Hip Bursitis, Piriformis Syndrome, Sciatica, Herniated Disc, Or Something Else?

[@TheMightyWurlitzer]

Thank you - this is a useful video. But can you please post a video showing what you SHOULD do to treat hip bursitis, if it's not stretching?

[@daveryland7731]

Exactly!

[@helenvandenadort5871]

Hi there , I got right sided bursitis about a year ago , had injection and was doing well . Christmas morning I hurt my back , CT scan showed herniated disc . The pain was off the scale with sciatica , doctor gave me Lyrica which was a blessing , specialist suggested surgery . I couldn’t tell if the pain I still have when standing is from the hip or back . I don’t want to do surgery if it’s the hip causing the sciatica. The pain is in the butt and down to the knee . And maybe the lyrics is stopping the sciatic pain that goes to my toes. Your video has helped immensely. Thank you ☺️

[@ahmedsobhy5012]

Hi plz where is the video for treatment

[@coleensoos5494]

I think you're forgetting about co-morbidity. As far as I understand it, tight piriformis can cause bursitis. I personally believe I have both. Started with bursitis-like pain (alone), then migrated to butt pain.

[@Knud451]

Same thing here. I had an acute injury to my adductor. I believe that "caused" the hip bursitis because I started walking in a different way.

[@lindawade9647]

That happened to me, also, because of the way I was walking.

[@ellapierre3606]

Same trying to figure out to stretch or not

[@svitlanadrungis]

Thank you so much for your work, Dr Charlie. I appreciate all the time you invested to help your youtube followers.

[@drcharliejohnson]

Thanks for watching! Appreciate your support!

[@blueskythinking8312]

My pain is worse after figure 4 stretch. Often in the glutes, but also in iliac crest in the back. Knees sometimes hurt. Trochanter area hurts. Overall very stiff in hips and back. I got into trouble by sitting too much, lunges, squats, stair climbing etc. One day i cleaned under the furniture, worked out very hard, inverted the water jug, and now im suffering ever since. I'd do anything to start to feel better.

[@Stratos.2]

Did it heal? If so, what did you do?

[@Korenski23VO]

So what if your hip hurts, your lower back hurts and it’s all on one side , but it’s not numbness or tingly and it’s not all the way down the leg to the foot. It’s a stiff feeling pain that sometimes feels like it starts in the lower back above the left buttock and other times feels like it starts in the side of the hip. It’s mostly a dull pain, but it gets sharper at night and when sitting , bending or stretching . The figure 4 stretch test made it feel like sharp pain and it stretched fine. It wasn’t even tighter than the other side it just hurt sharply to stretch. So is that sciatica or bursitis or something else ?

[@misterbulger]

You're describing me!

[@christine9467]

This is me and I think the stretching is making it worse. What the heck is it??

[@shiviahuja9840]

Did u get to know what it os vecause i have the same

[@benscott6801]

You fucked your disc up get surgery

[@nouamanelaala4908]

Did you recover ?

[@JediStockTrader]

I cant even do those tests, tight either way and then it hurts in the front top middle of my tendon or muscle of my hip.

[@drcharliejohnson]

Sounds like you might be dealing with a hip joint issue... feel free to grab a copy of my DIY Diagnostic Guide to get some more clarity... www.drcharliejohnsonpt.com/DIYGuide That should really help you out. Hang in there and let me know if ya get stuck or need more help! Thanks for watching!

[@fayadamson5584]

Thanks so much

[@hazelbaxter851]

What's the best treatment for bursitis,

[@drcharliejohnson]

Hey Hazel! good question... hard to give a blanket statement for this... but, in general, one that does NOT compress or irritate the bursa (think stretches, massage, etc)... What type of treatment have you tried?

[@hazelbaxter851]

@@drcharliejohnson thanks for getting back to me. I've just been diagnosed with this by my GP and he suggested I go on KZbin to find out about what exercises, but I found them confusing until I found yours. Your explanation was so helpful too, now I know what not to do. Thank you again, I'll be following your suggestions from now on.

[@drcharliejohnson]

@@hazelbaxter851 got it! Thanks for watching Hazel- let me know if ya get stuck- LOTS of exercises to try... often helps to have someone teach you how to test and find what works! Hang in there

[@ginavanbeck8134]

Thank you Dr Charlie! I have L 3,4,5 bulging. Also have bilateral hip bursitis. All I’ve heard is how to test for it and what NOT TO DO! So what should we do to relieve the pain? Including exercise. Pls. So frustrating.

[@drcharliejohnson]

Hey Gina! Thanks for watching- sorry for slight delay in response... so, honestly so many things could be happening here.. it sounds like your "hip bursitis" could actually be coming from a problem upstream in the back?! Step 1- check out my DIY diagnostic guide for more clarity... then the first step is to identify your pain triggers- and find ways to reduce/eliminate themmm.. you can download my guide for free here... www.drcharliejohnsonpt.com/DIYGuide

[@bayyinahzhaxx7620]

When I do toe touches to stretch, particularly on my achey side, I get some relief. I do this periodically throughout the day.

