Piriformis Syndrome Treatment When You've Had Pain More than 6 Months

[@barbarabauling7513]

WOW! Having had a chronic ass pain for over a year, and trying different sorts of physio therapy for problems that no one could properly diagnose, I came across this video and decided to see if it would help me. Not having enough pressure in my thumbs I decided to lie on the floor with my full body weight on an egg-shaped stone for half an hour. Honestly I still can't believe that something so simple would help, but it did. The pain just disappeared, and I could walk normally again without limping! It actually felt like walking on cloud nine! This all happened nearly a year ago and the pain has not returned. Thank you so much for posting this video. People say that somebody 'saved my life', but honestly the pain I had was indescribable and is no more, and this video has absolutely saved my life! Bless you! :)

[@ellen823ful]

I’m gonna try that

[@drchrisstepienclips]

So happy to hear this Barbara! You made our day!! I hope it stays away!

[@welfn2211]

Gonna try this right now with my lacrosse ball

[@drchrisstepienclips]

@@welfn2211 hope it helps!

[@welfn2211]

This is the best it's felt in months wow. Trying to get to 100% within this next month

[@AngelekaL]

It’s really great to see therapists wanting to help the patient.

[@drchrisstepienclips]

It's our mission to help people with more than 6 months of pain and who have seen at least 3 other doctors. TY for the positive support love.

[@dalovelee666]

I agree because maybe due to Covid doctors today don’t want to do anything I’m suffering from this exact same thing and all I get prescribed is steroids

[@AngelekaL]

@@drchrisstepienclips it’s such a great thing you’re doing!

[@AngelekaL]

@@dalovelee666 gosh I’m sorry you’re experiencing this!

[@drchrisstepienclips]

@@AngelekaL Thank you!❤️

[@gizzad]

I've been dealing with this for 13 years and finally now I'm figuring out what it is. Thank you!

[@drchrisstepienclips]

You're welcome!

[@ChristyJacobs1111]

@@drchrisstepienclipsDo you know of any practitioners who can do this in LA?

[@derekathomson]

I had piriformis syndrome. For me the fix was to go on an inversion table each day for between 5 and 10 mins. It got progressively better over a period of weeks and I still invert sometimes to prevent recurrence. Hope this helps someone reading this.

[@drchrisstepienclips]

So glad it helped you? We've found this is a gamble and many of our patients have not responded to inversion but I"m glad it worked for you.

[@FL-gg4dq]

I will try this thank you

[@drchrisstepienclips]

@@FL-gg4dq anytime

[@Rollwithit699]

@@drchrisstepienclips Is there an easy way to determine if right upper buttock/low back stabbing pain (that went on to be severe sciatica for six months) was caused by piriformis or psoas problems? Gentle stretching in a lunge made it worse. Thank you.

[@drchrisstepienclips]

@@Rollwithit699 If lunge makes it worse, it's NOT piriformis!! GOod job there. Yes, it can be psoas/iliacus and/or a really bad disc.

[@Boogan-D]

This is the best treatment video I have ever seen on KZbin. Effective and to the point. I did this treatment on myself and had excellent results. Thank you. 11/7/2019

[@drchrisstepienclips]

So happy to hear this Tom Doyle! TY for kind words.

[@thunter1003]

Tom Doyle how did you do it on yourself

[@jameswright2355]

@@thunter1003 thats my question too

[@falahemm8148]

How are you doing now

[@dnl1120]

I thought I had piriformis syndrome but after having no relief for months after chiropractor and physical therapy I had an MRI. Turns out I had a synovial cyst between L4 & L5 which was impinging on the sciatic nerve. So if you aren't getting better, get an MRI to see if it's a cyst.

[@drchrisstepienclips]

Yup, MRIs are vital to see what tissue is a problem.

[@Rose-tp8vr]

What treatment was done for the cysts?

[@drchrisstepienclips]

@@Rose-tp8vr If it's the cause of pain, it's usually surgery. But adhesion release would be a good first start cuz not everyone with a cyst needs surgery.

[@kennethpierson82]

So I've def had issues for awhile now with this lingering. Sometimes it's rarely noticeable, but at other times it feels hopeless. It comes back, over and over. I have to say, because I read your comment, I'm going to get it looked at by doctors. So thanks for sharing.

[@drchrisstepienclips]

@@kennethpierson82 Yeah, this sounds like a DISC problem. PS would be more constant. Pls make sure you see an adhesion-aware doctor. Others won't be able to help you as much

[@marknoble5495]

I had an injury to my right hip when I was 12 from football. Pinched nerves, lower back pain, etc. Has always been an issue. Inversion tables and massages help, but the best massage I ever had was when they spent about 20 minutes with their elbow in my glutes. Completely freed me up. Walked out of there feeling better than I had in 25 years.

[@drchrisstepienclips]

So happy that helped you Mark! How long did that relief last?

[@erins9930]

I saw a chiropractor in NY that did that to me. I definitely shed a few tears. But my issue didn't return for 2 years! Unfortunately had to stop seeing him when he said I should start a brothel on a boat. . . Lmao

[@erins9930]

I saw a chiropractor in NY that did that to me. I definitely shed a few tears. But my issue didn't return for 2 years! Unfortunately had to stop seeing him when he said I should start a brothel on a boat. . . Lmao

[@drchrisstepienclips]

@@erins9930 So sorry for the disrespect.

[@marknoble5495]

@@drchrisstepienclips probably 6 or 7 weeks. My SI joints, especially the right one, were out of whack prior and I could pop them regularly. I just got a massage gun with the different attachments for Christmas that I dig into my glutes and piriformis along with the inversion table. Feeling better than I have in a long time. Don’t want to imagine life without it again. I can self crack deep in hip/lower back so far when the spasms or tightness pops up.

[@carib5423]

Bless those doctors. They seem to truly care. I hope he found the relief he needed

[@drchrisstepienclips]

He did. Thank you!

[@AgentRains]

Ive had this same thing. Apparently im one if the few who was over stretching and extending the problem. Its taken months of rewiring my brain to not overstretch and its gotten so much better. So goad to see this video helping so many.

[@mustangs07083]

How were you over stretchinging? What did you do to make sure you weren't doing that?

[@AgentRains]

@@mustangs07083 I am a huge stretcher at heart. So it took over a month for me to realize I was making it worse and not better. The pain was so distinct it was almost pain euphoria to overstretch. But then it just finally clicked after a month of reading every article possible. Ill also mention it's very rare to injure it over stretching. But it can happen. Cheers

[@bernainmolina7481]

Were you thinking that you can just stretch it out and it didn't work

[@0famz]

Yess my problem came from over stretching, i can't stretch my legs with any exercises or it flares up so bad!

[@Dragonwing5036]

I think that is my problem too. It’s so hard to find a good musculoskeletal doctor that will listen and believe you’re in pain. After working through several hip issues, mri diagnosed iliopsoas bursitis and massage therapy for 2.5 years, a lot of yoga, I regained flexibility. However, I cannot sit cross legged without intense pain deep in my hips. I’ve tried the exercises, backed off from constant stretching, but I am still in pain.

[@harunhyles2443]

This guy is a legend still responding to comments 2 years later!

[@drchrisstepienclips]

LOL - we just want to help.

[@DarylS1985]

Wow! I had been having this pain in my glute for 2 weeks from sports and had resulted in a weak groin and cramped foot. I had to bite my teeth with that stretch and forcing my hand into that spot. But the release I just got has turned my glute and leg to a jelly like relaxation! Thank you! I had tried so many different relieve stretches with no luck! Pain is gone! I will test the movement tomorrow and pray that is it fully gone. Thanks again.

