Piriformis Syndrome A Hidden Cause of Sciatica - piriformis syndrome causes, diagnosis and treatment

[@RagingBlade1]

You have such a clear way of explaining as well as showing exact diagrams of how to identify the type of pain, causes and possible treatment. I came across this video as I had previously subscribed when searching for sciatica causes/treatment. Up till now I thought my pain was caused by a problem with a disc in the L5 region but having watched this video, the pain in the buttock when sat down is exactly as described. it then shoots down the leg. At its worse, I felt pain in my left calf muscle but now I mostly feel pain on the sole of my left foot. I've also watched other videos from Dr. Ebraheim to better understand the causes of pain. I am not a professional but like to learn about what goes on with my body so that when seeking help I can adequately express my concerns but also respectfully challenge any assumptions professionals may make. Thank you and GOD BLESS.

[@wongms2526]

Very helpful information. Thank you doctor.

[@MBKMBK-iw2uk]

You explained it 200%.hope those doctors that don't know what they are doing must come and learn from this video. Because when are patient is telling some of them where he got pain they will ignore the patient and start doing rubbish and foolish operation because is not their own body

[@madams989]

I’m a little confused at 8:40. He says stretching the piriformis will reproduce symptoms by compressing the nerve. But aren’t you supposed to stretch the piriformis to reduce symptoms? Please clarify if you understand it differently - thanks!

[@oussamdz2761]

@@madams989 stretching can help temporarily release tension, but it usually affects a weak periformis muscle. There's a test to know if you have a LONG VS SHORT periformis syndrome. After determining that, you either do specific stretches or a specific STRENGTHENING exercises to target the periformis. In most cases, the thing that actually works in the long term is to tighten the muscle, not stretch it as if it's already stretched, doing more stretching gives only a very short temporary relief then pain comes back. The best treatment for the periformis muscle is motion. Only one or few motions / exercises are enough to get instant relief, but they should be very specific and targeted. Also testing when having extreme pain is recommended to find the right ones ( glute bridges, side-lying clamshell, hip extension on all 4, rehabilitation bands, yoga hip openers exercises, hip thrust... ) Overall it's a game of flexibility & strengthening weak muscles. Hope this helps, it took me months to understand this and get over my 6 years worth of pain.

[@davidg5629]

This was very helpful, thanks. I get increased pain from both stretches, but more from the FADDIR test. Super tight muscles light up in my hip. I'm going to relate these tests to my Dr.

[@gamaltaher9714]

Thanks

[@gggusc11]

Great video

[@mablesampson3944]

Thank you very much Dr. Ebraheim. This information is very helpful. I have long suspected that I am suffering from piriformis syndrome which continually aggravates my sciatic nerve. Stretching and staying mobile helps immensely. But when it does get aggravated, I usually can reliever it with ice and NSAIDS.

[@chandranis2228]

Thank you doctor.

[@jerryfarquhar9200]

I’ve been telling drs this for years!!!

[@No-name-z1p]

Try finding a goo pain management clinic or dr they will tell you right away. I get steroids shots injections every 6 months for it after a MRI, Some peoples get injections only once n get better pain free but not all. Talk to your regular dr and request to a pain management clinic. Hope it help a bit

[@jimw6659]

Wonderful video - thank you.

[@bobjohnson8447]

FADDIR isn't just for piriformis.. it's also to test for labral pathology as well as femoral acetabular impingement.

[@protaiskamanzi4881]

Thx

[@adambit1470]

Thank you sir

[@ESPWAM]

This is the best explanation. I have this problem in my back and my feet burning everyday! I don't know what to do.

[@andrespalacios6356]

Did you resolve the problem? I have this symptoms too

[@robfawcett6125]

Brachytherapy caused piriformis syndrome in my case. Cured it with antiflammatory suppositories. The urologist was amazed.

[@kathleenvargovich9539]

What is brachytherapy and what area of your body did you have it apply to?

[@mick2spic]

What was the medication name of the anti inflammatory suppository please?

[@elisemarkley7866]

Very informative. I’m wondering if this can be caused by a fall.

[@davidg5629]

I'm no doctor but, definitely.

[@LakeShow2022]

Sir I need some advice plzzzzz.

[@LakeShow2022]

Email I can contact you at Kind Sir!

