How To Know If You Have A Herniated Disc, Piriformis, Hip, or Sciatica Problem Without An MRI!

[@drcharliejohnson]

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

[@as71318]

What if I have pain on both sides at the dimple area on the butt and it's very tender?

[@drcharliejohnson]

@@as71318 hey! Most likely a back (spine issue) is symptoms are both sides.

[@JohannaAckerman-wl1lf]

What if pain in back and hips and popping sound in back with certain movements of bodyk

[@sofialeiva8669]

Thanks for the time you on this however i still don't know what ihave... .there are things that I have but others I don't which lead me to an unknown possible dx still😊

[@KINDaf]

How can we access the flow chart? It's too small for me to see and read and it would be more comprehensive for me to be able to follow along with you if I had the chart in front of me to follow along. Thank you

[@c.r.1917]

Charlie helped me. I am pain free. I skipped the MRI and cancelled all my orthopedic and neurology appointments. I kept rescheduling, then finally just cancelled them all for good. If you've got pain that keeps coming back for months or years and you think it will never end, it will. Believe me. He is the real deal! Thank you Charlie.

[@drcharliejohnson]

Thanks for your support! So glad I could help you out!

[@BrittKatSlat]

Can u describe what was ailing you?

[@angiejones3714]

Thanks I'm currently undergoing diagnostic testing and imaging originally hurt back caused L-5 disk to budget. 23 years later and all kinds of pain and diminished capabilities suffered finally hope. ❤😅😂😂

[@drcharliejohnson]

@@angiejones3714 hey! hang in there. Are you interested in some help so that you can naturally resolve this?

[@vg1734]

Where is his office?

[@JoshBender1]

I've watched dozens of KZbin videos trying to get to the bottom of my back and hip pain and this is the single most useful video for back pain sufferers, hands down. Insanely good! Thank you so much Dr Charlie for sharing your knowledge in an easy to follow way. Your kindness and generosity change lives for the better every day.

[@drcharliejohnson]

You're welcome Josh! Thanks for watching. Please share with those in need!

[@lisacarr13]

I find it crazy how little credit physical therapists get. I think they are the MOST receptive to pain complaints. I had an X-ray, mri, exams. And no diag other than having “you have sciatica” finally got orders for PT. Went to the physical therapist and he diagnosed me with a disc injury and started giving me exercises that gave me the first relief I had gotten in almost a month. Still not healed completely but coming from where I WAS, I owe him.. a lot. Worst pain I have ever been in in my life.

[@annmarie9040]

Yes, I’m going for an MRI next week

[@eggedon6112]

PT's are the best!!💜

[@NansGlobalKitchen]

@@annmarie9040 I am terrified of going for an MRI, because I am very clausterphobic and cannot do small enclose areas. I had one done once and passed out. I will do a CT scan over an MRI. I they had other ways to detect your pain and tissues instead of torturing you to go in that machine! Hope you are feeling better.

[@Bornindafire]

@@NansGlobalKitchen i hope you find a way that helps

[@mikearchibald744]

I had an mri, I loved it, here in canada its like winning the lottery so no fear I'm even going to see an mri until my injury is years old. And mri should be a yearly exercise, as just the cancer angle alone can save so many lives. However, this guy IS a doctor, or I think he said that. Sometimes when I watch these I have a fear that its some guy looking at other youtube videos and jsut making up a name and calling themselves a doctor:) But yeah, so far doctors seem a waste of time. They don't even seem REMOTELY interested in patients usually. Mine is definitely a disc injury, and within a week of starting exercises I'm seeing huge improvements. Got a setback today after driving, I knew I was jinxing it. But I should write a journal to remind myself of the hellish pain I went through for a week not knowing what the hell was going on. Our healthcare industry was useless, I found the best help on youtube. Yeesh. I agree that pain is unbelievable. Painkillers wouldn't even TOUCH it. But exercise and strengthening have me on the way to recovery. But still wish I could get an MRi to at least see what things look like. Heck, many people get saved from cancer from the early detection in an mri.

[@soccerboy21997]

Third year PT student here… this mental map and “algorithm” is insanely helpful trying to differentially diagnose this complex anatomical region. Big thanks Boss

[@drcharliejohnson]

Welcome John! You finished with PT school now? Appreciate you watching!

[@ARNOLDOLOF]

i am a retired General Surgeon. After having treated a lot of patients with back ache, I got it myself. Pain in the right glutae with tingling down the leg similar to what happens when you hit the Ulnar nerve in the elbow. Stretched and stretched with no results. Then I saw your videos and started to reflect. It turned out that my right foot was always in the right outward direction. After correcting this and the pain disappeared. Thanks a lot for your help and very good analytic approach to this problem.

[@drcharliejohnson]

thanks for watching! Appreciate you sharing!

[@kitmarye1891]

Dr. Charlie: this is the most comprehensive approach to pain of the back hips buttocks and legs I've ever seen. Thanks, KM

[@drcharliejohnson]

Thanks for watching Kit!

[@terriegentry2785]

DITTO! So SO helpful!!!

[@lydieuhh]

Thanks for not isolating issues like everyone else because I am thinking intuitively that I have more than one of these simultaneously, which is why it’s so frustrating when docs continuously try to focus on one area of concern while diagnosing one condition at a time only. Like let’s forget how nuanced and interconnected our physiology really is...

[@drcharliejohnson]

👊🏼

[@dianelively8582]

You sound like me and I’m not sure which one I have because I’ve had three back operations and still have a groin pain.

[@randomvidz8742]

@@dianelively8582 it's so frustrating

[@briannab5296]

lydie .. well said!

[@publicserviceannouncement4777]

That's why I see 3 different chiropractors.😅

[@cadeaquariums]

Great video. Given me an idea of what is going on. Most of my pain is actually my entire ankle however it started suddenly without an injury. It feels more like aches, no numbness or tingling. No pain with load but more pain with stretching ankle like a permanent sprain. Then after 3 weeks it included pain in my lower leg, shin, Achilles, calve, knee. Slight sciatica in hamstring and glute. Pain in groin and slight pain in outer hip. Working my way up I do have pain in L4 S1 so that’s my likely cause I’m guessing now. Chiro has adjusted it and I get some relief down stream for a couple of days but the pain never ever completely goes away. All started the day after a 8hr flight so I was leaning towards back issue. 2 months now, getting frustrated.

[@drcharliejohnson]

Hey! thanks for watching- sorry to hear. Would you be open to some help and me reviewing your case to see if/how this can be resolved? (we work with folks worldwide) 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

[@Jill199]

What a fabulous video! I am a neuroscular therapist and have been practicing for 30 years and This video rocks! My pain has stumped not only myself but my colleagues. Still trying to figure it out. I have not done the tests here yet I am watching it first then I will do the test on the second run through. Thank you!

[@drcharliejohnson]

Thanks for watching Jill! Be sure to check out my complete DIY Diagnostic Guide as I’ve recently updated it! You can grab it for free here- www.drcharliejohnsonpt.com/DIYGuide

[@sheilasmith1109]

Hi Jill! I have to agree with your comments! Even more, I have to admit that as a practitioner myself, I think we tend to have more complex problems that are total mysteries! It stinks!

[@patkanners8799]

Thank you!! I have a new left hip. Now my right side hurts, but the pain is a bit different. I need my right side diagnosed this way!