[@ladykimberly4384]

How did you do it on yourself? You knew exactly where to press and how hard?

[@TerryFreak389]

Not only is the Doc good looking but he’s doing a wonderful job💕

[@drchrisstepienclips]

Doc apprecaites your kind words.

[@dusicaignjatovic9689]

Wish they had someone like him in Homosassa, Fl. Suffering in pain and just trying to help myself by doing stretching exercises.

[@maurasullivan3259]

Holy smokes! As someone who also suffers from Piriformis Syndrome this looks impossibly painful! If anyone touched me like I’b be jumping right of the table. OUCH! But, having said that, this certainly seems to work so maybe in practice it isn’t as bad as it looks. Well done! 👍🏻👍🏻👏🏻👏🏻👏🏻

[@drchrisstepienclips]

We can only give as much treatment as a patient can tolerate. Most people, even when very sensitive, can tolerate treatment. Esp when they start seeing it's getting permanently better.

[@iloveitUbet]

I’d be jumping off at the point he rests his sack on your ankles!

[@jenamyallen]

Ikr?? I am nauseated

[@jblev736]

0:52 Cutting somebody open and doing surgery where there is any other alternative still available should be malpractice. US healthcare is such an embarrassment

[@drchrisstepienclips]

Agreed 100%

[@gunerumut6640]

This is not an issue for the US alone. Here in Turkey we have many "physicians" who are butcher as we say. Wherever you live in this .uckin age you always have to go for a second even third opinion.

[@dida079]

I wish someone was doing that on me right now.. I'm in agony

[@drchrisstepienclips]

We're sorry you're hurting.

[@drchrisstepienclips]

@CryptoReality News If the exercises work, then that's AMAZING! Keep doing them.

[@shinnydun]

Same , I’ve had this for over 7 years , I’d get on a plane to see this man if it would stop the constant pain and triggering of sciatic symptoms

[@drchrisstepienclips]

@@shinnydun If we could commit to a high probability of permanent relief for you, is there anything in your conscious or subconscious mind causing you to not fully 100% trust us? If you can acknowledge this awareness, we can help you work through it so you DO hop on a plane to see us.

[@mephala7]

How do you feel now,did you get better?

[@MrGauravkvarshney]

I wish I could have someone like you in Dallas Tx area. I have this PFS for past 5 years and have seen several chiropractors and Doctor's with no relief so far. You are a blessing to those who are in your city.

[@drchrisstepienclips]

I'm sorry to hear about your struggle. Yeah, this is a new paradigm in musculoskeletal care. Hopefully there will be more of us in 5-10 years. If it's bad enough, consider flying to Precision Health Group in St. Louis? Dr. Lytle has people fly in from all across the country. Wish you well.

[@smarzig]

go see a physical therapist... find out if they have SUCCESSFULLY treated PFS before

[@BLACK05GO1]

She has so much flexibility already. If he tried that with me I'd scream in pain from the start. I've lived with back pain for 30 years, and I have a lot of nerve pain down into my feet (which are also numb and it's hard to move my toes). So everyone is very different. Take it slow and be VERY careful at any chiropractor. I went to a different Chiropractor that took the time to look at my MRI, and he said he couldn't work with me. My condition was too serious and I needed to see a Neurosurgeon. I had to have open back (old style) surgery and my disc was completely torn in the center with a vein flowing blood through the disc (which is extremely dangerous and can kill you if the blood flows to your brain). So again, be careful and not all injuries should be handled by a chiropractor.

[@drchrisstepienclips]

So sorry to hear about your struggles. I can't imagine being in your situation and most of our patients don't have as severe pain as you had. Yeah - good for that chiro sending you to the surgeon. It was the right thing to do. If you're at all open to any insights that might help you get more relief, please consider researching Joe Dispenza and his meditations. THey've been profound for people with serious structural issues. Much love.

[@gabrieljohnson4213]

That was a male

[@sibaker]

@@gabrieljohnson4213 😂 Unless 'She' is European ! that's defo a man..😆

[@segunojumu7134]

My sciatica came back after I visited a chiropractor

[@stacyeclay]

I started having pain in my right leg about 1 year ago in the general area you were displaying in the video. I went to my Dr. and all she told me after taking xrays is that I had age related degeneration but she could not specifically tell me where my issue was. So my Dr. sent me to physical therapy. The therapist show me some leg stretches to do with a band, it helped some, but the pain never really went away and she tried a tens machine and that didn't help much either, and I would feel this throbbing pain radiating from my hip down to my ankle. I bought a cane because walking and climbing stairs had gotten very painful, and every night/day, I applied a heating pad to help my leg feel better . No one medically never even mentioned piriformis syndrome to me I actually never heard of it until I start reseaching on youtube and tiktok ,Now about 2 days ago I came across your video and tried sitting on the ball, this ball exercise has help me tremendously I still have some slight sorness in the hip muscle area , but the throbbing pain radiating down my leg is mostly gone. My leg and hip feels almost normal again. But I ask you sir, how often should I use the ball, as I don't want to over do it? Lastly I posted my leg issues because someone may come accross my story and have the same issue that I am having. I could not get help that I needed , and watching this video significantly improved my day to day life so far. Thank you Sir. ALSO this story is not medical advise for anyone it's just my personal experience .

[@drchrisstepienclips]

Hi Stacy, so sorry for your experience. I recommend using the ball no more than yorue currently using it. Generally speaking we see a ball do more harm than good. If you really want this fixed I recommend you find an adhesion specialist

[@MemesForYou_21]

I was diagnosed with Piriformis syndrome about 3 years ago. I was seeing a pain management specialist for lumbar spinal stenosis when I started having issues. I also had a positive biopsy for small fiber neuropathy (same side as Piriformis issue). I’ve had 6 LESIs and 2 Piriformis injections, physical therapy twice. When I use a foam roller It feels like I have a huge knot and it’s crazy painful. Right now the pain in my hip is so severe I have trouble walking at times. Just touching my lower back or hip area is excruciating. I’m willing to try anything to avoid more injections that only provide short term relief and definitely want to avoid surgery at all costs. I did see there is a provider near me and will be calling ASAP!!! I’m so glad I found this video!

[@drchrisstepienclips]

Let us know how it goes after you see the provider 3-5 times?

[@elmalloc]

Any update

[@benink5690]

The foam roller will save you if it hurts. If deep massage hurts a lot that's your target. It'd diff than stretching and exercising. Go at it but also strengthen. Too much flexibility will also make things worse and more likely to injure - balance strengthening and stretching

[@MemesForYou_21]

@@benink5690 I ended up getting prolozone injections. After the first round it had improved already around 80% and after the 2nd round the pain diminished completely. It’s been about 6 months without pain. I was amazed with the results so I also tried them for the spinal stenosis and have been pain free since.

[@jwgmail]

@@MemesForYou_21 please keep updating us over time!

[@haleykins5091]

My doctor just diagnosed me with piriformis syndrome and ive been having the pain for about a year and a half now. I feel the pain all the way up into my lower back too. Im really hoping the physical therapy will help because the pain is really starting to take a toll on my life with work and college

[@drchrisstepienclips]

Hi Haley, if you have actual "piriformis syndrome", which means the sciatic nerve is glued down by adhesion at the piriformis, PT will not help, guaranteed. You'll need this exact treatment to get better. With that said, it's possible you have some variation of a disc problem, which can get better with time and PT.