[@justinturner4681]

Advice: Don't walk down dark alleys at night.

[@LakeShow2022]

@@justinturner4681 thanks bro

[@No-name-z1p]

Find or ask your regular dr to send u to a pain management dr they will help you with it after they touch the area n move ur leg they will tell you n probably they send u for a mri first too.

[@rammoesai6045]

sir..i have chronic sciatica..pain buttock till the toes..and problem with urine what can i doe...??? from Suriname

[@nazminvelani409]

Kindly drink parijaat leaves kadha Google it pls you can drink this 1 glass of kadha every day morning empty stomach

[@jjm2069]

@@nazminvelani409 home remedy? Are you kidding me 😆

[@RichRich1955]

I've had that relieved be stretching. It makes me wonder how often it's misdiagnosed by doctors leading to incorrect treatment.

[@mrdman094081]

Stretching would work if you only had tight piriformis or glutes but often other things contribute to the condition. If only it was always simple and cured by working out.

[@Gern5838]

@@WeatherMoon Try squatting. Barbell if you can..

[@tpb1006]

Did you have surgery? How are you now?

[@Ken-le2dg]

Smartest guy I know. I don't know why doctors don't know this

[@stacia2719]

This was extremely helpful. Can the pain from piriformis syndrome be felt on the hip?

[@island661]

Yes.

[@island661]

I'm experiencing that right now on my greater trocanter.

[@vinagnes8498]

Treatment injection for piriformis syndrome just like painkillers, and for treatments along time will be effect to another organ?

[@island661]

@@vinagnes8498 Agree. Get massage!

[@Pathologyformedicalstudents]

Yes

[@valdereshipolitodeoliveira3904]

Por favor legendas em português

[@themysticmuse1111]

Can May Thurner Syndrome cause this? I have one stent in left iliac vein for. Was also born with extra bones in my back. Desperately trying to figure out my health 'issues'. Seems May Thurner Syndrome is the culprit behind everything wrong with me.

[@mrdman094081]

Unethical Doctors lied to you about the extra bones. Too eager to commit irreversible surgery.

[@themysticmuse1111]

@@mrdman094081 ? Come again? I get you, and it wouldn't surprise me, but is extra bone really not a thing? I am intrigued.

[@mrdman094081]

@@themysticmuse1111 A surgeon who tries to convince you to get surgery because you have an extra vertebrae should be sued for malpractice. I know for a fact (family history) that they are known to say that.

[@MrJawwadRasheed]

Very halpfull

[@happyday868]

We have acupressure that takes care of this chronic problem, just like migraines, shoulder, back problems in no time. It is so sad that surgery is practiced and suggested. We don't use fancy words. We just say blockages. And we remove the blockage and we use exercise and breathing for healing for a cure.

[@mrdman094081]

Yes, but blockages can be caused by many things, sometimes physical, sometimes posture and sometimes neuropath inhibitor (nerve blocks), and sometimes vitamin deficiency. Surgery, I agree, should be a LAST resort.

[@happyday868]

@@mrdman094081 I disagree with you... I do not understand to the atomic level like my teacher but to the thousands and thousands of people I've seen, we resolved them all, with full participation of the patient which means daily practice of 3 x a day. I am not a guru, but I can take care of these sciatic problems, migraine, back aches, heartburn, cysts ...which most of the population suffers and sadly led to believe that only medication and surgery can solve. But the surgery can solve for how long? I haven't met a single person who had knee or back surgery that do not suffer later. With us it doesn't come back. But you need to do qi gong ( not yoga) and breathing exercises and stop Mc Donald's. For us anything that reoccurs in 9 months, 5 years, 15 years is not a cure. You either cure or don't. But of course we need maintenance everyday. We cure with 'chi', the invisible that the West can't see and can't believe. Our biggest guru was even successful with Parkinson's when the brain is already affected. Yes, we had 60 cases of success when he visited the US. We cure deaf mutes. The first response is to be able to count out loud 1 to 10, and then therapy follows. This sounds unbelievable to you. But that's the world we live in, with not a drop of medecine and old people don't have joint pain, stomach issues. We know how to prevent or heal with acupressure and the chi. If the patient has had only one surgery, we still can help. It also depends on the diet, living habits of the person. If we take medication at inception and cannot cure and continue with the wrong steps, of course the final choice is to suffer from surgery pain. That's why when desperate people go to the eastern guy. We often joke...the western guys butchers; the eastern guy fixes it. Don't tell me that I have no respect for western doctors. They can split 2 conjoined persons that the eastern can't. But it terms of curing chronic problems to alleviate human suffering I have not seen good and permanent results, but a large bill that destroys the patient credit score. With us it's practically free. With a little help with your fingers, you can solve practically everything. We have many cases given up by the hospitals and we make it right. Even Covid cases.