[@khadijaaziz5846]

Must say thanks to your brilliant clip and time to explain all the different possibilities, Can I please have the website that you mentioned one could contact you on Thanks once again

[@TammyGsings]

I REALLY Appreciate the time and effort you have put into understanding the complexities with the human body. I have been looking for someone like you who can possibly help me navigate through my healing process and make my life better. I have been working hard on the inside but now I have to deal with the outside. Being thorough as you have in this video does help especially with people like myself who have such a complex issue. Hoping to talk with you soon. Again, I really appreciate someone who does not seem to be burnt out yet and is very passionate about what they do and is not just rushing me through an appointment and collecting a pay-check. Thank you.

[@drcharliejohnson]

Hey Tammy! Thanks for watching- happy to help! 👊🏼

[@freeradt2970]

You didn't miss a thing!!! I would say this video is THEE BEST VIDEO FOR ANY PROBLEM YOU MAY HAVE IN LOWER BACK, HIP, SI JOINT NERVE PAIN OR DAMAGE AND MORE!!!! I know I'm contacting him right after I post thus! I know for a fact he'll help me because I now know what it isn't!!!! And I think I know what it is....because of THIS VIDEO! AMAZING DR.!!!! GOD BLESS & BE WELL! 🦋

[@Laurenski67]

Thank you so much for sharing this and not trying to sell your "secret" diagnosis technique. I'm sure you've saved many ppl from additional pain and injuries.

[@drcharliejohnson]

Hey Lauren! Appreciate you watching and thanks for your feedback 👍. Happy New Year! Let me know if ya get stuck or need any help. Dr Charlie

[@sangeetharadhakrishnan7064]

Finally I got wat I was searching for...I always thought why don't PPL put everything together instead of making it more complicated...thank u.....hats off for your hardwork.....

[@drcharliejohnson]

Thanks a million for your feedback. Appreciate you watching. Please share and let me know if ya have specific questions. Dr Charlie 👊🏼

[@sumaiyakhan9368]

I have severe backpain,left hip,left leg... L4L5 n S1 disc bulge n herniation...but doctors don't believe me that I have extreme pain saying your discs are not compressing your nerves....i have headache in left side... they say you have fibromyalgia n it's psychological....but I can't stand for half an hour...not walk for 15 minutes...if I do any activity my pain increases.. thank you for letting me know I have sciatica... thank you from India 🌹

[@MaXimus-l7v]

Find a bone setter in your region. (not chiropractor). They do things a bit different.

[@EmmaLou8424]

I wish i had this video years ago. Now I've got a good idea about what my issue is. THANK YOU for making this information free. It's going to help so many people 🙏🙏

[@drcharliejohnson]

No problem glad I could help you 👊🏼

[@danielmilliken8903]

This is the most informative and hopeful vid Iv ever seen. Iv had 4 surgeries last 4 years on hips and back with still no pinpointing my dominators of pain. I will be watching this multiple times and following through because I feel like it will lead to my success of finding issue/issues. I know my body more than surgeons as with experiences considering. I barely was touched with there hands to test anything accept for nerve test with needles. ( pain test ) and it’s like they didint believe or want to understand my cries within. Thank you dear beloved friend for your vid. It made my day by far 🙏🏼

[@drcharliejohnson]

Daniel! Thanks brother! Shot you a response to your workshop question (check email) No pressure- but would love review your case and to see if/how I can help. If you’re interested- visit www.drcharliejohnsonpt.com/apply and select a time to chat. You got this! Dr Charlie

[@francesmacheda5065]

This video should be part of every doctors training or at least used as a refresher. I now have a better understanding of what is going on with my body and what my doctors have been doing in my exams. I feel I can now ask better questions to help guide the doctor to a resolution of my issues. Great video!!

[@drcharliejohnson]

Hey Frances! Just seeing this now! Thanks for watching (and look forward to chatting in the near future!)

[@megamaze00]

Finally! I haven’t been able to walk for two days and I have three small children to care for. This is the first video that has given me the info I’m seeking. Thank you!

[@drcharliejohnson]

Awesome- happy to help!

[@femalehuman7074]

So, we're all ignoring the staircase to nowhere. Cool, cool.

[@jenniferdurfey2358]

😂😂😂

[@Germatti13489]

Female Human I guess his house was made into apartments and that is wild. Maybe someday someone hopes to make the house whole again. 👵

[@Julian_LewisDig]

I was literally so concerned

[@cynthiadianecarey9902]

Darn... Once you pointed it out, I can't concentrate on anything he's saying...

[@naytanner6222]

😂 I know right! So distracting.

[@rowan7658]

Thank you so much for explaining everything so simply. This is THE BEST and the ONLY one you need to watch to make a clear and simple self diagnosis. ❤

[@drcharliejohnson]

Glad I could help you out! Appreciate you watching.

[@ahgirl1613]

Your explanations are thorough and are a "cut above the others". I'm sure anyone who watches this should be able to make a perfect self diagnosis. This has helped my grandaughter. I rate this 100 plus percent. Very clear and simple for anyone who is not in the medical field to comprehend. Thank you.

[@drcharliejohnson]

Thanks a million 👊🏼. Glad you found it helpful. Let me know if you need more clarity on anything 👍 Dr Charlie

[@eveyoyvey4032]

WOW this may be the best diagnostic guide I've seen in 37 years of practice! Thank you, Dr. J

[@drcharliejohnson]

Sweet! Glad it was helpful- appreciate your feedback!

[@Ceelxaar]

Woow this video actually described exactly what I have been suffering for the last 5 weeks. So what I have is spinal stenosis. How bad is it ?😳😳😳 I haven't been to work for 5 weeks

[@mellissajackson9012]

BRILLIANT, good sir, THANK YOU! Had something such as your video been available to us... Or better yet, had any of the dozens of various specialists I'd visited looked at MY story, I bet my overall quality of life would be drastically different. It's now my thought that what may have started as a herniated disk was overlooked due to my age (?) potentially. Over time, it seems as though i've taken a trip down the river, as you say. The herniated disc aggravated the bursitus in my hip, which, of course, swelled, creating an altered gate. Now, with the altered gate together with painful sitting. I now have 2 curves in my spine. Hips are uneven, as well as my shoulders, and both big toes now stay numb. To wake up on my back is basically paralyzing and does take help getting up. It's extremely painful for several hours after, extremely. I can't stand, sit, breathe, nothing really without again paralyzing pain. I mean stop dead in your tracks pain. Literally, scared to move. For me it does seem to hurt the most when taking pressure off of the joints, as opposed to putting pressure on or stretching them. It is just such a morning that I've stumbled across your video. OMG! Where was this 25 years ago!! Your chart/video should be additional MANDATORY curriculum in your field of study. HA! All must adequately show their ability to explain or present this it to their patients (lol my opinion) and should be hung by law in all orthopedic practices. There's also another study I have found on Vitamin B12 and Vitamin D2 deficiencies. For me, these 2 things have played a large role in my overall bone health as I am also deficient in both. Most of my symptoms started in my teens and is a large factor as to why it took until now, in my 40s to be diagnosed. Don't rank age as a top required symptom for anything. My initial complaint was what I described as bone stiffness in my middle teens. It felt as though someone were separating the muscle from the bone in my thighs. My hips I could only describe as someone having me by my ankles pulling my legs apart, popping the joimt with ice picks. I would wake up at times so stiff. I couldn't make a fist or hold anything in my hand for the first couple of hours of the day. Again, I was 13-14 and now in my 40s and still with minimal explanation as to why I've hurt my entire life. My apologies for the lengthy message! I've dealt with a lot of pain in my life because of this, and something such as your video could have prevented much of it many years ago. The prevented unnecessary sometimes painful regimens alone would have been invaluable for me! Again, AWESOME info youve given here keep up the good work and dont forget the kiddos👏

[@warrenalbert7922]

This was an excellent, clear way to help people guide themselves and their health care provider to determine what is causing their pain. I’m a failure analysis engineer and we use ishakawa diagrams to rule in and rule out causes for issues. I absolutely loved this. I recently started having specific left side lower back pain and now I can use this knowledge to better guide a diagnosis. Thank you!