[@daelhoser310]

Barefoot Rehab. What type of doctor should I look for to treat this pain. A specific chiropractor? I’ve been to two and neither have said this is the reason for my pain. Thanks.

[@falahemm8148]

How are you doing now

[@drchrisstepienclips]

@@daelhoser310 Sorry I missed this Jose. Are you still hurting?

[@David-js5qj]

Did you get it resolved? If so, how?

[@jonburg1787]

Wish I could give you more than one THUMBS UP! Appreciate your easy to understand explanation. Everyone wants to treat the back when I tell them that’s not the root of my issue. You nailed it. THANK YOU !!!

[@drchrisstepienclips]

THANK YOU back!

[@jonburg1787]

Barefoot Rehab anyone you can recommend in Florida? I’m in the Naples/Fort Myers area of Southwest FL.

[@drchrisstepienclips]

@@jonburg1787 THe only doc who does this is Veracity Soft Tissue near Sarasota. Sorry we missed this 1 YA.

[@cathywilliams6306]

I had to stop by and say..I have suffered with sciatica and piriformis syndrome for approximately a year..I was in such pain could not stand straight up...kept me awake at night..couldn’t turn over in bed without much pain..I watched your video and actually tried it on myself as much as I could..and shock shock..I have gone from pain 9-10 to 2-3 and have done it twice! I didn’t really believe it until I stood straight up and actually walked with very little pain! Than you so very much!

[@drchrisstepienclips]

Awesome Cathy. Just make sure to not overdo it if you continue. : )

[@cathywilliams6306]

@@drchrisstepienclips Thank you, I will be careful!

[@certified_boogeyman]

I've had this and stretching only provides temporary relief Mine was so bad I swore I had a herniated disc until I realized it was just a glute/hip issue Anyone dealing with this get one of those bands that people put around their knees Get a weak one and put it around your knees and then get down on your hands and knees with the side of the band around your stationary leg under the knee and the other slightly above the knee Then all you have to do is raise the leg on the side with the pirformis like a dog peeing on a fire hydrant. Do not lead with your ankle up and knee down, that would be interior rotation which is what we do all the time due to hip weakness. Instead lead with your knee up in the air and your ankle down. Use a light band and do it as many times as you can and then switch to the other side. If your issue actually is pirformis I promise this will help. Stretching and massaging will only temporarily relieve the issue and will actually prolong the issue. The problem is muscle weakness not tightness. Stretching will apply more pressure to the nerve running down your leg. Contraction will stop the irritation.

[@drchrisstepienclips]

I appreciate the comment. I'd just like to remind people that chronic pain when somene has seen at least 3 docs/therapists without permanent relief is never just one pathology. To say it's just "muscle weakness" or even ADHESION as we treat in the video is a huge overstatement. There's often joint degeneration, systemic inflammation, chronic stress, poor mindset to name a few. And if doing these exercises makes it worse over a couple weeks, pls stop the exercises.

[@dusicaignjatovic9689]

Oh, yes, try getting down on the floor and doing that when you're 82 yes old.

[@certified_boogeyman]

@@dusicaignjatovic9689 you can do it on your bed

[@certified_boogeyman]

you can also hold on to something and literally raise one leg to the side as high as you can 10 times and on the tenth time hold it up for 10 seconds and then switch sides keep your upper body as vertical as possible and control your leg on the way down as well

[@Missflowerss]

Hello, thank u very much for your advice, I would love to try it, but did not understand at all(maybe problems with english,translator did not help) 🥲 Maybe u could send me video of doing so(maybe on youtube or if u can maybe show🙏) I am in trouble help please😢

[@Waiting1989]

Good to see a physiotherapist using male patient for a change! No gender discrimination meant🙏🏼

[@drchrisstepienclips]

Ha, proud behind not discriminating. TY!

[@kendramlittlejohn]

This is exactly why my chiro did to me today. I’ve been suffering for about two years with it getting worse by the week. I felt better after I left, but we have more work to do. I’m just excited to finally get some relief.

[@drchrisstepienclips]

Wonderful Kendra. Keep going! You should have some permanent relief in 3-5 visits or less if they're on the right track.

[@drchrisstepienclips]

@wendef ung Yeah, we know. It's more effective treatment if you can find it.

[@kendramlittlejohn]

@Sir Isaac Newton no…and I’m still trying to figure out the issue. Dr I saw last week says its referred pain from low back arthritis. Put me on Meloxicam. If it helps, maybe he’s right. He’s also sending me to a back pain specialist, so we’ll see.

[@falahemm8148]

How are you doing now

[@drchrisstepienclips]

@Original O.G. Troll Are you aware of adhesion release doctors? We have an extremely high success rate with PS. I can't think of a patient who we didn't help get permanent relief.

[@markocroatia1]

This is the video that changed how I practice medicine!!!

[@drchrisstepienclips]

So happy to hear this Mark. It's helped that much?

[@markocroatia1]

@@drchrisstepienclips yeah for sure! it was the video that got me interested in adhesion.

[@drchrisstepienclips]

@@markocroatia1 That's amazing!

[@DaughterofDiogenes]

I thought I had piriformis syndrome and did months of PT only to have it get so bad I could barely walk. I quit and got a little better but the pain was getting worse and worse. Then one day I fell down the stairs and landed on that side. No joke my back pain lessened significantly. For several days it was nonexistent. I do not recommend falling down the stairs, but I think I might go see a chiropractor.

[@drchrisstepienclips]

Wow friend thank you for sharing! Let us know how things go with Chiro!

[@Sun_Downer]

So nice to know I'll never get access to the solution for my endless decade long pain

[@drchrisstepienclips]

why?

[@aptfive]

yup...avid bike rider...been grinding out this pain on my left side for few years now. I stretch, see a chiropractor regularly and watch tons of videos. I would love to try this treatment.

[@drchrisstepienclips]

I highly recommend it. It helps a lot of people who haven't been able to find help otherwise.

[@adyingbreedofman9112]

Good man taking care of these people and their pain the proper way. I avoided a discectomy, still unsure of reason for my pain intensity but i know this was an extreme part of the problem and if i had treatment such as this i believe you could have relieved it. I could feel the wad in my muscle just as you explained. I feel the catalyst for my injury was an IM shot in the glute, toridol for shoulder pain, gone wrong. My back had been junk for 20 years and never have i experienced pain this extreme, and i was a born and bred lumberjack and state strongman champion, i have a very high pain tolerance. 4 epidurals later with no relief, no pain meds, only motrin. I white knuckled through 6 months of hell on earth, the nerve so inflammed my ankle felt broken and my whole leg atrophied. Keep helping people, perhaps they wont live through what i did and save the integrity of their spines from a non needed surgery.

[@drchrisstepienclips]

Thank you for sharing your story my friend!! Hope things can get better for you, sending you much love!

[@HeatherNunnally88]

ive had pain for 11 years now...pretty much daily...sometimes so bad i just lay in bed and cry...ive been to several massage therapists, chiropractors, physical therapists, and have never even heard this adhesion term...gonna give this a go and hope it helps, bc i literally can't handle this anymore.

[@drchrisstepienclips]

So sorry to hear that Heather. Pls do look into it. Adhesion release methods doctors typically only See chronic pain patients like you. So there’s hope. ❤️ sending love

[@مصطفىالزيدي-و8ر]

كيف علاجت نفسك

[@Chicitylife]

Thank you! I did this with the massager and it hurt like hell but I felt great at the same time!!!!! I’m all loose!!!

[@drchrisstepienclips]

so happy to hear!