[@MLogss]

I feel restlessness in my left buttock i have done mri of l4 l5 and doc say i have difused disc buldge but i can't see disc buldge on mri my doc is confusing piriformis syndrome with disc buldge i have been facing this restlessness pain since childhood i don't what to do i feel more pain before urine please someone advise and sometimes i feel i have no pain at all but sometimes i feel very discomfort please help someone

[@philspaseo2377]

I recently got this injury when I was doing a flying knee hook of course I didn’t stretch hipsbefore smh

[@Gern5838]

I cured mine with specific piriformis stretches and barbell squats. That was 22 years ago. It never returned.

[@mrdman094081]

👍👍👍

[@mrdman094081]

I also know people who were convinced to get hip replacement surgery when all they needed was piriformis therapy. People trust their doctor and will agree to anything to relieve (they think it will relieve) pain.

[@guldenaydin9918]

💝.

[@island661]

Mine is tight from spinning. 🥴

[@TC-kn9kk]

Hopefully this can help someone. Please try it! If you do a video, please coin it the 'TT piriformis stretch' :) The stretches that give me instant and most relief, and can be done in bed: 1a. Lay with knees pointed up and feet close to butt about shoulder width apart. 1b. On the side of pain, rotate the knee inward so that the bottom of the foot is parallel with the body. 1c. Put the other leg, foot, or ankle over knee of the side of pain to hold it down for the stretch. It'll feel great and will stretch not just the piriformis but the entire butt and hip and lower back. 2a. Lay with knees pointed up and feet close to butt about shoulder width apart. 2b. On the side of pain, drop the knee so that it points forward and the foot is next to the hip. 2c. Take your hand and push upward on the foot. It'll feel great and will stretch not just the piriformis but the entire butt and hip and lower back. I've experience sciatic pain from my butt down to my toes possibly due to excessive sitting at my work and hill hiking. The figure 4 stretch sometimes work, but not always. My butt will spasm and tighten up throughout the day. What I became aware of is I sit crossed legs in a butterfly manner a lot, to take pressure off the pain, but it was making it worse. The stretches above puts the muscle in the opposite direction and the next day I was pain free.

[@Abundantgrace-1]

Can you point to some videos? I tried to workout the two stretches. The exercise (2) seems to be - lying on the back - bring the feet of the affected side close to the hip, folding the leg so the knee points upward - bring the knee of the folded leg close to the chest, still lying flat. Does that sound right? I did not quite get what was it that is in exercise (1).

[@TC-kn9kk]

@@Abundantgrace-1 Hi Muthu, sorry I don't have any videos. I sort of figured this out experimenting with different positions that worked for me. Everyone is different. For excecise 2: Everything is right except for step 3. When the knee is bent, keeping the heel close to your hip or glute, rotate the knee inward (to the right if it's your left knee, to the left if it's your right knee). You can imagine for illustration purposes that the muscle is like a band from the side of the hip to back of your tailbone, and that movement will stretch it. For excerise 1: It's like a standard quad stretch, but instead of the foot touching the back of your glute, it's to your side hip, at a right angle instead of parallel. The knee of the affected side will point towards (left or right to) the other knee, which is pointing forward (if standing) or up (if laying down). The popular figure 4 stretch, stretches vertically, and the ones I describe stretches it horizontally, in an adductor manner. Progress slowly if you are still stiff in that area. Hope you feel better.

[@Abundantgrace-1]

@@TC-kn9kk Hi TT, thank you! Your explanation is very helpful. If I can make a sketch I will, and put up a link here. Thank you for the wishes. It seems to be a slow recovery. Stay blessed.

[@николайкозачков-э8ч]

Жаль что непоруски.но это меня касается.

[@naomiedwards3770]

I have dhe filling lake dhet

[@sadiafarhan695]

Thanks