Best Stretches for Sciatica
Hello I'm Heather Moore owner ofTotal Performance Physical Therapy. Today we're going to go over the best exercisesfor sciatica. There's really one main stretch that you can do a bunch of different waysif you're getting numbness and tingling down your leg, if you'r e getting pain throughyour back, in your butt you should do this stretch multiple times throughout the day,when you do it you want to try and hold it for about 30 seconds, you want to try andperform 6 repetitions if you can't do it for that long that's okay hold it for as longas you can, if for any reason these are going to increase your pain you need to stop immediatelyand call your but this should alleviate
a lot of your body pain specially if you aresitting for a long period of time or you get a lot of pain down your leg. The first oneis in the seated position you want to sit up nice and straight, you want to cross yourankle over your knee if you feel a stretch there that's where you need to stop, if youdon't feel a stretch there all you wann do is sit up and lean forward and you shouldfeel a greater stretch through your butt, through your hamstring which is in the backof your leg and through the side of your leg, you may even feel a little bit on your backdepending on where your tight is again this shouldn't hurt and should feel like a goodstretch, you could do this sitting at your
desk all day long, you also want to make surethat you concentrate on both sides not just the side that hurts, piriformis muscle whichis what this is stretching on both sides and will tag evenly on your sacrum or your tailbone so you want to make sure that you do both sides and not just one. The next wayto do this stretch is standing up, you want to find a surface where you can put your leg,your hip at about 90 degrees and you're going to bring your foot up and you're just goingto have it lay on the table and you're going to let your knee drop to the side, if yourknee doesn't fall all the way down that's okay, don't force it down let it just staythere again if you get, if you're in this
position and you don;t feel a stretch youcan now begin to lean forward, you're going to feel the stretch in your back, in yourglut, in your hamstring and all the side of your leg, this should not be painful it shouldfeel like a nice stretch this one also you want to do 30 seconds hold about 6 repetitionsand you want to make sure that you hit both sides. The final way to do this stretch islaying down, so you want to lay on your back and this is a good thing to do when you getup in the morning, go ahead and bend both your knees up and then you're going to crossyour ankle over your knee, now again if this is where you feel a stretch stop right thereand hold it, if you don't feel a stretch in
this position you're going to reach both armsbehind this leg and you're going to pull it up towards your chest, you should feel a stretchagain in the back, in the glut, in the hamstring or maybe even on the side of the leg, it shouldnot hurt it should feel like a nice gentle stretch, you want to hold this about 30 secondsand you want to do about 6 of those you can do this as many times during the day as youwould like there is no set number or times that you can do this, anytime your tight youcan do this and it will not harm you.
Piriformis Syndrome versus Sciatica Animation
Piriformis syndrome is a neuromuscular conditionwhere the piriformis muscle one of the deep gluteal muscles presses on and compressesthe sciatic nerve causing pain, tingling and numbness in the buttock area and down thepath of sciatic nerve to the thigh and leg. Sciatic nerve runs UNDER the piriformis muscleand may be irritated when the muscle is too tight or shortened due to spasms. Piriformissyndrome is to be differentiated from sciatica which shows similar symptoms but has differentcauses. Diagnosis is commonly done by EXCLUSION ofsciatica. Because sciatica usually associates with compression of sciatic nerve roots bya herniated disc, sciatic symptoms in the
ABSENCE of spinal disc herniation are indicativeof piriformis syndrome. Causes and risk factors of piriformis syndromeinclude: Anatomical abnormality of the nervemusclerelation. Some people are more likely to get piriformis syndrome than others. Tightness or spasm of the piriformis muscle due to overuse injury. This commonly happensin sport activities that put pressure on the piriformis muscle such as bicycling, runningwithout proper stretching, or any activity that involves repeated movements of the legsperformed in sitting position. Treatment options include: Stretching exercises, massage, avoidance
of causative activities. Antiinflammatory drugs, muscle relaxants for relief of symptoms. Physical therapy that strengthens the gluteus maximus, gluteus medius, and biceps femorisis usually recommended to reduce strain on the piriformis muscle.
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