[@drcharliejohnson]

Warren! Awesome man- appreciate the feedback! Glad it was useful... What are you doing to treat your back?

[@warrenalbert7922]

@@drcharliejohnson Right now I’m waiting to see an orthopedic but using your info I think my L4/L5 is herniated. I find peace in fetal position, using tens unit with OTC NSAIDS

[@warrenalbert7922]

I also have visited my Chiropractor 3x. I would appreciate any videos or info you may have put together for referencing in the meantime. Thanks again for sharing your gift of knowledge with us!

[@matterafact]

Dr. I am blown away on how well you delivered your video. I Did the figure 4 and my rt. Side was maybe 10% tighter than left side. Then I rotated my rt.leg outwards like you did and Ive been having piraformis pain for a few days now with my rt toe going numb, usually after sitting or lying down for a while and immediately my right big toe went numb. Any idea what that is? I’m 52. Here’s the kicker my SI joint was killing me about a week ago and my doctor pushed on it and it was a bit tender and he said I had SI joint dysfunction. I went to my physical therapist for two days and I believe that made my problem worse and not better because now it seems like the SI joint is fine but everything has shifted to the performance and the outside of my hip. I guess that would be where the end of the Pariformis ends or maybe the glute medius. Shout out from Annapolis Maryland ……new subscriber for sure

[@drcharliejohnson]

Hey Matt! Thanks so much for watching- appreciate you watching and glad you found it useful. Honestly, so many more details I'd want to be sure of before offering specific advice. Not sure if I can help, or what that might look like, yet- but would you be open to submitting details of your case for me to review and setting up a time to chat so that I can confirm either way? If so- just visit www.drcharliejohnsonpt.com/apply If after reviewing your case, I feel unsure about if I can help/what the best plan would be, I'll just let you know. No pressure either way. -oh, and Annapolis Maryland... have been there many times in the past! Thanks for checking out my content Matt! Dr. Charlie

[@Bagabonda]

Wonderful video. I'm 62, and I might have more than one thing going on. Thank you for adding some clarity to the confusing situation!

[@randomvidz8742]

Im 120

[@Lugnut64052]

I'm 64, and thinking I may have a blend of issues going on too. Yes, great video. Thank you, Dr. Charlie.

[@XJSSBill]

Been in pain for 5 weeks. Your video has helped in two days.

[@drcharliejohnson]

Sweet! thanks for sharing- glad you're on a better path. Let me know if you get stuck or need more help! Dr. Charlie PT

[@extralolz1476]

Finally I now know it’s a upper hamstring problem. Thank you so much for this detailed video. Im keeping it safe to help my friends and colleagues 👏🏻

[@bigthinkers888]

this video saved my life. i am not suffering from back problems, but instead high hamstring tendinopathy. all my PT, doctors said it was herniated disc before MRI. I then googled exercises to for high hamstring tendinopathy and I felt instant relief, 1% pain left!

[@drcharliejohnson]

Awesome! glad I could help!

[@willyd.pgapro]

Dr. Charlie. This is a great video to help self diagnose or at least start to understand what the heck is going on in the back, hips, legs, and buttocks. I used it to help understand what could be wrong with my right side. I recently fell about a month ago. I missed the last stair going out of my house and put all the weight onto my right foot, turned the ankle inward and then fell. I had a mild sprain but after that I started to feel so much pain in my lower back, near my s1-s3 area. Thought I broke my back, and was very stiff for a week. That pain went away and then all of a sudden I started to feel excruciating pain down my right side into my calf. Pain was radiating so bad that I could not even put my socks on in the morning. I did some stretching, and I continue to due so, but the pain is still there. Agonizing just to get out of bed. So, here is where I am at now: I have Zero (0) pain in my back, none but my buttock is on fire. I did the leg raise test and nope, couldn't even straighten the leg. I did the Figure Four stretch for groin and that was fine as I don't have any pain there but I tested it anyway to see. Tests results were very symmetrical on both sides, maybe a bit loose on the painful side. So I can put socks on again but not how I used to. Upon reading some more, it looks as though it could be the Piriformis that is causing the problems. Thanks again for this very informative video.

[@lisakaiser8726]

Thank you so much for this free awesome information. My pain sent me to ER and the diagnosis was: Perfect health. Sure yeah, on morphine! I did the entire flow chart, the whole boring thing and all the stretches which most were easy and very painless. I came to the Femoroacetabular stretch and there was my problem. I did the stretches you suggested for this, and boom, pain gone. Yeah, I shared this with many. I would have never been diagnosed by a doctor for this, as they were thinking heart attack, gut issues, kidney failure, and all my organs, blood tests, urine test checked out to perfection. They sent me home with pain meds that nauseate me because they thought it might be, but not sure... muscular.

[@drcharliejohnson]

Glad I could help you lisa! Let me know if you need help or have questions- just drop em' here! Dr. Charlie

[@jacksonalicia1980]

Finally ! Been searching for over six months for answers. Thank you so much for the clarity 😍🤩

[@drcharliejohnson]

No problem Alicia! Let me know if I can help in any other way 👊🏼 Dr C

[@jacksonalicia1980]

@@drcharliejohnson I asked a question related to cushion for the car on another video. Thank you for your time and response. I went to Dr. Charlie school today 🤣😍

[@nocturnalish]

This video I would recommend to anyone with back pain.. Im confident that I have a herniated disc or bulging disc, or it may be ruptured. I know it's a disc because I stopped on the video after reviewing all the pain symptoms I've had in the past week and two years agao when i thought it was just a pulled muscle that healed in 6 days with only 3 days of work missed... I looked up exercises for people who has herniated disc. When I preformed the arm hanging, leg and back dangling techniques I felt instant relief. Throughout today on my first day, Im feeling more relieved than I was when I was told to not lift anything over 10 lbs and take steroids and muscle relaxers. I have yet to see tomorrow's results without any medications 💊.. 😊 Thanks! For your video and word of advice Charlie! Ill continue to listen to my body and stear away from pain as I continue to heal. Ill follow up in a few days am confident that my healing process has already began..

[@drcharliejohnson]

Hey! Thanks a million for watching my content- please share with others! For sure, would love to get an update... keep me in the loop. Let me know if ya get stuck or need some help. Dr. Charlie

[@selasun4]

I'm so glad your video came into my feed today 😊 I've been having back and hip problems for 2 years now, saw the physiotherapist for 10 months but didn't help much, saw a chiro that seemed to make my pain worse. The only relief l got was from medication, tens machine, hot and cold packs, and massage but the pain is much worse now, pain in the butt, and hip, going down the leg, knee pain and sometimes weakness, tingling, and numbness in my legs. I saw a hip specialist and he said it seemed to be a nerve problem in the back, suggested an MRI but I'm still on the waiting list for that and now l can hardly walk. I'm only able to go to work because of the pain meds l have to take everyday but even that is not working so well anymore. I'm at my wits end. What else can l do? Any advice would be appreciated 🙏 Thank you so much Dr Charlie 🙏🙏🙏

[@vv7299]

Kratom will help with pain

[@shazzymapatazzie3117]

What is Kraton? Could you please share some information about it?