[@juanitamorales4570]

Oh my God !!!! I need this ! I need you !! Who and where are you????😪

[@drchrisstepienclips]

Ha, Denville NJ

[@whatif2336]

Ummm, it definitely WORKS but oh my gosh it hurts!! The dancer was a BOSS!!!

[@drchrisstepienclips]

It doesn't always hurt. : )

[@TheKurtLyon]

That looks fantastic Dr. Chris. I live in Idaho and have been dealing with my right piriformis for 2+ Yrs now. What would I look for in a Doc to do a treatment like this? I'm definitely pro no surgery if possible. Thank you in advance.

[@drchrisstepienclips]

go to integrativediagnosis.com and click find a provider. Here for you.

[@tedk2814]

I had a chuckle as I watched the provider use an "angle finder" to measure degrees of flexion. That is exactly the same tool I used to use when I was a mechanic working on drive shafts and the differential. good job

[@drchrisstepienclips]

LOL phyics is physics

[@TheMasterblaster32]

Wish someone would do this to me 🙄

[@drchrisstepienclips]

: )

[@hinnehsamueljnr3988]

My wife have suffered from this for more than 2 years. The last time I send her to the hospital the doctors said the only hope left now is surgery. How I wish I can get you to treat her for me

[@drchrisstepienclips]

What do they say she neeeds surgery for? Where do u live?

[@NixiePixel]

Glad it helped but the whole "it's tearing, it's tearing, it's tearing" had me like 👀 👀

[@drchrisstepienclips]

Ha, why diid it have you like that?

[@robertrodriguez8082]

@@drchrisstepienclips what was tearing exactly??

[@drchrisstepienclips]

@@robertrodriguez8082 The adhesion between the sciatic nerve and the hip external rotators.

[@brenda1177]

Its actually good... it releases whats causing the pain

[@brenda1177]

Just like when they say they feel the knots .. thats whats releasing

[@lolitalagao]

Seems nobody here in Philippines knows how to do it. Just watching this video I know you can cure my PIRIFORMIS...I have to get up from bed in the middle of the night every time I tried every position and it still hurts. I did all swearing just to feel a bit of relief from the pain but it never helped. I need to sit for some minutes before I can lay down and sleep again. ..then again, when I get up in the morning, I can’t stand or walk with proper posture. My right hip hursts going down to my thigh and legs. This video is so informative. Just need to find someone who can do exactly how you did it.

[@drchrisstepienclips]

Yeah, it will be hard, but keep trying myofascial theerapists. You can also look into Joe Dispenza's meditations.

[@bradvandyke3301]

I've been trying to get at the tight spots by sitting on a ball or rock. It seems to help some.

[@santiagobenites]

I wish that I could come to see you to get treated like this. It's been over three weeks since I started suffering from this very issue. My sciatic nerve on my right side began to get trapped, but I didn't know why. I'm a very serious cyclist, and I began to suspect that it was a piriformis issue. I went to an osteopath for treatment, and the next day I was almost completely paralyzed and in excruciating pain! I couldn't stand up straight or even walk for three days afterwards! I took Naproxen and iced it daily, and I've been doing as many stretches as I can manage, but the nerve is still getting trapped and pinched and it doesn't feel like it's getting any better. Every time I stand up, I have to rotate/twist my upper body to the right to get it to release. It hurts when I do it, and it actually 'pops' when it releases, but I have to do this constantly. Thanks.

[@drchrisstepienclips]

Sounds like a disc problem if you have to rotate/twist when standing (not this, which is a sciatic nerve entrapment). Here in NJ if you can ever make it.

[@falahemm8148]

How are you doing now

[@tolsamuel3375]

I watching you from Addis Ababa, Ethiopia. and it's so sad that people are suffering from this kind of sickness and there is no any professional who can help them.

[@drchrisstepienclips]

Si sorry my friend! We hope this can expand to other countries so people can get helped with their pain! We are working hard in training more doctors and therapist

[@upcdowncleftcrightc9429]

Where are you located? I've been dealing with PFS for over a year, on my right side only. At least a year. Started doing hip strengthening exercises for that entire region including the piriformis and have noticed some improvement. Still flares up if I've been sitting at my desk for a few hours, or driving in the car for long. Hamstrings do feel tight but dont hurt. Lower back actually feels fine and I've had an MRI on it and theres no issues with my back. I weight train in the gym but gradually the piriformis issues return every few months as I get stronger and I'm forced to take a break. Currently on a mission to resolve this for good. Located in Austin area but dont know anyone who does this treatment. Edit: ah you're in NJ

[@drchrisstepienclips]

I'm sorry you're hurting. Your best bet is to go to Precision Health Group in St. Louis (Dr. Lytle). He has people travelling to see him from across the country.

[@drchrisstepienclips]

@@jefrhi Amazing - he is litereally one of best docs in the country. So happy! Tell him Dr. Chris from NJ says hi!

[@jacklee6026]

Literally the exact same here. How is yours now? Have you had the treatment?

[@Peaceonearthrn]

Hi can you tell me where you are in New Jersey?

[@lindaroche4012]

I am in Boston

[@martinkarweru173]

For two months I could not walk. Knee and lower back pain. It took just one massage last night and today I can run like I have never had pain in my whole life. ❤❤

[@drchrisstepienclips]

Beautiful!! Glad to hear massage helped

[@MsSlayerful]

I have been suffering with this for MONTHS!! I sit on tennis ball's, stretch and basically take so much ibuprofen and tylenol that my liver feels like it's going to fall out... this is seriously starting to effect the way I interact with the people around me and making me depressed. It literally feels like the nerve is being ripped out of the back of my leg and strangely feels attached to my neck.. so the pain literally radiates from my neck to my calf... just watching this video brought me to tears because I could feel his relief :(

[@drchrisstepienclips]

If it goers up to your neck, it's most likely your spinal cord. I highly recommend going to the neurologist if that's true.

[@paulcoote3094]

See an orthopedic surgeon and have it fixed properly.

[@nordwind4]

I tryed yesterday this tecknick for my ischias wich hunt me all my life and no orthopäde could help me with my problem wich sadly after this 2 exercises it did go way. Thank you for your generosity if you where here in Germany I would come to you to say in person my gratitude.

[@drchrisstepienclips]

So happy that it helped you!

[@SunGoddes113]

I have Piriformis Syndrome and 2 bulging discs on my L4 L5 S1 region. I am doing physical therapy and my therapist is letting me go in about a week and he gave me a home exercise program and told me eventually i'l start feeling better since i've had this issue for about 6 years. I was doing fine the first couple of weeks and the symptoms came back. I still have piriformis/sciatica symptoms. My neurologist thinks I should just keep doing the exercises and eventually i'll start to get better. I have a desk job so I tend to use my varidesk and walk around a lot and also do the prone press ups 4-6 times a day and nothing is helping. I even have a lumbar support and sciatica support for my chair. I've tried everything under the sun to get rid of the symptoms. At the end of the day, the symptoms increase. Has anyone had a similar issue? I'm looking for relief desperately.

[@drchrisstepienclips]

It's possible you're inflamed and will get better with time. But if you haven't had adhesion checked and released, this is what i would do if I were you. The answer, "It'll just get better" is ignoring the most common cause of this type of pain --> adhesion.

[@SunGoddes113]

@@drchrisstepienclips thank you for your feedback. My PT doesnt give any manual therapy or joint mobilizations. He only tells me to do the same exercise program I do at home at the rehab center and if my sciatica pain has decreased or increased. I think massaging would also help as well.

