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Posts Tagged ‘Sciatica’

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I watched your YouTube video about ischial bursitis symptoms and “SITS” bone pain. What you described is exactly what I have been experiencing for the past five months. I have been dealing with lower back discomfort for over a year, but the ischial pain started mid-summer and I cannot exactly pinpoint the cause. I am […]

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Pain in the butt or Gluteal region is common in long distance runners as well as in the non-running population.  When a patient presents complaining of pain in their butt it is extremely important to do a thorough exam and rule out any and all other possibilities.  There are usually 6 possibilities or differential diagnosis […]

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I received a desperate email from a potential patient asking me what my protocol was for treating Piriformis Syndrome.  She had been to doctors, 3 physical therapists and was currently seeing another physical therapist for the last 6 weeks.  She explained that the pain was actually now getting worse.  She claimed to have nerve pain […]

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Ischial Bursitis Ischial Bursitis is a painful inflammatory condition that results in a deep aching sensation in the runners involved hip.  The Ischial Bursa is a fluid filled sac that attempts to prevent friction between the Gluteus Maximus and the Ischial Tuberosity (SITS bone).  This condition has also been referred to as “Runners Butt” because […]

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An extremely pleasant female runner came to my office last week.  Before I met her I was looking over her chart and saw that she was seeking help with her foot pain.  I read through the rest of the file and noticed she also suffered from back pain.  No matter, I thought, I will deal […]

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It happened again last night.  A very pleasant woman came to my clinic having severe symptoms of right buttock pain that radiated into her hamstring.  She had consulted multiple doctors including an orthopedic and a neurologist who had performed x-rays and MRI’s of her back thinking she had sciatica.  Of course the tests were negative […]

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Pirifomis Syndrome

The Piriformis Muscle belongs with the gluteal group. The piriformis muscle laterally rotates the hip joint. Lateral rotation of the hip points the knee away from the midline of the body, or points the toes away from the midline of the body (duck feet). This action is important because it supports the hip joint, along […]

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Not a day goes by that Ido not see a runner with severe butt pain. Often the condition is misdiagnosed as either Sciatica, Piriformis Syndrome or Bursitis. It is not that it is never one of these but much more often than not it is Gluteus Medius muscle strain. In runners Gluteus Medius muscle strain is far more prevalent than any of the other conditions. The Gluteus medius is one of three Gluteal muscles that work to stabilize your hip joint and sacroiliac joint. The Gluteus medius is crucial during the landing phase of gait. When your foot strikes the ground and you are putting all of your weight on one leg the Gluteus Medius on that side contracts to stabilize the hip and give you balance and support. The problem? Your foot impacts the ground up to 2000x per mile. That is 2000 Gluteus Medius contractions per mile! Try doing 2000 biceps curls and see what your biceps feels like!

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