the misery of this
Have you tried dry needling IMS?
@@beatadunn9899 no, the sciatica went away from that side then came back with a vengence on the other side, was almost unbearable pain-
Exactly all of this! I told my physio many times that it was not on my back, that I noticed my foot going to the side and these strechers, that she was doing, were causing a lot of pain - she didnt believe me! She continued with the streches and massages on the back! :(
I have pain in different areas of my butt up. Sometimes I have pain in that piriformis area. But sometimes the pain shoots under my butt cheek and it feels horrible. I've already had an MRI to rule out sciatica. This has been going on for a while. I've already been to physical therapy once and it did help. But after a while I started having the pain again. I think I'm going to go back.
I’m 29, been at my desk job for 10 years and have been suffering from severe buttocks pain recently- no back pain. Pretty sure I’m experiencing piriformis syndrome after watching this. Thanks for the informative video!
Hope you are good now... any updates?
Hi! Thanks for this and all your videos. They are truly helpful. Wondering something… are you saying to never ever do the stretching (leg over knee stretch) and just stick with strengthening? Or can the strengthening and stretching complement one another?
I can’t even hold my leg up for 15 seconds doing that first test because the pain is awful....this is actually the first time I have had pain specifically in this area and to this extreme (long time back pain sufferer here).
Thanks for a great, straightforward video. Now I know I don't have piriformis syndrome.
Likely back to Meralgia paresthetica, a similar condition involving a tendon and lateral femoral nerve, because only my upper front part of leg sometimes get numb. Thanks very much.
Hey Hank... thanks for tuning in. No problem, glad you found it useful. That could be in the deck of cards (meralgia parasthetica)... but could also be caused by an issue in the back... how are things going lately? Hope you're well.
Hank
how was that helped, what symptoms did you have?
after watching this I still don't know if my problem is sciatica or piriformis.
but I really like the way you teach and show videos.
after months of PT,
being crippled for the last 8 months,
and no progress,
I think I will stick with you for a while.
How is the condition now I'm in the same condition as yours
I had a weak of difficulty walking... as it healed, the pain lingered in the left buttock. Could that be piriformis?
Hi Dr Charlie, thanks for the video.
In my case the pain started with a sprain in the back that remained for a few days before evolving into pain in buttock and hamstring along with tingling, pain and numbness along the sciatic nerve. I was jumping on a foot tall wall when I experienced the sprain.
Now the lower back does not pain and the pain is only in hips, thighs and the calf, occasionally. Also, I am not able to do kick motion and raise the leg beyond 20 degrees.
Is this piriformis syndrome or disc bulge issue?
THEN YOU HAVE STILL BACKPROBLEMS. GO TO CHIROPRACTOR.
Please do a video of what to do to relieve the pain. I only have buttock pain right where you pointed. I got it after driving a lot at work ie. 12 hours or more.
Thank you
I was on a stretching machine in the gym where you lay on you back on and with a lever, a platform raises on leg at a time. You can feel the stretching under you leg. Then I got on a self propelled curved treadmill which is difficult and felt a spasm in my upper leg, just below the hip. The pain has become worse lately. I think this was an extreme irritation of the Piriformis muscle.
Does this sound correct? I am having an MRI to rule out pain from the back. It is difficult to sleep on that side also.
Thank you for such a helpful video, I have been to countless physiotherapists, had an MRI, went to a chiropractor and also got insoles, but non of these worked or could diagnose exactly what I had. I think I have piriformis syndrome as my pain is exactly as you pointed out and I have no back pain, i struggle with balance and constant pain in my buttocks. I wish I could fast forward a few weeks to find out if i could fix this pain after 2 years with it
Thanks for watching! How are things going now?
OMG you're genius!!! I've been driving myself nuts for weeks trying to figure out what I have. My pain started on the side, right above the left knee. Now it's also in one particular spot in my left butt (crazy tingling in both spots, sharp pain and tingling on the side of the knee). Docs have been saying the problem is where it's started hurting, hence the knee: patellofemoral, IT band, tears in the quad etc. But I just did your test and I passed with flying colors. My question is: how is strengthening the piriformis helping the healing process if the piriformis is too tight and compressing the sciatica nerve? It would be super helpful to know.
Hi Dr., I also have lower back stiffness accompanying what I thought was Piritorment (sic). But you say the two don’t ally. Anyway shortening the peri muscle as advised, much relief. Thank you. Could you suggest an exercise for the stiff lower back . Many thanks.
I get spasms in my butt. They come on relatively unexpectedly, though common in some situations - standing cooking, lying down on my side, some walking and sitting. The spasms are like intense daggers into the joint, deep within the buttock. I think this is to do with my lower back (herniated/degenerative disc). If I press on the back some pain travels to butt. But it never goes lower.