[@eagrinstead1]

I don't know if this helps with pain. I see ppl addicted to opiates trying to kratom for to get off and manage withdraw. They are always talking about getting it at a smoke shop.

[@dexterne]

Have you tried spinal traction? Specifically an inversion table? I have a herniated L4-L5 (MRI just confirmed) the thing is that my symptoms started as leg pain just above the knee with no associated back pain (though I do have a history of recurring back pain with year+ symptom free periods). For 6 months it was just leg pain after sitting for a few hours and the only reliable way to get relief was to take a long walk. That would reset me but I would get symptoms again after sitting. Every damn day. Doc started treating for piriformis with steroids and in about three days it went to crippling pain in my back. Another injection, then bed rest for a week and it went to excruciating pain in my shin. Finally got the MRI and heavy meds, it was looking bleak. What works for me now is inversion table (5min at 45deg), then straight into a lumbar support belt. I can stand or sit for hours, but I do inversion 3-5x per day. In bed putting pillows under my knees is key to sleeping though the night. I'm still on hydrocodone and gabapentin but I'm able to work and sleep now. Trying to get a surgical consult, and back to physical therapy. Hopefully on my way back towards normalcy.

[@terriegentry2785]

Thank you SO much! I do not currently have health insurance, so I’m unable to go to the doctor, which was the reason for my research. I am blown away at how detailed your diagram is, and how helpful it is. Based on all of the steps, I believe the cause of my buttock pain, radiating down the back of my thigh and sometimes into my foot, is truly caused by SI Dysfunction (upstream). My symptoms began about 9 months ago, when working as a delivery driver for an HVAC company. Eventually, while driving for even 20-30 minutes, my right leg began hurting so bad, to the point I would have to put my hand under my leg for any relief, and at times, I’d have to pull over and get out and walk around to get relief. When I press the SI on my right side, the pain is excruciating. The left side is painful as well, or at least very tender, so it may even be Bilateral SI. I plan to take some anti inflammatory medication to start, and go from there. I am very grateful for this video, and the fact that the certified information is free. Beyond grateful! Thanks again! -TerrieLyn 😊

[@drcharliejohnson]

Hey TerrieLyn! Thanks for checking out my content! Glad it was helpful to you! Something to consider... it's highly unlikely that after 9 months the inflammatory phase would still be present (just in case you find anti-inflammatories not very helpful). To give you an idea... the inflammatory process usually only lasts 2-4 weeks for most... No pressure, but would you be open to me reviewing your case personally to see 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 a detailed Case Review. Otherwise, keep me in the loop! Thanks TerrieLyn! Dr. Charlie

[@terriegentry2785]

Thanks Dr. Charlie. The answer is yes, I would love to have you review a case study on my condition. Given a series of unfortunate events, I currently do not have WiFi, and the service out here in the country is rather weak and unreliable. Once I am able to get WiFi, and can afford (not even certain of the cost) the case review, I will circle back and reach out. I do realize that I’ve allowed this pain to go on for far too long, but with no health coverage, I’m just having to take things day by day. Thanks again! I truly appreciate you!!! 😊 -Terrie Lyn

[@charlesreed8244]

I just finished watching this video and it is great with the paths. My issue is a combination which I did not see it on the graph. I do have Inner Growing pain on my left side where it hurts to raise my foot to the number 4 position over the knee...but I ALSO have lower Sacrum pain if I sit down unless I am on my recliner...and I have been having these SHARP stabbing (with no warning) pain that comes and goes on the back of my LEFT knee (same side as the glowing pain side). This seems to be a combination of a few on your graphs. I am a bit confused how to follow the path of your diagrams when it is 3 of them combined. Please help!

[@michellechoquet1964]

TY TY TY for addressing of these issues! Exactly what I need! God bless you ☺️

[@drcharliejohnson]

You’re welcome michelle! Thanks for watching. Let me know if ya have questions or need help 👊🏼

[@premkumar-no6lr]

In the case of signs of Cancer, what exactly does 'Tried PT and it didn't improve' entail? How long should one be trying PT before coming to this conclusion?

[@carolrobinson9642]

I have been to the chiropractor, took a somatic movement course, and watched DOZENS of videos trying to figure out my butt and leg pain. FINALLY....this video helped to explain it! Now I know NOT to do piriformis stretches but to do contractions instead. I feel like I’m on the road to recovery. THANK YOU, THANK YOU, THANK YOU!!!❤️❤️❤️

[@drcharliejohnson]

Awesome Carol! So glad I could help you 👊🏼 Let me know if you need anything else 👍 Dr C

[@miket.220]

This is an amazing video, thank you for taking the time to make it. I developed pain in my left side hip area after a long vigorous bike ride, and was afraid I’d injured a disk as I had zero restrictions prior. By my checkups with a chiro using many of these rests ruled out the back. Based on what I’m seeing here, I hurt my pirifomis muscle as I have front and rear hip pain on that side only, with some light numbness in the kneecap and some light tingling in the shin, but zero back pain. I seem fine during the day (aside from that numbness) but the pain does intensify at night while sleeping, waking me up.

[@drcharliejohnson]

Hey Mike! Sorry to hear... thanks for sharing. And also- thanks for checking out my content! Sounds like you need some help. Would you be open to me reviewing your case personally so that I can see if/how I can best help you? If you're interested in potentially working together, just visit www.drcharliejohnsonpt.com/apply - select a time to chat, then follow instructions to submit a detailed "Case Review." Okay? Hang in there Mike- you'll be back to sleeping well soon! Dr. Charlie PT

[@Emma-pl9gt]

Hi Charlie! I'm about 25 mins in to this video and have just done the figure of 4 test. After this, I have a burning pain in the glute of the bad side. I've been diagnosed with hip impingement (2 years ago) but also have symptoms of an SI joint issue. Hence, I'm so confused. I also have a knee issue (other side) 10 years post surgery but arthritic. I get the pinching on the bad side in my groin/inner thigh, when I bend or lean. And sometimes, randomly, I cannot weight bear on this side. It suddenly seizes up and it's excruciating. I also cannot walk around the house bare footed, as this pulls on it. I always need shoes on so that I feel aligned, and not asthough I'm leaning slightly backwards. Does this sound like hip impingement to you? Any thoughts??? I'd be eternally, forever gratefully 🙏

[@drcharliejohnson]

Hey Emma- sounds hip joint related to me. And chances are hip joint issue is causing referred pain/symptoms to the buttock/SI joint region.

[@Tonisuperfly]

Thank you for asking this question. This is exactly what my mother experiences. No idea what to do about it.

[@drcharliejohnson]

@@Tonisuperfly 👍 let me know if ya have other questions or your mother needs help 👊🏼

[@freeradt]

THANKS SO MUCH DR. CHARLIE!!! YOU ARE TRULY A MIRACLE WORKER AND DEDICATION LIKE YOURS IS A BLESSING FOR US FOLKS WHO NEED GUIDANCE. You are the answer to my prayers literally!!! I will be setting up my 45 min call, and I can't wait to get started with you to taking this to a new beginning!!!

[@1953Spock]

I genuinely appreciate what you are doing to help people.

[@AnaFB9696]

This was the most enlightened video i've ever seen. Been experiencing pain in the but along the leg down to the toe. My doctor said it was periform, but i've also pain in he lower back.

[@a.phillips6892]

You are brilliant! You have helped me immensely. I’ve been in a sea of misinformation/ treatment. I have SI joint problems, and can finally settle on that diagnosis thanks to you! Hopefully can heal from this now. Your info is SO valuable.

