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Not a day goes by in practice that I don’t have a patient tell me they have pain in their lower back and pain in their buttock on the same side. Patients will almost always say the pain in their buttock is from a “tight piriformis”. So, what have they done to mitigate said “piriformis” pain? They of course have Googled buttock pain and had seen a plethora of pictures and videos illustrating how to get rid of their “piriformis” pain by stretching. What a great idea! In many cases pain from a muscle should be stretched. What would you say if I told you 95% of the time this was not only the wrong diagnosis but also the wrong approach to fixing the pain and in fact was causing more harm than good? Unfortunately, in the last week alone I’ve seen 2 patients, one a 22-year-old and the other a 53-year-old, who fell into the “piriformis” pain trap and actually significantly worsened their symptoms! The crux of the problem lies in the fact that the piriformis is in the vicinity of the pain but is NOT THE CAUSE OF THE PAIN! In most cases, the cause of the pain is a disc related injury such as a bulge or herniation that is pressing on the associated nerve root and referring pain downward into the buttock. In essence, these individuals are suffering from sciatica due to a disc injury. The actual injury is in the lower back and the symptom is the pain in the buttock.
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Негізгі бет Your Butt Pain IS NOT YOUR PIRIFORMIS! It's Your Sciatic Nerve!!!
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