Stretching towards the opposite shoulder recreated the pain for me. Does this mean I need to strengthen the muscle? Anyways thanks doc your video was very helpful! More power!
Hi Charlie thank you for the information I been in pain for 30 years still no relief I need to see you
Ina! Sure thing. Glad I could help.
If you’re interested in working with me- just visit:
www.drcharliejohnsonpt.com/apply
2:25 - I have that problem. How should I address that? When I try to straighten my left leg, I get a sharp pain in the left side of that area. Thank you!
Hey doc, I just dropped in from a different video of yours, and I must say, PT&J for a channel name?
GENIUS! 👍
Good morning, I’m 20 and have been dealing with pain on my left buttock and I have a pain my left calf muscle. I was told my sciatic nerve was irritated. Yesterday I went to see a Physical therapist and after performing a few tests. He told me it had to be that my periformis muscle must be inflamed and he recommend I stretch, and sleep with a pillow between my legs. I tried the first stretch and felt nothing at all, I then tried the second stretch with a band but I felt on the work on my right buttock which isn’t the one that hurts. Also my leg pain gets extremely worse when I walk near the cold market area at work.
Thanks for this. I've had pain both in the SI joint region and below the buttocks for years and recently had a problem with lifting a heavy object that got me stuck in bed for a couple weeks on heat. I saw an alternate doctor in my PCP office who said SI joint but I thought it was possible I had a problem with my piriformis as well. I regularly move my pelvis forward unconsciously for a little pain relieving crack on the outer hip and cross my right leg and push down for a very loud pop that only sort of feels good. But I tried your tests at the end and all of the pain is definitely near the SI joint and above so it sounds like it's just the SI joint.
Glad you found it helpful! You can also check out my more comprehensive "Better Than An MRI DIY Diagnostic Guide" (free download here -> www.drcharliejohnsonpt.com/diyguide)
Totally have this. Left leg is "duck-footed" out. Bringing good leg knee to chest comes straight up, bad leg knee to chest only comes about halfway as high, and out to the left. no back pain, just stiff. Have had xrays that show early OA in the "bad" hip (some clicking). Watched your other video on contracting Piriformis, but sounds like I need to stretch mine... where do I find those exercises? Bad side foot up to knee is almost impossible.
I have the piriformis for 4 years now
And lately I've been on TH-cam to search for the stretches recommended for it and I've been doing those stretches
But I wanna ask. If I do the recommended stretches and still feel hot in leg and the veins, does it means I'm doing it correctly and possibility that I might get well again
Pls I need a reply
Thanks
While performing the second strech I suffer pain or tightness in my adductors or at the origin of quads? Now I have tightness all over my thighs, kness and calves
Is that normal?
Most likely you have a pinched nerve.
I'm new to your channel I found you after doing a search on buttocks pain also pain down both legs. Just watched the video and when I did the last test where I stretch the P Muscle it's very tender and painful in that area on both the left and right side. I'm 80 years old and have suffered with buttocks pain on both sides and the pain shoots down both legs down to just before the kneecaps.
Is is more difficult to identify piriformis syndrome when someone has hyper mobile joints?
My surgeon and pain doctor both recommend a spinal stimulator implant for my low back pain. Both of them acknowledge they have no reason based on my MRI to explain my leg pain/numbness, spasms and the extreme sciatica like pain. I have one disc that has a mild bulge and some arthritis. I have had multiple facet blocks and nerve blocks. Shots for bursitis. I am in a lot of pain and fed up and frustrated with it.
Neither of them or my PT brought up piriformis syndrome or piriformis injections.
Thank you for your video. My butt pain seems to be from the butt bones. Almost like they are damaging the muscle when I sit for a long period. I do spend a lot of time in my car and have done for many years. No back pain at all. I'm 55. Is it just from sitting too long? Anything I can do to relive the pain. I don't piriformis from the tests I have done. Good motion in both hips. Thanks for any help you can provide.
Hi,in my case ive got pain in my butt(both sides)wnen sitting,also lying in bed at night,walking is just fine.Id love to hear what you think.Thanks.eoin
Informative. I don't think I have it, it's the lower back that's causing sciatica, per what chiro said and what I feel pressing around.
My right foot has been turned out for about 6 months now. Stretching the piriformis and sitting on a massage ball have never helped straighten out my foot/fix my right glute med pain. Would the strengthening exercises work for my scenario?
I wish you were in Ottawa Canada man, I am seeking help from someone like you.