[@susan9188]

This video is great isn't it? That's my issue too, left SI joint. I dread going to bed because I can't find any position comfortable and if you twist around it just makes the rest of your back out of alignment. I'd like a good night's sleep. Good luck.

[@a.phillips6892]

@@susan9188 Yes, it’s true. I can’t lay flat on my back at all. Very frustrating! Good luck to you as well!

[@aewutube]

Have you found a treatment that has helped your SI problem?

[@a.phillips6892]

@@aewutube No. Gave up on PT. I recently tried assisted stretching. This seemed to really help the first 2 visits, and I really like it. I’m flexible, but they push you to your limit. Unfortunately, it has not solved my s.i. problems. Shiatsu massage feels great, also, but no cure. I’m pretty much resigned. I would like to try PRP injection, but so far it has not been offered to me. I believe the advanced stretching got blood flow into the area, hence the pain relief.

[@vickijd22]

Better than any M.D. than I've ever seen for my 40+ years of back & neck issues. I shoveled dirt, had a mildly sore back for a couple of days, then turned the corner & almost fell to the ground. Now I am in a multitude of pain, but can do almost everything but stand up straight! This is new to me. Any thoughts on what can help?

[@drcharliejohnson]

Hey Vicki! thanks so much for watching... appreciate your input! Step one- need to optimize the healing environment (mentally/physically) so you're not picking the scab (usually things- habits, routines, thoughts... things you don't know you don't know that are picking the scab). Then, start measuring so you know exactly where to start, and what to change. (you can't manage what you don't measure), then begin using movement as medicine... systematically testing to determine what will work for you (goal is to identify ONE motion). Then, systematically and safely get back to life/prevention. A process is important here vs random inputs. Let me know if you need help... If you'd like me to personally review your case and are interested in potentially working together- just visit www.drcharliejohnsonpt.com/apply and book a chat with us.

[@ahsanyarkhan3775]

Best diagnostic video for Low Back!

[@drcharliejohnson]

Glad it was helpful! Dr. C

[@hollyjoy3192]

Best focus ever on mystery pain in leg/back/hip /si regions! Constructive re wording : “that said” is better then redundant “that being said”, less words = clarity , correct grammar = hitting target. Thanks again for amazing content. Learning much.

[@drcharliejohnson]

Thanks Holly! 👊🏼🔥

[@spookycat99]

Oh are my hero! This flow chart is the bomb! I can follow easily and determined that I must have pulled or injured my high hamstring from all over stretching! Thank you a million times. I still cant put pressure on the leg but at least I'm not freaking out thinking that I blew my disc out!

[@drcharliejohnson]

Awesome Sherrie ❤️🔥💪🏻👊🏼

[@paulhughes7079]

Sherrie. Do you have a copy of the flow chart? Unfortunately the link to it isn’t working….

[@RayAbrishami]

This is the most comprehensive and relevant analysis of the topic. Thank you Dr. Johnson.

[@ronenwolfman]

Wow. This was the most educating video I've seen. Still not 100% sure if I have a herniated/bulging disk or SI joint issue, but will keep researching. Thanks so much!!

[@drcharliejohnson]

Thanks Ronen! Glad it was helpful! If you have both lower back pain and pain in the SI Joint region- then most likely the lower back (disc or other) as it is UPSTREAM or (in other words) the SI Joint is DOWNSTREAM. In the presence of a back problem the SI Joint is likely to be sensitive and hurt. In the presence of a back issue- the SI Joint tests/story will be FALSE positives. Make sense? SI joint will be one sided- no central back pain- in the location shown on the flowchart/in the video- right on the boney bump/dimple area. Hope this helps. Dr. C

[@lydieuhh]

@@drcharliejohnson that’s what I have! Non central pain but seems to be more on the right side especially pointy dimple area. X ray showed hips are uneven and disc near L5 is smaller. So now dealing with SI, bursitis pain, and pinched nerve sensations

[@petemack2446]

Absolutely stunning explanation. Thank you. I have Epidural lipomatosis due to fat in spinal canal. All other checks ok. MRI for pituitary etc, Never done steroids. Just body fat percentage and genetics. Will not operate to decompress as body fat will repopulate in spine. Just have to lose more weight to resolute. I used to do high intensity boxing etc and soccer. 2 years of pain, taking gabapentin, paracetamol and dihydrocodeine prn. Nightmare. More exercise, more pain so kind of slow process and dietary changes. Extremely frustrating. This explanation is immense in pointing me to the transient claudication/ positional stenosis with random hip pain on mobility. The stopping and crouching every 500m walking to reduce stenosis overwhelming pain is a nightmare but this video is sooooo good I don't feel so isolated anymore. I guess more pain relief before and after exercise gradually increasing exercise alongside dietary changes and extreme patience. Keep the faith people. I was a staff nurse on/off for years I I'm struggling with this condition. It impacts your stress/mental health (which I've studied also) and gabapentin can add to the messing of the mind. It's a marathon. No beer, reduce sugar, sweets, biscuits, reduce your previous high protein intake also. Crazily I never realised that protein meat intake gets stored as fat also. That completely blindsided me so reduce your meat intake if you have Epidural lipomatosis. Again, finally, THANK YOU SO MUCH FOR THIS GUIDE.❤❤❤

[@drcharliejohnson]

Thanks a million Pete for watching and for your feedback! Appreciate it! Let me know if ya have specific questions 👍

[@nicolereilly6385]

Yes!! Just what I was looking for. I will rewatch and do all the tests. Not much luck at Kaiser or either chiropractor. They both did the hip distraction adjustment which I feel made things worse and gave me new sciatica pain. Dealing with pain on and off 2 years after groin pain from rebounder then was told I had a strained patella with some knee clicking. Def hard to put on socks! Magnesium, baking soda bath helped relieve some pain.

[@flippy_11]

hi i just wanted to respond to your comment as I have had chronic pain in multiple areas hip/butt/leg/groin for 2 years since using mini trampoline also! this vid helped me understand i do have multiple issues. im in agony if i do anything more than gentle walking.

[@chuchiTV305]

The best deception of the pain I could not afford the MIR. Thank you so much for sharing ❤ can you please share what types of treatments to release the horrible pain 😢 pls I beg you !

[@candamorgan]

This is great and and thanks for the flowchart. I’m 3 days post L4/5 microdiscectomy and this video is spot on from the long journey i’ve had to get here.

[@drcharliejohnson]

Hoping for a speedy recovery. Thanks for your feedback and thanks for watching. Glad I can help. Let me know if you have any questions. Dr. Charlie

[@loungydoc]

Could you describe your journey? Did you have a lateral shift of upper body vs lower body? What did MRI show? Did you do PT before surgery and was surgery the best thing for relief? Thanks I’m advance

[@candamorgan]

@@loungydoc No luckily i did not have lateral shift, though i have seen others who did and also benefitted from microdiscectomy. Yes to PT and every other conservative treatment prior to surgery that was available to me - i just couldn't live with the pain i was in, so am hugely sympathetic towards anyone suffering. There is a fantastic subreddit r/Sciatica if you haven't come across it already.

[@loungydoc]

@@candamorgan so the surgery was major success for you?

[@candamorgan]

@@loungydoc Yes, i am 10/11 months post-op now and have my life back. An occasional feeling of nerve pain on my affected side comes up every so often, but much much milder than it was pre-surgery.

