Piriformis Syndrome Low Back Pain Sciatica Sock Doc
Hey, this is Gangemi, The Sock Doc.Today's Sock Doc tutorial is on piriformis syndrome, lower back issues, andsciatictype pain, or what many people perceive as sciatictype pain. LaraO'Brien, who is a principal dancer with Carolina Ballet, is going to behelping us out today, and we're going to go through some of these common ailmentsand some things that you can do, hopefully at home or with a friendto alleviate some of the pain that you might be having. First on sciatic nerve, let's talk about that.Your sciatic nerve comes
down the back of your thigh here and comesall the way down and exits the back of your knee, which is called the poplitealregion, and then forms two common nerves, your common peroneal and yourtibialis nerve. Down here in the lower leg is where most ofthe people experience actually true sciatic type pain. This is where youmight get some numbness, some tingling, some loss of feeling in your toes,your foot area, or your calf. A lot of people think that this area, justbecause the sciatic nerve comes down through here and in your glute regionis actually sciatic type pain,
but it's actually usually not that. It's calledsclerotogenous type pain. What pain in this region is, this sclerotogenouspain, is a referred pain from other areas, other areas of tissue, mostcommonly muscles, ligaments, and tendons. Or it can even be a direct tightnessof the hamstring muscle, or even your glute max which we're going totalk about in a minute. Sciatica is a symptom most often misdiagnosed,but when the sciatic nerve is even pinched up in the lower back regionhere, it could be from a disc issue, it could be from some arthritis, orit could be from some muscle
imbalance, some instability of your biomechanicsof your pelvis that's impairing the sciatic nerve, putting somepressure on it, resulting in pressure all the way down and causing numbness,or pain, or discomfort in the foot. However, you end up dealing withthe issue usually way up here where the sciatic nerve originates, or starts to cometogether from the nerves of the lower back and the sacral region. The most common muscle is your piriformis.The piriformis muscle comes off of the front part of your sacrum actually,tucked in on the side here, and
then comes to the outside of your hip here.That piriformis muscle like this, you can turn around, does two things:It turns your foot out, and it brings your leg up and elevates it, whichyou can do that on both sides. You can see they're pretty symmetrical. Someonewith pretty bad piriformis syndrome, or pain in their piriformis is,first of all, they're going to feel pain deep in their butt region, in theglute, especially right here on the side, and they're going to have some imbalanceor pain doing that motion from side to side.
The sciatic nerve, pretty much in most people,80 percent, it is said, the sciatic nerve comes below your piriformismuscle. In about 20 percent of people, the sciatic nerve actually goes throughthat piriformis muscle. If you had an injury to your piriformis muscleresulting in imbalance, or resulting in a hip rotation issue, then thatcan put pressure on that sciatic nerve and cause pain in your foot. I'm going to show you in a minute how to dealwith that sciatic nerve, but the other muscle we're going to talk aboutreal quick for a second is the
Standing Piriformis Stretch For Pinched Sciatic Nerve
Welcome to Stability Before Strength. My name is Oscar and today I will show you how to stretch your Piriformis muscle in a standing position to help you alleviate your pinched sciatic nerve. You're going to start the stretch byholding onto a wall or stable surface and slowly cross your right or leftleg over your other leg and slowly bend your knees and shift yourweight towards the back of your hips you should feel stretch deep in yourgluts
and this is where your piriformis muscle and sciatic nerve run. uh. hold for fifteen thirty secondsnow runners know this stretch as a figure 4 stretch because you'reactually making a 4 with your body. You should feel a difference between your affected side and unaffected side meaning that you're affected side will betighter and will benefit from holding thestretch longer than the unaffected side. It's a good idea to compare your two sides because it will give you a good indication of
the improvement of your affected leg After fifteenthirty secondsrepeat the same steps on the other leg. For a deeper stretch you can drive your hips back and or use your freehand and push awayyour knee even though one side feels tighter in a few days or weeks you should noticea difference not only in the flexibility
but also the pain you're experiencing as you become more flexible, the painwill start to subside continue to stretch most days of the week, if not everyday Thanks for watching. I hope this tutorialtutorial was informative and helpful.