Help with Sciatica

Chalk up another for Piriformis( just a possiblility). The sciatic nerve goes through the piriformis muscle in your ass and it shut down my leg 2 summers ago because it was tight. “piriformis syndrome” was diagnosed. Stretches like the ones above straitened me right out.

Piriformis Syndrome is a possibility, but not likely secondary to the mechanism of injury. This usually occurs over time and the symptoms gradually appear as the piriformis becomes tighter and puts pressure on the sciatic nerve. But since the sciatic nerve does run under the piriformis keeping it loose by stretching is of definite benefit.

[quote]Bigpull wrote:
Chalk up another for Piriformis( just a possiblility). The sciatic nerve goes through the piriformis muscle in your ass and it shut down my leg 2 summers ago because it was tight. “piriformis syndrome” was diagnosed. Stretches like the ones above straitened me right out.[/quote]

Bigpull,

Thanks for bringing up Piriformis. I had not heard of it before and after doing some research I think it might be what has happend to me.

I found a good artical on Berardi’s site about it. If anyone wants to check it out it is:

http://www.johnberardi.com/articles/training/pain_in_your_butt.htm

The author says that Piriformis is sometimes misdiagnosed as a herniated disk.

[quote]bushidobadboy wrote:
Some good advice from Dr PT here, although as a chiro student myself, I would have to say that a visit to one might be a good idea - as long as you see a good one. Fortunately, here in the UK, most of our chiros are not ‘crack-happy quacks’, which seems to be a real problem in the states.

Anyway, a good, sports-based chiro will not adjust you until they know that it is safe to doe so, and that the potential benefits outweight the potential risks… I would think that in time, an adjustment (if needed) would serve to re-align the vertebra into their optimum position. Couple this with some rehabbing for your segmental stabilisers like multifidus, and rotatores, and you should be able to manage this quite well.

You ask if there is any point in seeing a chiro or back specialist. Didn’t this happen to you before? What makes you think it won’t happen again, and possibly be much more serious next time??? As Sixo said - you only have one spine. [/quote]

Thanks for the reply, you make a fair point re: seeing a specialist. I only ask as I’ve noticed that with my GP if a problem has subsided before you actually have your appointment you tend to get a “well if it’s not hurting now what do you expect me to do” sort of a vibe, something I wouldn’t be too impressed with if I had paid to see a specialist.

[quote]Steve-O-68 wrote:
Supine planks(unilateral and bilateral), bird dogs, fire hydrants, donkey kicks, back extensions (NOT hyperextensions) would all help with low back strengthening.

Be sure that you’re also getting your hips loose and mobile before heavy deads or squats. Leg swings, kicks, spiderman crawls, side shuffle, lunges, in addition to the above exercises would help. 10 minutes worth of warm up and dynamic stretching can really go a long way. [/quote]

Carefull with the supine planks, when i was having a bit of trouble with my lower back doing these just made me feel a slight pain in my lower back. Though I may have just been doing to much…

after dealing with pain in my lower right back and buttock for a couple of years…
i finally went to see a napro. he suggested i get an mri. well the mri showed that i have arthrites, and a couple of bulging disks and disk bulges-more then one bulge on a single disk.
now the napro did not fix my pain, he did help it somewhat tho.

front squats have always made my pain less, as has deadlifting. i tried all the stretches, didnt do much for me, but still do most of it.
just recently i started doing obliques with weight, starting from 25 lbs, now up to 35 lbs per side. also just recently i got new insoles for my work shoes. (on my feet about 7 hours out of 8).

my pain is all but gone.
this is just my experience and i know what you are dealing with sucks, best of luck to you.
oh yeah, also just once try laying on your stomach for about 30 when you go to bed, i find that the next morning it helped a little.

first get an acupuncture treatment, this will most easily open the blocked muscles

next day, get a full deep tissue massage
you will be able to open more up from the previous day

then go to a chiro to adjust, they will be easier and hold longer if your muscles are open