[@Knud451]

Thanks a lot! Can you recommend any exercises for true hip bursitis?

[@مِنكتاب]

My doctor said i have ischael bursitis but i have back pain and tingling, but you are saying that i shouldn't have back pain and tingling! I'm so confused

[@drcharliejohnson]

Hey! Because the bursa is not a nerve- it cannot cause nubmness.tingling... and will NOT refer pain up to spine. Sounds like you most likely have a back issue- causing what they think is "ischial bursitis" and the other funky symptoms you're experiencing. Have you checked out my DIY Diagnostic Guide? It's free- you can grab your copy here if you'd like. www.drcharliejohnsonpt.com/DIYGuide Hope it helps!

[@mrpentium]

You could have central butt pain if the bursitis pain causes guarding. That could then cause sciatic symptoms.

[@desacooper3699]

What about severe pain in your butt cheek when going from sitting to standing?

[@jerseygangel]

I have chronic hip bursitis in both hips. In 2020, is did several weeks of Physical therapy and at the end, I did get some relief from pain. But since then, I have been doing some of the stretches and exercises I was given plus yoga stretches. I have had the shots in both hips. They no longer give relief. I have trouble sleeping at night because I am a side sleeper. I now take an Advil at night so I can sleep until it wears off. If not stretches or exercise, what is recommended?

[@anisahadam3624]

I am having the same issues. Pain in the buttocks and legs more in my upper thigh. Did you find a solution? I am currently taking a muscle relaxant, doing soft tissue massage and acupuncture.

[@falahemm8148]

@@anisahadam3624 doing the same. I’m 85% better. I’d advice you to not sit for longer hours and work your way up

[@bayyinahzhaxx7620]

Sleep with a pillow between your legs. It really helps.

[@Katie-vy5rd]

Do you have pain on weight bearing ?with bursitis?

[@drcharliejohnson]

Hey Katie! Yes, you can- as you are potentially losing or compressing the outside of the hip/bursa area. But pain is localized to bursa region and does NOT refer elsewhere. Make sense?

[@Katie-vy5rd]

@@drcharliejohnson ok great. Thanks, my.mri showed moderaye Trocanteric bursitis , tendonopathy of hamstring and gluts.. and possible labral tear.. I'm trying to figure out if pain is from the bursa or labrum... this hip stuff is complex! Im doing some glut bridges and wall sits right now...I used to do ballet and barr.. this is what I get for stopping! Thanks agaun

[@drcharliejohnson]

@@Katie-vy5rd hang in there. Let me know if you're interested in some help! Thanks for checking out my channel! If you haven't already- may want to check out my DIY Diagnostic Guide- Should help give you some clarity! You can download it here.. www.drcharliejohnsonpt.com/DIYGuide

[@richardking4725]

Good explanation, but as someone else said, what is it best to do to reduce the pain?

[@drcharliejohnson]

Good question Richard… many things to consider and I wish it was a straight forward answer. First- optimize the healing environment: Do detective work and ID things that are aggravating problem structurally, and also consider how certain thoughts/beliefs (mentally) might be contributing. Fix these things. Next, find what you need to improve (self assess). 3. Use mind and movement as medicine: Follow a process for identifying specifically which motion(s) will be most valuable for your condition… give you relief. finally 4: Get back to life: Learn how to manage the ups and downs- and build a “bridge” which allows you to get back to life safely. I teach folks worldwide how to do these things inside my Glute Relief Accelerator Program. Hope this helps. I hope you can understand that it’s not as straight forward as do this one thing and solve your problem. Lots to consider. Thanks for watching and let me know if you’re interested in some help!

[@ismailroohi9827]

Hi Doctor! Thanks so much for this video. Can Bursae issue exist along with Sciatica and piriformis ? I have all the three pains - the bursae, hip pain and pain down leg - front and side of thigh, and knee and foot

[@misterbulger]

My painful side often switches and sometimes it's both sides. Right now I feel like there's a knife in my left upper/outter glute especially if I extend my leg in front. Usually most painful in morning even after spending thousands on a good bed. I don't think stretching works too much. I had FAI surgery on my opposite side 5 years prior.

[@nouamanelaala4908]

How are you now ?

[@sarahford7206]

But both my sides hurt.

[@anisahadam3624]

Hi, have you gain some relief? I have the same issue.

