www.sciaticaselfcare.com presents The second part provides an exercise for relieving piriformis syndrome and also discusses how to tell the differenc between “true” sciatica and piriformis syndrome.
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Sciatica Exercises Part 2 – Revenge Of The Piriformis
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#1 by DrGeorgeBest on April 26th, 2010
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@vegasglitr999 If the pain is just in the knee, it suggests that the knee joint itself is the problem. If the pain is throughout the leg and into the buttocks and back, that’s a pretty good sign that the problem is true sciatica related to a bulging disc or other “space occupying lesion” in the lumbar spine.
#2 by vegasglitr999 on April 26th, 2010
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What could it mean if you cannot even get your leg straight enough to do the test for “true sciatica”? I’m having this problem. My knee just doesn’t want to straighten out, it hurts too much.
#3 by DrGeorgeBest on April 26th, 2010
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@jhwan62 Where you sleep can make a difference in pain. What works best varies from person to person and the quality of the bed, but sleeping on the floor is usually worth a try during periods of major pain.
#4 by jhwan62 on April 26th, 2010
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does where you sleep affect the intensity of pain?
#5 by jhwan62 on April 26th, 2010
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Hi Doctor, I just have a quick question about this symptoms. Are there differences in intensity of pain depending on where you sleep? Because I have had tiny pain through out the month, but day after I moved location and bed, the pain got much much greater. So does where you sleep (bed or floor) affect the intensity of pain? if so what would you recommand??
#6 by sebbbo77 on April 26th, 2010
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Thank you for the great advice !!
#7 by DrGeorgeBest on April 26th, 2010
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I think you’ll find that continuation of the exercise will work better in the long run than a brace. The more you do the exercise over time, the stronger you’ll get and it will be easier to maintain good posture. You may also find that chiropractic treatment will help if you have significant postural distortions, as re-aligning the joints will make the job of the muscles easier. Good luck!
#8 by DrGeorgeBest on April 26th, 2010
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An iron rod might provide support but it wouldn’t be very comfortable. There are already a number of back braces on the market that would do essentially what an iron rod would do – and are relatively comfortable. Such braces work well when you must sit for long periods, however, long-term use would result in weakening of the muscles unless you consistently exercise to keep the muscles strong. Another option for sitting support is a device called the nada-chair, which might suit your needs.
#9 by sebbbo77 on April 26th, 2010
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Hi Dr. Best, my chair at work is apprently ergonomic but I’ve noticed while using it that it does not cover the small area of my lower back. I’ve used pillows, even a phone book to place in their so all my back is supported but I still experience severe pain. My friend suggested I use an iron rod inserted under my shirt to help carry my back and have it designed and approved by doctors. Do you think this is a good idea and do spinal rods actually help maintain back support?
#10 by phileustace on April 26th, 2010
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Dear Dr. George
I’ve always had poor posture of the upper back. I then found an excercise -”the scapular wall slide” featured on many youtube videos. I’m basically pressing my whole back including the lumbar on a flat wall and making sure my back is totally straight. The problem is I cant maintain that posture for more than 10 minutes after the excercize. Do you think its worth continuing them or do you think I should invest in a back brace? Any advice would be GREATLY appreciated.
#11 by DrGeorgeBest on April 27th, 2010
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It is difficult to say for sure what the problem is without examining you. It could be piriformis-related, which is often in association with a sacroiliac joint problem. If so, the stretch from the video will likely help, although you may need some chiropractic treatment if the sacroiliac is involved. It could also be disc-related. I suggest you try the exercise shown in my Sciatica Exercises Part 1 video. If it helps, it suggests a disc problem is present. Good luck!
#12 by SuperCulloden on April 27th, 2010
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The space is limited so I would like to continue by saying that the discomfort has eased somewhat, but stil,l when I get out of bed in the morning it’s there in all of its “glory” until I move around a little; the same holds true when getting out of a chair, I have to give it a few moments thought before making the move. Although still walking, I have reduced the distance to four miles instead of my usual 7 to 10 miles in case it gets worse, what do you think Doctor.