[@carrielnelson]

No one has been able to tell me what the problem is, this video finally help me diagnose the hamstring tendonitis! I kept telling everyone my back didn't hurt and the only ROM limited was hamstring, it's painful right where it attaches but everyone kept telling me it was sciatic pain or that I should get imaging of my back done. I almost started to believe them and then this video popped into my feed 🙏

[@chandlerp206]

How should I go about with healing a herniated disk? I’ve been dealing with it for almost a year and I’ve seem to have hit a plateau. Great video by the way, definitely the best help I’ve had.

[@mikearchibald744]

Have you had x rays, mri's or any other tests? If you've been doign the strengthening exercises and are still having issues you should get a good look at it and see if surgical solutions like a microdiscectomy are necessary.

[@Robot007]

This video is of excelsior quality, not just in graphics but in explanation. To all back pain sufferers...you better LISTEN and PRACTICE what this DOCTOR is telling you. IT WORKS!!! Thank you for your effort Dr. Johnson 🎉 Blessings!

[@drcharliejohnson]

Thanks Mr. Martian! Appreciate you watching and sharing. Let me know if ya have any specific questions. Here to help!

[@annas4376]

Absolutely awesome video. Didn't get anywhere near as much of an understanding of these issues or what my problem might be after seeing two physios and two doctors. I am so glad I found this resource, thank you.

[@drcharliejohnson]

Glad I could help Anna! 👍👊🏼. Let me know if you need help or have any questions. Dr Charlie

[@ladymspeaks2u]

This is an AMAZING video. Thank you so much!

[@drcharliejohnson]

Thanks- you're welcome!

[@ritsp1291]

I am sharing this with everyone I know! Amazing CHARLIE!

[@drcharliejohnson]

Thanks Rits P! Appreciate you spreading the word and helping me help others! Charlie

[@RhetoricalMuse]

I agree. Anyone asks - I am directing them here.

[@jasonbreding7905]

Do you have solutions/exercises to heal all of these different symptoms?

[@drcharliejohnson]

Hey Jason! good question. Yes, this is what I help people with. I consult with folks worldwide with the goal of helping them resolve these problems naturally by showing them how to use their mind and body. No pressure, not sure what you're dealing with or even if I could help- but are you in need of/interested in some potential help?

[@suzanneevans4157]

Absolutely brilliant. So good of you to do such a comprehensive assessment video x

[@drcharliejohnson]

Thanks Suzanne! So glad you enjoyed it! Also, I believe you're registered for my workshop- hope you love it too!

[@annalisaliljubaldurs]

FINALLY!! Thank you👏🏽bravo. You have confirmed my 10 year old self diagnoses with SI joint disorder but noone (PT’s nor Orthopedic specialists) has been able to help me. Can you advice me on what to do? and what to awoid if anything please? Thank you🙏🏽 I also have reocurring piriformis syndrome but the clam excercise and the other one are really helpful.

[@drcharliejohnson]

Hey Anna! Thanks for watching- glad I could provide some clarity for you! Honestly, and I hope you can understand, it would be tough for me to advise on what to do/not to do without knowing details of your case and evaluating your situation. That being said, if you're interested in further help, I consult with folks worldwide. I'd be happy to review your case to see if/how I can help and what that might look like. If you're interested- just visit www.drcharliejohnsonpt.com/apply - select a time to chat with us, then follow instructions to submit details of your specific case for my review. Sound good? Thanks Anna! Dr. Charlie

[@annalisaliljubaldurs]

Thank you for responding to my question. I totally get your professionality, being a healthcare worker myself (a perioperative RN in Iceland). I most certainly will be in contact later this month, thank you for the opportunity, Annalísa Lilju Baldurs.

[@drcharliejohnson]

@@annalisaliljubaldurs appreciate you understanding. For sure, look forward to potentially helping you out and reviewing your case.

[@emuliaka]

amazing video.... great job on the chart... seldom we see so many information projected that well! THANK YOU

[@lynneberry6495]

Great video🙏 Does hip arthritis cause weakness? Groin pain, wrapping around under buttocks, pain down front of thigh, inside of knee ... Very stiff in hips. Trouble walking and sometimes pain gets unbearable and my leg gives way...🤔

[@drcharliejohnson]

Hey Lynne! Based of what you've shared- yes, sounds like hip arthritis is a likely cause of what you're experiencing. Did you download my DIY Diagnostic Guide? Inside I share actual videos of people who thought they had SI joint/piriformis issues but actually had significant hip osteoarthritis. Watch their videos (they are clickable) inside the DIY Guide if you'd like- visit www.drcharliejohnsonpt.com/DIYGuide to download it for free! Thanks for watching. Keep me in the loop. Dr. Charlie

[@lynneberry6495]

Thank you so much for taking the time to reply Dr Charlie ... Much gratitude 🙏 I will download as suggested! ❤️

[@drcharliejohnson]

@@lynneberry6495 you’re welcome! Let me know if ya get stuck or need clarity somewhere!

[@troycrook1649]

Thank you for taking the time to put together such a comprehensive video. I had hearniiatd disc surgery earlier this year and am still suffering very stiff and at times sore lower back, though sciatica is thankfully pretty much gone- though the sciatica leg raise test tells me it is still there a little. This video and your others are helpful and explained clearly. Thaks again.

[@drcharliejohnson]

Sure thing Troy happy to help. Working on an updated version of this (printable) and with even more detail for people like you 👍 Do you have any questions for me? Dr charlie

[@troycrook1649]

@@drcharliejohnson That's great to hear. I will subscribe and foolow your videos with interest. What took me to searching videos is yesterday during a very easy light run I have appeared to pull my hamstring, but read it could be related to sciatica nerve. It is sore today but more stiff than anything. I can walk okay but definately not run. Will continue to work on strengthening my piriformis as using the test for this both sides had similar flex. Thanks again

[@drcharliejohnson]

@@troycrook1649 sounds good. Yup- sounds like sciatic nerve issue resurfacing to me. Avoid stretching irritated nerve for time being and let me know if you have any questions along the way 👍. Thanks for subscribing. 👊🏼 stay well and enjoy your weekend wherever you are!

[@troycrook1649]

What are your thoughts around foam rollers to get rid of knots in tight/sore muscles?

[@drcharliejohnson]

Shoot. Sorry Troy didn’t see this. I do NOT recommend them as they usually just aggravate an already aggravated nerve! If you want to use it- I’d recommend doing it somewhere other than the immediate area of pain. Make sense?

[@glendafagz9031]

I am watching your video and listening to all your explanations regarding this condition. Trying to differentiate what I have now.When the pain started last month. I started the pain in my left glutes. MY Doc. says, it's Piriformis (sciatica). Then I went back cos the pain progressed. The numbness & tingling pain from my Left glutes radiating in the back of my left thigh going into my leg./foot. There are some stretches that I can not do coz it will aggravate my symptoms. Now, my numbness went back up. I can't sit longer or stand. The pain is so intense in my Left lower back & radiated in my glutes. not too much numbness & tingling in my leg/foot. If it flares up it's not too intense as before. I watched some other videos regarding sciatica and spinal stenosis but your explanation is very interesting. Very helpful in understanding sciatica & spinal stenosis based on their symptoms

[@MissIdolize]

Thank you Dr. Charlie. Excellent, in depth explanation of all the possibilities involved! You are so right about wading thru various videos which although helpful, have still left me unsure about what exactly is causing the problem and what is it called! Based on my follow-along while watching your video, it seems likely I have piriformis, poss caused by herniated disc. However, I plan to watch it again, following your 'walk-through' step by step just to make sure. I really appreciate the work you put into this video. It is quite unique.