[@sarahford7206]

Hi YES! I found out that I was over stretching and instead of stretching I needed to tighten. How you do it is: lay on your side with your knees bent. Keep your ankles touching and lift top knee up and repeat on both sides. My pain went away in two night and I felt relief in just one night. I had pain for a yea. If that doesn’t make sense look up how to tighten it. (Unless yours is too tight then you need to stretch like this video) BEWARE OVERSTRETCHING. ❤️

[@sarahford7206]

Also putting one hand on the hip while doing this stretch can help you make sure your doing it right. It should burn.

[@anisahadam3624]

@@sarahford7206 thanks for replying! I will try this.

[@steppingstones1378]

I need help I've been trying to get help in my town my hips legs back everything hurts and is inflamed I can't feel anything from time to time , can hardly walk and I'm numb in my butt right hip thigh nd foot everything changes from time to time I wake up ok sometimes I take medicine and get worst idkkkkkk I need help so bad and evrrytime I call the hospital they drug me up and send me home. I can hardly sit and I want to cry all the time this is making me depressed I've had all this for almost 2 weeks now . It's hard to shower . I haven't been outside . I need someone..... please .... the way all this started was my hip was tight and for almost a month then I stretched and my hip cracked supppperrrr crazy very loudly then right after that I had to go to the hospital and they said I have a herniated disk but so much has happened. I have a knot in my the middle of my chest now . I can't smoke. Sometimes I can't breath , my hip and pelvis feels inflamed, my groin area went numb at least 3 times . I had temporary paralysis at least 4 times I been to the hospital 4 times..... ughhhh....... please someone!

[@fabianvasquezjr8852]

What would deform your hip it's sticking freakishly out and locks up at night and causes extreme pain running up my back and down my leg, hope it's not out of joint.

[@NancyGTS]

Voila!! The painful side is much more loose. Now what???

[@wesoz1950]

So what is the solution when you do have bursitis?

[@drcharliejohnson]

Step 1- calm muddy waters and stop poking the angry bear. Step 2- learn creative ways to modify/tweak things that aggravate it. Step 3- Understand what pain is and why you hurt... use the MIND + MOVEMENT to systematically find what works vs. what doesnt. Step 4- gradually get back to life. Check out my workshop for more details! > www.drcharliejohnsonpt.com/freeworkshop

[@alecuclaudiualin]

I have pain on both sides but only when I'm running, by the way, I've just started running and I'm experiencing this pain in both sides

[@gabiayoub7155]

Hey, awesome explanation, different from all doctors in Brazil, and if you are equal(both sides) of flexibility, which exercise should someone do? Strech or tighten?

[@drcharliejohnson]

Hey Gabi! Thanks for reaching out...if both are equal and if you have one sided pain, then it tells me that motion is most likely not the issue and that you should NOT be stretching. Again, I havent evaluated you, but if flexibility is good and equal then head down the path of strength first. (tighten) Make sense? What are you currently doing? Dr C

[@ginavanbeck8134]

Tighten what Dr CHARLIE?

[@madanpalsingh1162]

Hello sir, i need your help! sir i am a soccer player so how much days in a week i should do weight training so i safe from injuries by weight trainings like joint injuries and many more you know very well... sir please help me.. please reply.

[@justinrobertson6706]

I got all of those

[@ryanlogou5482]

That was 12 minutes of nothing. Thanks anyway doc.

[@CrystalRicotta]

Oh gosh this is what I have going on 😲

[@BGCDOG]

Me too..How are u 7 months later? Can u help me? I’m having trouble sleeping

[@tristar2006]

On that fig 4 test, both legs have same free movement. On my sore side, I’m unable to cross my leg without pulling it up with my hands. In walking, the pain is in the quad muscle just above the kneecap and sometimes the pain travels down to the outside part of my calf. Thanks for your tips in these videos.

[@hondopunkin8601]

I don’t know if I have this or sciatica can u help me ? I don’t have back pain but pain in the hip and in my butt cheek and around to the hip 🤦🏽‍♀️I have sciatica pain

[@jimmiepnguyen389]

Your problem ever been improve?

[@gabiayoub7155]

As far as i know, if you dont have back hip its probably piriforms( like my case pain just in the butt), and bursites you should analyze by this video

[@kathleensarmiento932]

"diagnostically muddy". 🤣 Sciatica is the headache of the hips....they just slap on the sciatica diagnosis (like taking Motrin for headache) . Sure it can help, but until you get the root (stress/sinus allergies/brain tumor) only symptoms get (short term) relief.

[@roelinkevanbruggen3752]

Translate in dutch

[@agbkorf]

you make no sense in this video. especially on what to do with bursitis AND tight hips.

[@drcharliejohnson]

I make no sense in this video? The intent of the video was to discuss the diagnosis of hip bursitis- not "what to do with bursitis AND tight hips." Bursitis and tight hips is often NOT bursitis... but rather hip osteoarthritis or a problem within the hip joint referring pain to the bursa area and mimicking "bursitis."