Stepped into a hole at work. Got a skeletal X-RAY to check for breaks and MRI of my entire femur to check for muscle/connecting parts damage etc. Both came back negative. My pain is there when I sit in back of thigh and outer thigh , sometimes I can't put weight on that leg or do any sudden turns or movements without buckling or shooting pain. I feel a pulsating pain in my groin when I yawn or exhale deeply but I don't have signs of a hernia or I know I'd be in alot more trouble at this point....plus hernias don't send debilitating pain to your outer knee and outer chin area. The pain is mainly behind under the left buttocks , outer hip down the thigh , outer knee , and outer chin area only. Is it possible the nurse practitioners at the workers comp clinic missed something in the MRI or that it didn't even show the area where my piriformis is ? I feel like they are all just trying to brush this under the rug . I don't want a pay out from work nor time off , I just wanna hold my newborn baby boy with confidence that my leg won't give out on me like it already has. No back pain at all even tho I have scoliosis in the upper spine...but no pain at all in my back.....any feed back could help sir. I'm in the works with arguing the insurance adjuster to send me for a second opinion.
Ive been trying to figure out what i have. I was originally told i had meralgia paresthetica. I had back pain before going on a trip but got better until we did some intense dancing. Then my thigh pain came about along with my returning lower back pain. It got worse and worse from sitting on thw plane back. Its now worse than ever and it feels weak and hurts when i try standing up. My muscles feels like theyre contracting and now the pain spreads to my butt and calves after i walk. I thought it was sciatica but when my leg is straightened and liften i dont feel pain. I dont know what i have and my family doctor away for two weeks. When i went to the ER they did a bloodtest on me and ultrasound and concluded that i had MP and ive been taking anti inflams. It has been getting worse and im getting desprrate because i have no idea what this could be.
I mop my floors.. ND have sat long hours on thebdloor. Cud be that caused it ..will the pain ever go.. How to strengthen
I think I’m moving to philly for some personal physio sessions. Nothing wrong with me but dang I want to be treated!
I have pain right on that dimple in lower back that you mentioned in your video and sciatica. Do you have idea what that is, do you have a video diagnostic for that Dr. Johnson?
Hey Tony! Thanks for watching. Check out this video I created and let me know if this gives you any clarity.
th-cam.com/video/pWowPQ_3Coo/w-d-xo.html
💪🏻. Dr charlie
This very pleasant young men makes a lot of sense. I wish he worked little bit on his speech. So many oks and rights do distract
Thanks
Welcome
Can an ache in the hamstring when running be a symptom? Can run but with added pace or distance the ache increases. Do have tight feeling around the hip on occassions, occassional uncomfortable feeling in hip when driving. All this down tbe left side.
Will the figure 4 stretch you did also aggravate hamstring tendinopathy?
I did ps strengthening exercises you suggest and I am 70% ok now except sitting is still a problem and when Roll a tennis ball on that area it’s very painful, any suggestions
Dr. Can the massage chair relieve the pain?
dr. I have a gap in the piriformis muscle space, that I can literally run my finger across. horizontally. and then gap shoots down (sciatic nerve) vertically all the way up to little over my knee. and it hurts.
You are so informing! I haven't been able to find any information online. But the e.r stated that I have a herniated disc and sciatica related pain through out my right leg minus the pins and needle feeling. What I'm concern about is I tend to keep my head down when walking because it pulls on my lower right side of my back, gluts and calf muscle. After walking a few steps my back feels heavy and I would have to lay down to pretty much resets my back from feeling heavy.I've gained a lot of weight overtime so I'm wondering if that has to due with it. Thursday I'm having an MRI perform. Hopefully it get resolve
I’ve been having a sharp pain in the deep center of my left butt. I can press deep into it to reproduce the pain. I have no shooting pain down my leg nor my back. It’s totally localized. I stretch it and i can feel that area being affected: no pain. it feels better for a short time but returns. It hurts when I sit too long. I’ve performed the tests in your video and it does not reproduce the pain. So what is it? Thank you very much for your time.
I have pain on left buttock radiating to left side of calf - my foot does slightly turn to the left when I stand up. It happens when I sleep or sometimes seating down with my legs cross.is this sciatica or piriformis pain?
I was able to reduce the pain from the butt with stretching's, but the lower back dull pain don't know how to treat it .. do u recommend a different exercise ?
Could the 2nd tests seen at 4:59 onwards actually stretch the hamstrings slightly and cause a false positive for Piriformis Syndrome (in somebody who has High Hamstring Tendinopathy with Sciatic nerve entrapment)?
Good question
I did your tests and it didn’t increase pain symptoms. My inner crotch area hurts when I do your second test. I have had issues with my lower back, upper Butt, and inner crotch for a year or two now. Two days ago I rolled my piraformis and inner crotch area. Yesterday and today I have had the worst pain ever. I can lay and sit without too much pain but a few minutes after weight bearing, terrible pain! It is really really bad! I don’t know what to do to help it. Any advice? Thanks!