[@rr7firefly]

"A voice of sanity and clarity..." Doctor Johnson, that is exactly what we need more of in this world. Thank you for sharing your expertise with us. You are a beacon of hope.

[@drcharliejohnson]

Hey Noe! Thanks so much for watching- and appreciate your support! Appreciate it so much. Let me know if ya have any questions or get stuck and need help! Charlie

[@rr7firefly]

@@drcharliejohnson I may do that if I don't see improvements in due time. I developed what I think is sciatica in my left leg and it got so bad that I'd be in great pain during the night and especially when getting up. I've been doing stretches to undo the damage I did for weeks before: twist stretches hand to opposing shoulder to a count of 100 every day. I never figured it could be such a bad idea. Thanks for your offer. I am slowly getting back to driving without too much distracting pain. (Using a lumbar roll behind me now.)

[@drcharliejohnson]

@@rr7firefly sounds like a plan. Hang in there! You know how to get in touch 👍

[@JusticeJunkie1966]

I have been suffering for a few months now and this video is the only one I have found that explains it perfectly in layman’s terms 👏🏼 Thank You SO Much! I have an MRI scheduled for tomorrow morning as I have gone through physical therapy and it has only gotten more painful. I’m think it is a hip arthritis issues now, I am 54 year old female, highly active in gym 6-7 days a week for an hour minimum each visit. I hope the MRI will show signs of hip arthritis so as to better determine a treatment regimen. Again, thank you so much for that video 👍🏼

[@briannab5296]

How on earth can you work out for an hour 5-6 days a week with hip arthritis?? You are actually working out too often also. Every other day is what is recomended because the muscles and such have to have a day of rest. Exercising tears the fibers and the in between rest days the body heals & grows stronger. The schedule you are on is what hardcore body builders do, not everyday people, and it 'catches up' with them eventually too. . . . No wonder you have arthritis symptoms!

[@indranikeiki1392]

AMAZING, THANK YOU!! I have had knee pain for 4 years and I was always suspecting it was coming form my lower back, turns out I might have a herniated disc according to my physiotherapist. This is so true! Be careful with misdiagnosis from doctors who dont pay much attention to the spine etc

[@76Pou]

I have it all! RA at age five, scoliosis at age six. Turns out I was born with EDS with a score of 9/9. I am hyper mobile, especially on my left side, and tend to tear. I have developed dysautonomias such as POTS, and a ton of issues come along with that! It an absolute rabbit hole!! 🐇🕳️

[@drcharliejohnson]

Sorry to hear! no fun. What are you currently doing for treatment?

[@jmas2312]

This is very helpful to me. I have 10+ years ddd diagnosis and new bad hip pain. I've seen physical therapists, orthopedists, pain management, etc. without real answers. This flow chart is great. I am also going to use it to help diagnose my youngest grandson (age 11). He was born with severe bilateral clubfoot. He's had casting, and has had several surgeries and has issues with both feet, both legs his hips and his back. I'm going to use this flowchart to run down what problems he has to try and prevent long term skeletal issues from inappropriate treatment. Don't be surprised if I reach out to you when I get stuck. Thanks very much for this presentation. :)

[@bestekamali1416]

you made a nerd who wants to know every possible explanation very happy, thank you! What if someone's complaints are all of the above from the groin up plus psoas? can a herniated disc cause all that, including a swollen and vey tender hip bursitis?

[@drcharliejohnson]

Hey Beste - Glad I could teach you a few things. Yeah, absolutely. This funky symptom pattern can occur with a problem "up stream". You mentioned herniated disc...a disc and structures in the area can cause referred pain to all of these areas. Make sense? Dr. C

[@therockwellharrisonguestlodge]

This was an excellent summary. I have had 2 hip replacements and now also have confirmed spinal stenosis with sciatica (symptoms, X-Ray, CT, MRI and Bone scans). All your clinical indicators are right on with my history. I am a mess & many of these things are truly inter-related. I love your upstream focus. The shopping cart analogy & my posture made me laugh - it was truly like looking in a mirror! I casually (or not so casually) lean on everything I can find for relief … even eating at my counter while leaning! Waiting on a Neurosurgery consult - but in Canada, it may be a long wait yet.

[@drcharliejohnson]

Hang in there and let me know if you have any questions. thanks for watching and for your feedback!

[@sparkyjerred419]

What's the story on the stairs that lead to the ceiling in the background?

[@joefarah]

What a trove of very helpful information! You should be declared a Saint for making this video.

[@drcharliejohnson]

Hey Joe! Thanks a million for watching. Appreciate your support and feedback! More to come in 2024 🔥👊🏼! Let me know if ya need help or get stuck on your healing journey. Here to help! Dr Charlie 👍

[@jkm6112]

Hi. I only have pain in my LEFT butt and hip. It hurts whether I sit, lie, stand, walk. Walking hurts the most. I don't seem to fit in Any of these categories. But, my right leg gets tingling and numbness.

[@jillhitchcock7936]

I have all your symptoms and was confused too! It was only after doing A LOT of hip and glute loosening exercises that my back started to 'clunk'. Not click, not grate, but CLUNK so bad that I got a x-ray which showed a chronic spinal stenosis at L4/L5. Shocking! It's so bad that the vertebrae have touched together on one side (hence the bone clunking) and the disc is bulging out the other side (hence the referred sciatic nerve pain). My point is that I felt NO pain in my lower back; I just have chronic piriformis syndrome type pain, and then an occasionalmonths

[@marvinfalk5959]

I can't thank you enough. I wish I had found this comprehensive flow charted video first. Previous days of research only got me further into the weeds with exercises stretching things that shouldn't have been stretched etc.

[@vanessadacascos6107]

Where do those stairs lead up to, sir?! 😳

[@aaronbales9815]

My first thought as well!

[@POLYLIVING]

😂

[@terriegentry2785]

It appears to be attic access, in my opinion, based on what I see.

[@jillhitchcock7936]

Fabulous Charlie! Thank you so much for sharing this information for free. I, like a lot of people on here, have been chasing my tail around (literally!) trying to self-diagnose deep glute pain. I finally had a lower back x-ray taken last week (after my back started to make a sickening clunking sound), which clearly shows a severe L4/L5 stenosis. By the way, your map is spot on! I now know my problem is upstream and to keep concentrating there for a resolution to the pain. Unfortunately I've spent the past four months or more (and a stack of money) consulting a wide range of therapists none of whom identified the stenosis, but just drilled in to the deep glutes and piriformis to 'release them'. I now realise that any piriformis pain is either referred from upstream or my poor piriformis is becoming hypertonic due to having to support a dysfunctional spine and/or pelvis or both. I have work to do! PS Do you ever come to the UK?

[@flyinglady7689]

I downloaded the flowchart. It is 3:49 am/and I couldn't sleep, so here I am. I have been looking for answers for exactly 4 months today. The one part of your video I had not found anywhere else (based on your pain figures) was the mention of FAI. I couldn't find that you have addressed this specifically in any of your videos. Without getting too windy that is exactly where my problem manifests. It isn't constant. It comes on like a storm out of nowhere ravages my body for a period of time (sometimes short sometimes nearly the entire day). It leaves the same way it arrives wind/hail and water damage everywhere. And then I am 100% again. I can walk. I can do house work. Cook (if you can call what I do cooking) and generally enjoy life. I am 75. Seven years ago I decided to loose weight. And for the past 7 and a half years I have been riding a recumbent exercise bike. At first I could only go about do 15 minutes and about 6 miles when this happened I was riding 1.5 hours and 22 miles nearly every single day. My husband considered it an addiction and I have worn out 2 bikes and am on my 3rd (diamondback). The past 4 months I have been miserable. Frustrated doesn't even begin to describe how I feel - in addition to the excruciating pain that attacks at no particular time and because of no trigger that I can find. Giving up on my health is NOT an option. Still searching. Thank you Dr. Charlie.