[@drchrisstepienclips]

@@SunGoddes113 Not as much as adhesion release, but maybe.

[@SunGoddes113]

@@drchrisstepienclips How many times a week should you massage the piriformis muscle? At times, I feel a bit of tightness or knots and my doctor told me i have a lot of inflammation around the area. When I massage the area, the muscle does relax but a few hours later if I sit for a bit it'll get tight or feel like a knot, but I do see significant improvement just not there yet.

[@drchrisstepienclips]

​@@SunGoddes113 You should do "massage" never at the piriformis muscle. Massage doesn't remove the adhesion. If you're getting relief, it's because you're bringing blood flow to the inflammation, which has value. It just won't get rid of the pathology.

[@superatech]

I'm holding my breath watching this

[@drchrisstepienclips]

Why?

[@mycricketpassion]

I am going through severe piriformis syndrom sciatica for past 5 months I can't stand or walk more than 5 minutes. I was able to reduce my pain for one month but after lifting heavy snow other day I am back to same position. No doctor able to figure out even my Chiro was not giving it any attention he was working on my L4-L5 disks. I am giving up my life now

[@drchrisstepienclips]

I'm so sorry my friend. If standing is as bad as sitting, it's more likely coming from your disk than it is from piriformis. See if you can find a good manual therapist to remove adhesion from your low back, joint capsules, psoas muscles, and hip capsules, and who can measure your low back and hip ranges of motion. This is your best chance. Do not give up. You can do this.

[@bennylynch]

I’ve been in chronic relentless excruciating pain for 7 years now, I can’t sit, walk, lie down, drive, work, I have excruciating nerve pain on both upper outer thighs, MRI, X-Ray, Dexa and CAT scan show no deficits of any kind anywhere yet I’m registered disabled with no cause. I’m housebound, have no independence, and tried over 40 types of pain relief from hydrotherapy, physio, reiki to neuroleptics, opiates and anti-depressants, I’ve tried, oral morphine, transdermal, sublingual tablets in all different combinations no one could find a “ mechanical” cause that shows up in an image so I’ve been discharged from the pain clinic, physiotherapist, rheumatologist, neurologists, orthopaedic, in the UK alternative treatments are not available on NHS so osteopath is out, chiropractors are out, acupuncture is out, I can’t understand those with a duty of care and under oath to give people some quality of life just dismiss, disregard, ignore the pain we endure 24/7 and if you plead with them don’t leave me like this my experience is discharge no follow up!!!!!! I had to retire age 42 as I was at risk in the environment I worked in plus I couldn’t stand for more than 2 minutes. How can it be if nothing shows up on an image then there’s nothing wrong there’s more than bones that can cause debilitating pain.

[@drchrisstepienclips]

@@bennylynch I'm so sorry Johnny. What's the diagnosis been? What exactly did MRI of low back say? Is your pain worse with movements or postures? Or better with any?

[@MsSlayerful]

I know exactly what u are going thru!!! It's absolutely horrible and soooooo frustrating!! This video is a God send because I didn't know there was any answer to this. :) I hope u have found some relief since u left ur comment.. it would definitely give someone like me hope that this isn't permanent

[@ronwhite8503]

Look for Iliad rotation that give these symptoms.

[@vipulwagh7520]

3 years, over 5 doctors, countless physiotherapy sessions and still in the pain. Also, none of them could actually diagnose the condition. Sometimes, I dream of having a pain-free walk....I am so saddened by the fact that medical professionals hardly have any explanation for this....

[@drchrisstepienclips]

Fully agree with you my friend. That's why we exist. How far are you from New Jersey?

[@vipulwagh7520]

@@drchrisstepienclips Well, I am from different country entirely...😐 I just vented out my frustration after watching the video. Anyways, thanks for your response.

[@drchrisstepienclips]

@@vipulwagh7520 I get it. People suffering deserve better. See if you can transmute the frustration into "everything happens for a reason."

[@vipulwagh7520]

@@drchrisstepienclips Sure, will try to do that. Btw, for some reason physical exercise (gyming) along with stretching is helping me a lot. Not sure if thats recommend but none of the other things have worked for me...

[@drchrisstepienclips]

@@vipulwagh7520 If it's working (at least 15% permanent improvement) over a 2-4 week period, you have no increased soreness, your body feels stronger -- weakness is a piece -- KEEP GOING!

[@lesaboo4740]

So you compressed the adhesions? I just started doing compressions using a tennis ball . I lay on the ball and cross my leg similarly like you do until the pain subsides.. Hurt like hell at first...and them do hammy stretches. Feels great afterwards

[@drchrisstepienclips]

No, compression is like massage. Adhesion needs to be TENSIONED and pulled apart. If you get it tensioned, the relief will be PERMANENT, not temporary.

[@AllenSmithe]

@@drchrisstepienclips Could you clarify what you mean by tensioned?

[@drchrisstepienclips]

@@AllenSmithe Remember high school physics class? A Tension force is what happens when you pull a rubber band apart and snap it. This is what breaks adhesion and most doctors/therapists don't do this. Instead, most doctors/therapists do Compression. Take an elephant and stand them on the rubber band. When the elephant steps off, the rubber band will be intact. Think of most massage or deep manual therapy people do.

[@AllenSmithe]

@@drchrisstepienclips I understand the general definition of the word tension, however you emphasized it as if it carried a specific meaning. You're engaging the tissue with manual pressure over the adhesion, which to the same degree could be loosey defined as a compression (though compression typically refers to broad contact), then passively extending the tissue through that point of contact. The treatment is more than being "tensioned" no?

[@drchrisstepienclips]

@@AllenSmithe Hmmmm, interesting. My use of "tension" definitely does have specific meaning. I would disagree with "compression, then passively extending the tissue through that point of contact." This wouldn't do anything to break adhesion. Once the tissue is compressed to the depth of the adhesion, tension is require. Instead of the downward force of compression, a parallel force is made along the fibers of the muscle (or steak) until right before sliding on the skin. THEN, passively extending the tissue through that contact "under tension" will break the adhesion. What you describe is "pin and stretch", which doesn't work. Hope that makes more sense? My mentor, Dr. Brady, has 2 videos of tension on this page: integrativediagnosis.com/manual-adhesion-release-fundamentals/. But I believe he charges $25/month to view them.

[@jpmcfluffies9451]

Oh helllll no, my body would not stretch like that without causing a serious injury. My hips and hamstrings are so tight, something would snap or pop I can guarantee. This may be a great treatment method for someone with flexibility in that region but this would absolutely put me in the hospital. You cant force a stretch when the body is that tight, you can cause more damage. Glad it works for some though. Its a really uncomfortable pain to live with.

[@drchrisstepienclips]

Sorry to hear that Jessica. The treatment is only applied within a patient's range of motion. So if you have 20 degrees, then the doctor will see if you have tension at the sciatic nerve at 20 degrees. If not, you don't have adhesion and can't be helped with that specific treatment.

[@peggyking8769]

How do we get a doctor that will listen to us that have this painful problem. Every time I mention this they just brush me off. I diagnosed myself.

[@drchrisstepienclips]

It's not easy. Email me and I'll send you an e-book we just created "7 Mistakes People Make When Choosing a Pain Doctor". drchris [at] barefootrehab [dot] com

[@Ecovaluations]

A trigger point therapist has the skill and ideology to help. I hope you have one in your area.

[@drchrisstepienclips]

@Lori Linscott Yeah, finding complex problems requires complex reasoning. Keep looking for someone adept at diagnosing!