This was really helpful! So I have been suspecting that i have piriformis syndrome, but when i did the bent leg laying on my side test, firing up that muscle didn't cause any pain. However, when I roll a myofascial ball directly on the muscle that's immediately behind the hip bone (and deep inside the buttock) i get searing pain. what muscle is that?
Why no answer to this question? I feel I am having the same issue.
I think it's the glut medius which in under the max glut. I have same issue. Going to chiropractor today to help figure this out
My Dpt did deep tissue massages
I'm having the same thing as well please if you can, answer the question!
Yes I hav this pain more in my hip area too I do a lot of pounding on my hip bone with my palm to try to get some kind of relief whole area is tender and the pain never goes away
When I try that stretch my hip and groin hurt or pinch ...thoughts?
would like yo hear more about what can be done in regards to tackling potential si problems. not sure whats wrong with my but back has been aching and sore for close to 2 years and got a tight knotted feeling in my left high hamstring/low glute area
Charlie Johnson thanks very much for getting back to me. i had a slight pain in both knees and suspected inflamation. had upped the frequency of my training and not significantly reduced the volume. ended up with a pain in my right knee. hard to describe just a sharpish pain when i squat on the outside of the knee area. had an mri and they couldnt find anything. took a few weeks off from lifting. was advised to start back light which i did. maybe 40-50% of my max. back felt extremely tired and just like i had to sit down and basically its not been the same since.
the pain in my back has "morphed" so to speak. it started just as being very very flexiom intolerant and within a few weeks it judt hurt to bend over. back would crack a lot (it never did before) and when i liftef in the gym i would get a radiating pain coming up both left and right into the mid back. that did feel muscular though. that has since gone and now i just have pain in the low back and the knotted feeling in my high hamstring/low glute area. it tends to aggrivate it if i stand a lot or walk a lot. i.e shopping etc for hours. what makes it better is flexion. it initially hurts and cracks but if i stretch into flexion itll give it momentary relief. sitting too tends to aggrivate my leg pain and back (both standing and sitting!). the cobra pose dose tend to make me feel better. when both my back and leg feel fine is when im training in the gym, whether im doing upper or lower stuff it makes it feel better. then when i cool down it gets sore again.
i am one of the peoppe who have seen a lot of professionals about this
physios, chiros etc but cant seem to get to the bottom of it.
would really love to hear your thoughts.
all the best and i hope to hear from you
I have right pain and "popping and cracking" when I open my leg to at a 90° angle with occasional pain that feels like sharp joint pain or like my hip is out of socket when going upstairs. Could that be ps?
labral cartilage tear?
I have suffered with pain for 11 years. Thought it was my knee, my hip, my back, etc. went to doctors, orthopedic surgeons, chiropractors, etc. No relief. Was an avid walker and enjoyed life. Now I can’t do stairs, walk without limping or get a good night’s sleep. My pain is in the spots you cite as piriformis…I live in Northeast PA…where are you located.
Hey! sorry to hear. Sounds like they've ruled out hip joint problems (they can often cause referred pain to the butt and often cause limping, trouble with stairs, and sleep)?
I'm located in southeastern PA- but consult with folks virtually worldwide!
Would you be open to me reviewing your case to see even if/how I can help you out?
If so, just visit www.drcharliejohnsonpt.com/apply - select a time to chat, then follow instructions to submit details of your specific case.
Hang in there!
Dr. Charlie PT
For sciatic compression and throbbing pain in the glute, what are some alternatives to piriformis syndrome?
Disc herniation, SI joint dysfunction
Awesome
Which part of the spine would cause pain in the same area where the piriformis is but probably be from a previous back strain injury in the lumbar like a couple months earlier that also is causing numbness and tingling in the left arm as well as the entire foot and big toe. I think it's possible I have two different kinds of injuries going on but the result is pain and numbness in my foot and tingling and numbness in my hand off and on the foot never goes away but the hand is periodic as I'm typing or anyting
It only happens at work while standing(im a slicer in an abattoir). Then when i get in my car after work, when i sit and lift and bring my affected foot down, it really hurts! But at home after i rest, i feel no pain. When i do the clam shell exercise, when i hold it, the muscle that fatigues is generally where i feel the pain. So what do u think?
I tried all these tests and I didn’t have piriformis syndrome but my butt and leg give me a deep pain what is it
Hey I got this pain while lifting weights power cleans have had it for 11 months
Sir , i am having problem while spreading legs to get on and off the bike. It gives sharp pain in the piriforims area and same pain while trying to strech legs can it be due to piriformis syndrome.Thanks
I feel pain in right butt thigh and leg under knee how can I cure it.. is it priformia syndrome
So I'm negative on the first test but positive on the second test what does that mean?? I've been trying to figure this out for 4 months I just wanna be able to do things for myself again..