[@drcharliejohnson]

Hey Thanks for watching! Sorry for my delayed response and to hear what you're dealing with. If you're interested/open to personal help- feel free to email me directly at [e-mail]. Sound good? Dr. Charlie

[@drcharliejohnson]

Grab my FREE “Better Than an MRI DIY Diagnostic Guide” here: www.drcharliejohnsonpt.com/diyguide Thanks so much for watching! My NEW & IMPROVED guide is ready! 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? Check out THE Guide by downloading it above☝️

[@dianah6254]

Thanks! The guide is awesome but it turned out I have a lymphoma tumor encasing L5 to S2 left nerve roots that was the problem. Not to scare anyone...

[@brendapcmt]

@@dianah6254 oh.. ohhh no! Ok.. I’m scared! Bless you 🙏🏼

[@johnmeiklejohn5470]

Impressed with your guide. Still in the dark re my problem though. Physio is too. Right leg too painful to walk on after 25 yds. Pain starts in butt. Stop, touch toes, wait a few seconds - gone - for next 25 yds! Only pain source that stays is the excrutiating ball deep inside butt - tennis ball exercise 😱

[@johnmeiklejohn5470]

Ought to have confessed. I have one hip higher than the other. I reduced the pain by putting multiple insoles into the lower ( pain side) shoe! Not cured, but sciatic pain has disappeared!

[@rodneyyoshizawa9428]

@@dianah6254 Ù0

[@sandrahoulihan5072]

Brilliant! Love the analogy of the river. I have been working on my si joint. After watching this, my focus will be the pyroformus.

[@drcharliejohnson]

Hey Sandra! Thanks for watching. Let me know if ya get stuck or have questions… okay?! 👍

[@neumichel]

Thanks Charlie. I'm 53 yo and was diagnosed with a decent herniation at L4/L5. However I good range of motion that you describe with flexion and extension. I have no numbness or tingling. Yet I have constant SI/hip/buttock pain. I've been going to a PT who is trying to get me to mobilize my SI joint and hips. Since I still have the constant pelvic area pain (on SI, down the hip and into the buttock...bilaterally sometimes, sometimes not) and its been nine months, do you think its time to go back to the physiatrist (perhaps get a 3rd round of injections?)

[@PaddyAU]

Mate check into your SIJ ligaments- they could be the problem. They are lax and can’t hold the SIJ in place thus other muscles spasm to stabilise around the area. You need an ultra sound on the ligament. If ultra sound shows damage to the ligaments go and get prp injections to heal the ligaments

[@IceSkate-k7e]

Prolotherapy and PRP

[@neumichel]

@@IceSkate-k7e see my reply above....just move.

[@mariannelesch7981]

This was a phenomenal analysis! So helpful! I finally understand where the pain is coming from!Thank you so much, Dr Charlie! Excellent! ❤

[@vernaclepper9286]

Thank you so much! I'm sure via PT I will get the same diagnosis, but this info puts my mind to ease. I've always been so healthy that when I have any limitation I jump to a conclusion that my future quality of life is in peril, which is overly dramatic, a typical response to too many of my life changes. The sun will come out tomorrow!

[@CroatCode]

My case is weird.. alternating upper buttock pain. Too much walking or even standing for a long period of time will cause very sharp electrical pain on my upper glutes (never goes down the leg) Sitting is always best for me. Any idea what it is? Doctors don’t think it’s a herniated disc, someone told me maybe AS.

[@tracydegroat6345]

Check into Deep Gluteal Syndrome or Gluteus Medius Tendinopathy (also called Dead Butt Syndrome I kid you not lol).

[@laurenliv148]

Same here did u figure it out?

[@mysweetangels6259]

Same here exactly and sometimes my toes hurts too I have labrum tear and inflammation back pain shoulder pain wrist pain .. still didn’t get a diagnosis I have upcoming appointments

[@abdrnasr]

Spinal stenosis pain increase with standing and is relieved if you sit

[@krisbarber6208]

This video was very enlightening. I do have back pain, central but pain, side hip pain, knee and heel pain. More of all I am very wise! Almost 73. Left side is very loose compared to right. In the past I had an SI ablation and a shot of something in my hip. This video teaches me to look closer at treatment. Thank you.

[@drcharliejohnson]

You got it Kris!

[@vcash1112]

What about the QL muscle? Nobody ever brings it up and it's one of the major issues for back issues,,,

[@drcharliejohnson]

Hey! What about it? And what makes you say it’s one of the major issues for back pain?

[@vcash1112]

@@drcharliejohnsonBased on my experience it's a muscle that most of the time doesn't need to be strengthened and if it becomes tight or out of balance it can compress nerves in the lumbar region. It can mimic other issues. I just don't see enough PT's talking about it....🤷

[@ahmirdog26]

Your video helped me to diagnose myself because these doctors and Insurance don’t want to order MRI unless I’ve done exercise or PT first which I’ve been doing it for 2 yrs now.

[@spindleblood]

Holy shit, as a Systems Engineer, I really appreciate the flowchart approach. 😂

[@drcharliejohnson]

Hey! Thanks a million for watching... glad you found it useful. Let me know if ya have any specific questions!

[@spindleblood]

@@drcharliejohnson one question after I downloaded the guide.... Why no mention of hip dysplasia? Also would it be heinous if I still got an MRI? I'm worried my SI is subluxated. I didn't see subluxation or dislocation on the flowchart either so is that when it's ok to get imaging?

[@spindleblood]

​@@drcharliejohnsonended up getting the MRI anyway 🤷‍♀️ 😅 confirmed what I was suspecting... Annular tear in L5-S1 but at least no herniation so I'm glad I got the MRI because it gave me peace of mind. ❤

[@ahmirdog26]

I watched your whole video tnx finally able to diagnose myself and pain .

[@drcharliejohnson]

Awesome- what are you doing for treatment?

[@drcharliejohnson]

🔥Tired of dealing with a pain in the butt from back, hip, piriformis or sciatica problems? Let me help! 👉 Visit www.calldrc.com/​ to set up your free Painfree Planning Session. During your 30 minute Pain-free Planning Session with Dr. Charlie, we will: 1.) Walk you through a 5 Point Symptom Inspection 2.) Uncover your Back 2 Normal Blindspot 3.) Lay out your Roadmap 2 Relief, so that you can get back to normal naturally. Schedule your call today!

[@juliawiley6550]

❤hi, I have been worried about my pain which has been in my lower back, butt, thigh, leg and calf, also one toe feels hot. Shooting pains down my leg, uncontrollable pulsing in my calf! I thank you for this video, it’s helped a lot to understand & im not worrying so much 😅😊

[@drcharliejohnson]

Hey Julia! Glad I could help you better understand what's going on. Would you be interested in me reviewing your case to see if/how I may be able to help? Or do you have a plan you feel confident in?

[@suzzyy8669]

My right butt hurts when I’m seating and my but bone like tailbone area hurts as well when I sit and when I lay down....

[@alfreddavila5669]

Ok so results are si all the movement test and pain locations are spot on I’ve tried all the pt exercises and pain is to intense so I’m assuming it has to do with pinched nerve that’s caused by joint over rotation hence nerve (pinch) pain so my question is what are my options as to relieving the pinched never I am 60 years old thank u