[@drchrisstepienclips]

@@Ecovaluations I disagree. Trigger points are secondary problems, not primary. They don't work for severe, chronic cases. Maybe only for mild problems. But if it worked for you, that's great!

[@drchrisstepienclips]

@Lori Linscott I get it. Good for you Lori for advocating for yourself. Random treatments are like throwing spaghetti on the wall! It rarely works.

[@Slakker79]

I had this and nobody seemed to know what I was talking about. And I suffered for months until my physical therapist finally diagnosed me. And it went away by physical therapy and certain exercises. Painful stuff.

[@drchrisstepienclips]

so happy it went away.

[@electrikky5533]

If I lift my leg like the patient, Ifeel something my lower back about to unlatch and break.. it hurts. When I stand up I have to lean forward so I do not feel it

[@drchrisstepienclips]

Sounds like a disc problem. You need adhesion released from low back structures.

[@erins9930]

Same thing happens to me!

[@electrikky5533]

@@drchrisstepienclips Thank you, yes and I feel tingling from my butt to my foot at random points of that range of the leg. 😞

[@drchrisstepienclips]

@@electrikky5533 Its coming from disc - an MRI of low back may help.

[@tokenspirit6140]

Yes "WOW"...in 2017 I was on my right side, unable to move or sleep with this horrific pain. No one knew what it was. I'm a well-versed medical person, medical language specialist., worked with specialists most of my life. No one had idea of the depth of pain this can cause. I have high pain tolerance, had 3 children. This pain was the worst ever!

[@drchrisstepienclips]

Dealing with pain can be debilitating!

[@gomarites2837]

I wish someone can do this to me right now ....😭

[@BlGGESTBROTHER]

You can treat yourself pretty easily. Just get a lacrosse ball and sit directly on it (should be on a hard surface like a wood/conrete floor. Roll the ball around until you find a super sore area on your butt and then massage around the area with the ball.

[@Garyganeu]

If the chiropractor I went to had this knowledge instead of cracking and cracking expecting change.

[@drchrisstepienclips]

We hear you, friend. That's something we've heard a lot of. Are you still having the same issue?

[@sharigoldman6625]

I’ve been living in pain and nerve irritation from this far 4 years, endless pt made worse. This has thrown my entire body off my pelvis shifted my hips are misaligned and external rotators are tight. I’ve tried every therapy most recent cranial sacral made worse, foam rolling not working, piriformis stretch nada and massage nada , all useless need someone local !

[@drchrisstepienclips]

Hi Shari, I'm sorry to hear this. Sounds like a low back disc problem. Don't let someone treat you otherwise assuming this diagnosis is correct. Go to integrativediagnosis.com and click "find a provider". type in your zip code. lmk how I can help.

[@MoveU]

We love this!

[@sabinovazquez2235]

I had Piriformis Syndrome with commuting 3hrs to work and living a sedentary life style, now with my new job a couple of miles away and going to the gym more frequently working on my gluts pain is almost 100% gone

[@drchrisstepienclips]

That's awesome Sabino! Driving is a killer for low backs and piriformi. LOL.

[@sabinovazquez2235]

Barefoot Rehab how long does it take to be pain free? My pain started on Christmas Day so it’s been 2 months but like I said my pain is almost completely gone

[@drchrisstepienclips]

@@sabinovazquez2235 Loaded question. Depending on how inflamed tissue is, what is actually damaged, and what treatment you get, it can be anywhere from weeks to years (years, especially without proper treatment). Like the video says, there are only 2 ways to remove adhesion from here, a scalpel or a skilled hand.

[@ShortSh1tjp]

My original comment has been highly edited. i still definitely think surgery is out of the question. I can't help but feel this site is taking advantage of some ones pain.

[@drchrisstepienclips]

I'm not quite following Julie. Surgery is out of the question for you? Which site? KZbin? Or this video specifically? If this video, how so?

[@meilingchen4491]

I have same problems as this guy , I need this Dr like him to help me release it too !

[@drchrisstepienclips]

If you come to New Jersey, we can help you. : )

[@Penguinandpear]

When mine gets bad I have my husband karate chop and apply pressure to that spot, similar to in the video. It increases the pain while being treated but afterwards all the pain is gone. It’s not forever but lasts a few days.

[@drchrisstepienclips]

Glad you get some relief from those chops!

[@MrJayProdigy]

Hello! This video was very educational. I’m 25 years and been experiencing this pain on n off for 6 months now. I’m not sure if it’s a sciatic nerve or piriformis syndrome. I only recently started going to physical therapy where they are helping me with stretching and massages. I haven’t noticed much of an improvement still but I’m hopeful they will help me. Any tips or suggestions? I’m located in Phoenix AZ. Thank you again for this video!

[@drchrisstepienclips]

You're very welcome my friend. I'd travel if I were you. Whoever is closest. integrativediagnosis.com/find-an-id-provider/

[@TejusVlog]

Sir. Did you recover ?

[@mikesabota2570]

They shot electronic pulses into my sciatic notch to relax the muscle....worked like a charm..after a few treatments pain and other symptoms disappeared...no problems since!!👍

[@drchrisstepienclips]

Love it! So happy to hear your symptoms disappeared 👏🏻

[@mikesabota2570]

@@drchrisstepienclips me too.. believe me!!👍👍

[@drchrisstepienclips]

@@mikesabota2570 🙏🏻🫶🏻

[@subhodipdas3723]

Sitting and lowering the head causes more pain in the piriformis syndrome.🙏replay please i am from india suffering for 6 month i am 19 and a runner.

[@drchrisstepienclips]

If lowering your head while sitting causes more pain, you have spinal stenosis (either in low back or neck or both). Any treatment you get in neck or low back should be to unload the spine itself, NOT to treat piriformis. Google "slump test" - it's a neural tension test.

[@gust9464]

Great video 👍🏽 My chiropractor never did this for my prifiromas or measured the degree of stretch. I’m going to ask on my next visit.

[@drchrisstepienclips]

let us know how it goes?

[@b_melly]

Me too! This looks like it feels sooooo good!

[@drchrisstepienclips]

LOL it does.

[@nancyf2665]

Abdominal strength and clam exercises helped me

[@drchrisstepienclips]

You had a disc problem, not this. GOOD JOB!

[@indie-cloud]

That looks amazing and super painful, I’m cringing just looking at his thumb pushing into that tight muscle 😥

[@drchrisstepienclips]

Whatever works for permanent relief right? As long as it's not surgery.

[@wedienu69]

very good one...must be very helpfull

[@drchrisstepienclips]

If there's adhesion there, it's very helpful immediately. If there isn't, people won't feel any difference. : )

[@Sherky59]

Where can I get this treatment in Minnesota? I'm in agony and it's been really hard for me to even sleep and work

[@drchrisstepienclips]

I get it y friend. Hang in there. The closest doctors are in Iowa I believe. integrativediagnosis.com/find-an-id-provider/

[@joshfread1081]

Same, had for 2 years now

[@Mansmatters]

Very practical and useful

[@drchrisstepienclips]

❤️

[@TigerK94]

Hiya. I have similar pain in my whole left leg starting from my lower back through my left hip all the way up to the back of my knee. It’s dull aching throbbing pain constantly changing with the position I am in. At night I can’t lie flat and have to change the positions constantly. I have had this going for nearly 3 years. My neurosurgeon has said this pain is due to the cyst i have in L4-S1. He says once he operates and removes this the pain will go away but he can’t promise. Now I don’t want an op and still have pain. Are you able to help. I’m willing to travel and come see you?