#13 by SuperCulloden on April 27th, 2010
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Hello Dr. Best. I am a power walker who has lost “power’. My walking takes place along paths in Michigan County Parks
. About six weeks ago when getting out of my car, I experienced discomfort between my extreme lower back and the gluteus maximus areas. Thinking that it would work itself out I started walking, the next day it was worse. I’m wondering if it was me walking on uneven frozen snow for a number of days previously that caused the problem; if so will the exercises you describe help?
#14 by DrGeorgeBest on April 27th, 2010
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You’re welcome!
#15 by TKlaling on April 27th, 2010
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very informative doctor, thanks!!!
#16 by DrGeorgeBest on April 27th, 2010
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The muscles don’t keep the vertebrae separate, they would actually tend to pull them together. But toning muscles can help to hold the vertebrae in proper alignment, thereby reducing mechanical irritation on the discs as well as helping to maintain the normal shape of the openings between the vertebrae where the nerves exit the spine.
#17 by atraherne on April 27th, 2010
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muscle helping to hold the vertabrea’s further apart? Is it somehow sucking the hernia back into the disc? I am fasinated to know what is going on, my dad thinks that its because the muscles help to seperate the vertabrea’s and that takes pressure off the disc allowing it to be less squeeshed and therefore come off the nerve, is this correct? Thanks!
#18 by atraherne on April 27th, 2010
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I have a herniated lumber disc, my Dad used to have a herniated disc and so did a friend, they both cured it, or, went symptom free by doing a couple months of back toning exercises. I have just started doing back toning exercises and it does bring relief.
My question is, how does toning the back muscles bring relief and remedy? Why is is it I feel the most relief when I work my back muscles until they are tight or tensed? Is the toning of the muscle and the immediate tension of the
#19 by DrGeorgeBest on April 27th, 2010
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It sounds like there is more involvement of the gluteus minimus than the piriformis. You may also have a problem in the left sacroiliac joint that is either producing symptoms directly or causing the reaction in the glute. My suggestion would be to get an opinion from a chiropractor to see what’s going on with the sacroiliac. Good luck!
#20 by wkriski on April 27th, 2010
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I had botox in piriformis and s1 nerve root block on left side (pain side) and neither helped. When I push with my thumb in upper glute near the center of my glute I feel some sore spots. The pain is worse in the morning but is basically chronic. Standing is painful and walking for the first 10 minutes until it relieves.
#21 by logsliderrjh on April 27th, 2010
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That makes no scense as that is a anti-depressan that is both addictive and has numerous side effects all of which are harmful to not only your health but your mental well being. the first rule of medicine is ” do no harm” and her presciption certaily violates that.
I am almost pain free now and all I have done is these exersizes and sitting correctly
#22 by HealthAndCures on April 27th, 2010
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Sciatica Exercise Video Program here: watch?v=3Xt0kkr74xg
#23 by DrGeorgeBest on April 27th, 2010
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It sounds like you may have some additional problems that are not directly related to the sciatica. The pain between the shoulder blades may actually be from the sciatica exercise, as the extension can jam up the spinal joints in some cases. This can usually be alleviated with a chiropractic adjustment, or possibly by lying on your back on the floor with a rolled up towel lengthwise under the spine while doing some deep breathing. The heel pain may be due to heel spurs.
#24 by DrGeorgeBest on April 27th, 2010
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It is usually possible to relieve sciatica without drugs. I suggest you check out my Sciatica Exercises Part 1 video. You can get additional self treatment suggestions on my website shown on the video. Good luck!
#25 by DrGeorgeBest on April 27th, 2010
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It sounds like you have more than just sciatica. My recommendation is to consult with a chiropractor to see what can be done to help you. If possible, try to get a recommendation to a chiropractor from a friend who has had a good experience. If you don’t know anyone who has seen a chiro, then I suggest looking in the yellow pages for one with just a listing since those tend to get most of their new patients from referrals. Good luck!
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