[@drchrisstepienclips]

It's possible I can help. It definitely sounds like your low back. At the same time, if you have a disc problem or a cyst, it's possible you may need that fixed. It depends how much of your pain is caused by the cyst/disc and how much is caused by adhesion. We wouldn't know until we did an exam.

[@tron3652]

Great technique.. Immediate relief from 1 treatment.. Can this be done 3 treatments in a row or do I need to take a break between each treatment?Thank you

[@drchrisstepienclips]

TY for your kind words. Treatment typically needs at least 48 hours in between for the treatment area to recover. If it's JUST a "piriformis syndrome" diagnosis with NO involvement from the low back, hip flexors, or other hip structures, treatment shouldn't take more than 5 treatments to get someone FULLY resolved.

[@mya514]

This would cause me so much pain..

[@drchrisstepienclips]

@MYA It can be painful, not always, but yes, especially if you have a problem in this spot.

[@frankperricone2065]

Are any of these people in need of hip replacement. I Work as a mason and I am 59 years old and been in pain for 10 years, the pain down the leg was a 10 plus. Had MRI and diagnosed 2 herniated disc pressing on sciatica nerve, adrenaline got me threw the day and once I got home I could barely get out of car. Chiropractor, PT, cortisone, steroid and epidural shots did nothing. Then it started on the other leg, pain was terrible could hardly walk, and finally got a physical therapist that new about the trigger points, pressing in the spots that you are and stretching like you are showing. I was told I needed Back surgery, scrape the squished disc away from the nerve and never had it.This kind of treatment works but It can get to the point with me that because of the way I walked for years, and the kind of work that I do just totally destroyed both hips, if I would have gotten this kind of treatment in the beginning of the problem I might not have been in intense pain for 10 years, just got a hip replacement and it's almost healed and I have to get the hip done very soon.

[@drchrisstepienclips]

It's a relative thing. If your joints are that messed up, I wouldn't expect this to help a ton. Maybe it's 20-40% instead of 75-100% relief when you're younger. It depends how much adhesion you have relative to how bad the joint is. We've had people who were scheduled for disc surgery and cancelled it after getting adhesion removed. SO it's not ideal, but it's possible you can still get relief through adhesion release if you do it earlier than later.

[@LBCBassKings]

I wish you were in southern California, I could really go for one of these sessions.

[@drchrisstepienclips]

I know, I wish we were there too., the only provider who does this in CA is mydrcohen.com - I know CA is a big state though, but it may be worth it to see him.

[@T3hAlex]

@@drchrisstepienclips I just found this video, do you know if anyone else has started doing this in California within the last year?

[@shivagill4992]

I really like your way of treatment.I wish you were here in my town🙏🏾

[@drchrisstepienclips]

TY for kind words. Where do you live? I have colleagues across US and Australia.

[@shivagill4992]

I live in Canada Ontario my town is very close to Toronto.i truly appreciated your quick reply.If you may find some one in Toronto that will be great🙏🏾

[@drchrisstepienclips]

@@shivagill4992 Closest is Buffalo. Dr. JJ Phipps and Dr. Brian Zelasko and Dr. Adam McRea - Integrative Diagnosis doctors.

[@shivagill4992]

Thanks Dr.for reaching back to me. I will go there once the borders opens up.Thanks so very much.❤️

[@eliasgetnet8737]

I Wish I Can reach you too😢 I live in Ethiopia,I Have This Pain For About 2 Years😢😢

[@robertmatthews6907]

I've been dealing with this for 6 months rotating through various professionals. Do you have a colleague near Adelaide in Australia (or Melbourne or Sydney)? Thank you so much.

[@drchrisstepienclips]

We have some adhesion providers in Australia. Go to integrativediagnosis.com and type in your zip code. If no one is near you lets talk and see can see if we can help you other ways.

[@dot556]

I also had the terrible pain with no help. Do you have any colleague in Brisbane?

[@caseyhill636]

I’ve never heard of surgery ever being a treatment option for perifomis syndrome

[@mikefishes6232]

I literally just did this on myself and the pain went away, the hip is achey now like a spasm but the sharp nerve pain is gone. I laid like the guy and dug my finger in there then extended my leg and retracted it over and over

[@drchrisstepienclips]

Good stuff Michael!

[@Missflowerss]

Hello, how are u doing? Could u find solution to get rid of it?😭

[@kathywhipple9347]

I have had this for several years off and on. When it's bad it's my knee that is the worst pain as I'm told it wraps around the outside of the knee. I've had ultrasound treatments and those do help but it always comes back. Wish I lived closer to you.

[@drchrisstepienclips]

if it's just your knee, it's likely not pifirformis syndrome. Yeah ultrasound won't break up the adhesions. We are here if the pain ever gets bad enough that you want to fly.

[@raminaklove877]

I have pain on my left hip pretty much in the same area where you filmed in this video for more than 6 months now. But, it's not constant. It's a dull, throbbing pain, that aggravates only if I walk more than a mile, or sit crossed legs like doing yoga, or driving the vehicle more than 3 hrs. I did the MRI once, but the Chiropractor said it's nothing that you need to worry about. He suggested some physical therapy, and massage, that I did both with no Luck. But, it really frustrates me when I want to run, exercise, or walk and can't do it. I feel like I am already old now. My question from you, Sir! 1: How much does your clinic charge to visit patients like me, initially and then every visit afterwards? 2: How many visits do you think I might need? Thanks

[@drchrisstepienclips]

Hello my friend. It doesn't sound like you have an entrapment at the piriformis. It sounds like a disc in your low back. See if you can find someone to remove the adhesion in your low back and psoas. We have some videos of what that looks like on our channel. 1: Assuming you've had pain more than 6 months and you've seen at least 3 other doctors or therapists (we wouldn't take you on otherwise until that point), we charge a case fee that ranges between $2k-$3k. It's expensive, but we're providing permanent relief and saving financial hassles and wasted energy in the future. Or, we take out of network insurance benefits. 2: Our average case length is 12 visits to maximal medical improvement, which is how much permanent relief is possible for you. : )

[@asparagusbear3323]

You could get it looked at by a Physical Therapist (not standard PT) who is trained in muscle and neuro/fascial manipulation and adjustment. They're hard to find and don't take insurance. I see one who is about $125 per visit. You can at least go once for an assessment. Whatever you do, don't get surgery!

[@brahmoone]

this is complete reverse of mine. If I got walking quite lot, the pain totally goes away. After continuing working from home for several days, it's back..!!

[@ronwhite8503]

Check your left sacroiliac joint and see if you have a posterior left ilium. I have treated hundreds of these and get very good results: and they're easy to look after with a few exercises.

[@ronwhite8503]

@@brahmoone look for Ilial rotation.....any osteopath will find it.

[@robientertainer8257]

i really need this treatment

[@drchrisstepienclips]

I bet. Whats going on?

[@lockhartvidler7222]

I have had pain in this area for 15 years never seems to go away even with lots of physio . Had a lot of back issues but they are better but this is still there . Been treated for high hamstrings tendinitis and sciatica. Feel as if it will never go away. Total torture when sitting or driving. It's on my sit bone area also . But there is always a popping and clicking feeling coming from where you were putting your thumb on that guys sciatic nerve. I think my piriformis muscle might be stuck also .

[@drchrisstepienclips]

Yes, my friend. Sound like it is a combination of disc damage pushing on the spinal cord nerve roots and "piriformis syndrome". This treatment is NOT done by many providers. You can try to find someone good at doing this, but it's taken us years of training to be able to feel the tissue the way we do. Do the best you can. You can also find one of my colleagues at integrativediagnosis.com/Find-an-ID-Provider

[@linreynolds1743]

I have the same issue as you do except for the popping part. I am miserable when I sit.

[@drchrisstepienclips]

@@linreynolds1743 Hi Lin, same as above. Look into a disc.

[@linreynolds1743]

I made a device that looks like the tip of an elbow and I push that into my hip to release some of the pain. It helps but temporary.

[@drchrisstepienclips]

@@linreynolds1743 Yeah, feel free to do what helps temporarily. In meantime, then seek a permanent fix.

[@dhineshkumars1991]

Can you exactly tell which stretch gives pain for piriformis syndrome? How we can confirm?

[@drchrisstepienclips]

TOuching your toes would give pain if you had piriformis syndrome. But this could also be a disc too. There's no one stretch that only loads the piriformis and not the disc (at least very well).

[@Itsme-xv7jc]

I am in pain EVERY day all day ....I CAN'T sleep at night... My pain starts from the upper part of my back down to the lower part to the back of my thigh then down my leg I DON'T wish this pain on NO ONE! Ibuprofen irritates my stomach my doctor won't give me any muscle relaxer so I guess I'm just leaving with the pain!

[@drchrisstepienclips]

What's stopping you from finding an adhesion removal specialist?

[@Itsme-xv7jc]

@@drchrisstepienclips I don't know exactly what that is but my doctor referred me to a ortho doctor

[@Itsme-xv7jc]

@@drchrisstepienclips I've had Physical Therapy twice the last Physical Therapy that I had the therapist did exactly what you're doing in this video but it didn't help

[@drchrisstepienclips]

@@Itsme-xv7jc If the doctor who did this wasn't an "integrative diagnosis certified" doctor, it wasn't this. Look here --> integrativediagnosis.com/find-an-id-provider/

[@Itsme-xv7jc]

@@drchrisstepienclips he's a therapist that I no longer see.

[@nara7348]

Nice video! I had a similar problem before and the physio who helped me out like you did really knew his stuff!

[@drchrisstepienclips]

So happy to haer it!

[@smarzig]

what was the treatment you got?

[@josangreggy7963]

I need this treatment rite now, i have pain for 3 weeks

[@drchrisstepienclips]

I'm sorry you're hurting.

[@brandonwhite6988]

Me too I can hardly walk most the time

[@Gagazoot]

Brandon White I was in so much pain I dragged myself to the bathroom in agony, screaming out. I finally went to the Chiro after 4 brutally painful weeks. He helped me a lot. I can walk without agony. I also used ice packs on lower back 20 mins on 40 mins off. The Chiro suggested it and it really works to tamper down the inflammation. I wish you well. People who haven’t had this pain don’t understand what we are hoping through. Ice it right now!!!

[@ludmilastratulat]

Amazing what are you doing 👍👍👍 do you have any colleagues in Montreal? Best regards

[@drchrisstepienclips]

No, we have a few in Buffalo or Rochester - that's closest

[@paul-emile4516]

I had a sudden pain under my foot while walking 3,5 years ago, it never stopped from that time and I still could not walk for long without soles... 5 months ago, I got another acute pain right on the piriformis, on the same leg as where my foot hurts (I know this after having thinking I had a discal hernia). The two pains seem to be very similar and correlated. When I sit and I compress my rigt buttock, I got the acute pain on the piriformis and I feel that my all sciatic nerve is irritated until my right foot. Do you think that there is a chance to find somebody who might help me in France? Ostheopaths, chiropractors, physiotherapists could not help me further. Sorry by advance for my clumsy english. thanks you a lot.

[@shiviahuja9840]

God i have the same story

[@drchrisstepienclips]

I'm so sorry I missed this 2 years ago. Is it resolved Paul?

[@drchrisstepienclips]

@@shiviahuja9840 What have you tried to fix it?

[@theresakilcourse9960]

I also had a neuroma on my foot a couple of years before I developed piriformis syndrome on the same side. I’ve been doing a lot of reading on piriformis and I have read that the two are sometimes associated with each other.

[@capitaoroby1]

@@shiviahuja9840 I have it for 6 years now. I live in the Netherlands and so far no diagnostic whatsoever.

[@ryancollings]

Hi there. This looks like a great technique. Can you please advise if anyone in Australia has this training?

[@drchrisstepienclips]

Hi friend! Yes. “Apex soft tissue” they are in Australia,

[@derrickmontgomery8955]

Any Dr in Tampa florida for this procedure

[@drchrisstepienclips]

Veracity Soft Tissue!

[@rickricky8544]

Wow thanks-I had those 2 knots on the right side upper leg and with one of those massage sticks I got them out and my leg and back pain are gone!!!

[@drchrisstepienclips]

Glad it helped!

[@hiagosilva1884]

I wish I could find a good professional to help me like that ... The ones I ve been thru they don’t even know how to treat that condition they just pretend

[@drchrisstepienclips]

Yeah I get it. Find an integrative diagnosis specilalist if u can.

[@kentofmississippi]

Where are you? I would fly anywhere for this quality of treatment. In mississippi nobody knows what they are doing and I am in pain all the time. I hate taking muscle relaxers, and I can't seem to do it myself very well.

[@drchrisstepienclips]

We are in NJ, but you're closer to Precision Health Group in St Louis, Missouri. They're one of the top 3 clinics in the US with patients flying in all the time for this. Tell them Barefoot Rehab sent you. You won't be disappointed.

[@kentofmississippi]

@@drchrisstepienclips thank you so much for the information. I thought I was stuck in a world where nobody understands my pain. I will definitely make an appointment with them and let them know you sent me!

[@drchrisstepienclips]

@@kentofmississippi I'm excited for you! They have patients who drive and fly froom all across hte country!

[@jameswright2355]

I’ve had this pain for nearly a year now, in my piriformis and it gets worse with sitting down. It gets better with walking and sometimes it even goes away for a few days but then comes back again. At one point the pain was going down my leg but not recently. Ive seen a physiotherapist and a chiropractor, the chiro helping a little bit but I have the pain again rn. The chiro said to do planks to strengthen my core.. would this be a proper solution to get under the problem? What do you recommend I do next? I would really appreciate your help. Thanks!

[@drchrisstepienclips]

The first thing to be clear about is that this type of pain is almost always a disc problem or an adhesion problem at the sciatic nerve and piriformis (or other hip exernal rotators). So while, strengthening the core may help, it's not going after the root issue. Is the pain numbness/tingling or something else? The quality of the pain will let you know if it's actually the sciatic nerve or not. Knowing the diagnosis is the first step because then it tells you what treatment you would need.

[@jameswright2355]

@@drchrisstepienclips Thanks for your quick response! To be honest I have never been given a diagnosis although I have done a nervous system functioning test which I have the results for if that would help for a diagnoses? If so I could send those by email? I have never experienced tingling or numbness it is basically a dull ache that can turn into a stabbing pain if it gets worse. It generally hurts when moving laterally, and raising the knee, (eg putting on clothes). Perhaps it could be an adhesive problem, what do you think?

[@fj.sanabria9869]

@@jameswright2355 did you ever get an answer and what kind of doc helped you...assuming you got help at this point

[@asimgiri4269]

He's quite flexible tbh. I couldn't even raise to 30° but now it's getting better

[@drchrisstepienclips]

Yes, as a dancer, he needs to be. Oh wow, that's not good.