Piriformis and SI Joint Release Techniques

[stetelle]

I hate my SI joints ¬¬

[MrKenosha1]

Thank you for this video.as a veteran massage therapist for 10 years, I find this refreshing to see. I also would recommend manipulating through what MT's call neauromuscular re-education, on the iscial tuberosity frontal attachments near the pubic bone. Remember Newton's Law: with every action, there is an equal and opposite reaction. This means any gluteal/ischial tuberosity treatment done on the posterior side, MUST be treated on the anterior side as well.

[Hako2004]

Thanks....great exercise.

[VisionsofSprode]

I like the technique for Piriformis but isn't there a way to modify the body mechanics to really make sure obturator externus is included? I guess it's not super important if your just working on piriformis etc. but it'd sure be handy!

[illuminatiCannibal]

was that Rape?

[Diogo9151]

The position is aweome. Good job Erik. I loved the technique.

[PolygonmanTV]

He has the greatest armrest EVER!

[TheNIFTY5150]

btw, some people have it from mechanical issues (rotated pelvis in my case) and it makes it borderline impossible to truly get rid of, you can calm it a little bit but thats it.

[TheNIFTY5150]

When you are inflicted with something that is affecting your everyday life to the point where walking more than 15 minutes flares you up you are very vulnerable. Yes it is a last resort option and the success rate has not been high, you get to the point where you would do anything for your life back.

[TheNIFTY5150]

Check out Dr. Hal Martin, he operates piriformis arthroscopically and has great success rate compared to previous methods. I am trying to get the word out and hope other sufferers do also so this becomes more main stream!!!! Tell your doctors, look at the improvements with surgery in only the past 4 years, lets keep it up!

[Sethryn]

@TheNIFTY5150 Why do you want to operate the piriformis? Operations build up scar tissue and sometimes small superficial nervs are cut and you get a numb section on your skin which may stay for lifetime. I wouldn't risk that.

[ezzellchic]

Looks amazing!! Erik, you are amazing. I have quite a few clients who could benefit from it.

[bhamdriver]

guys a pro what he is showing would out do any foking stretching exercise wish u was local to me pal.

[drewsky90]

great active release.. lot of people suffer from hip interal rotation deficency.. is there anyway to replicate this to be done without a therapist?

[sarah1573]

I dislocated my SI joint in a car accident. Most painful thing in the world. no joke.

[rcb750]

you are actually turning the LLE/hip joint into internal rotation, not external rotation as you said!!...........

[digitalbots]

very good video!

[nabilebraheim]

great video

[simosera]

Fine scenario!

[FIXWCBCANADA]

I had 2 prolotherapy sessions, 144 needles first time, when the needle hit the spasm it released, but came back in 2 weeks tighter than ever, so went again, but couldn't tolerate it, and ended up begging for the treatment to stop, I wish I had gotten demerol drip like the first time, but didn't like the drunken feeling that lasted well over an couple of hours after treatment ; This is now 5+ yrs and over 50 physicians, specialists, 3 neurosurgeons, on a 100 mg patch, just want my life back;

[lifeson46]

@FIXWCBCANADA Have you looked into a tretment called Rolfing..check it out its life changing. Stay Away from Chiropractors.

[yeagersauce]

@lifeson46 Why would you make that statement? Have you been to every chiropractor on earth? Any good chiropractor utilizes proper diagnosis and treatment that includes soft tissue work. Anyone who makes broad generalizations of a particular profession or group of people has a lot of growing up to do.

[lifeson46]

@yeagersauce no but i have have wotked for 4 of them and find them particularly useless

[dayglowgreendoor]

A chiropractor can further damage an SI joint. Do not believe for a second that chiropractors can always help with SI joint problems. An MD or an MD qualified in prolotherapy should be consulted BEFORE MANIPULATION OF YOUR SI JOINTS.

[yeagersauce]

@dayglowgreendoor You're ridiculous. Prolotherapy, which is just a substance that encourages scar tissue formation, may be good for an unstable SIJ, but worthless for an immobile SIJ. Sometimes the best bet is a SIJ support belt and relative rest. If you know for a fact every chiropractor damages SI joints, please post your credentials.

[amarcosdurock2009]

It´s very good for my Technical English classes. Thanks a lot

[boydownunder007]

A doctor or a specialist on backs will be able to tell you after performing some basic tests and checks of your back where the problem is - disc or SI or a bit of both. I have a SI join t straing that sometimes affects L4/5 discs. I have had this problem for 20 years and you know if they are correct because you can get a second doctors opinion and this should confirm what the first doc told you. hope this helps.

[marcdpt]

PT would probably help if you have tight muscles, limited range of motion, difficulty tolerating sitting or standing (can't get comfortable), if walking is limited by pain, limited physical ability (exercise limited by pain).

[IAMNEILFACE]

whats the best way of telling if i have sciatica from disc pain or piriformis syndrom or both, ori issue with my sacro illiac? started with low back pain, which seems to have largely gone and now have just bad sciatic nerve pain in my right glute and down into my calf muscle, a constant nagging pain which is really getting me down!! i have spent a small fortune on chiro, pt, massage etc over the past weeks, though to no avail..cant help thinking there not focusing on the true problem somehow!

[gaklein21]

what ortho tests did they perform and did any have positive indicators for the two you indicated?

[marcdpt]

it sounds like you should go to your MD and ask for an mri if the symptoms have been there for more than a month, you could have a herniated disc, do you have tingling or weakness in your foot? does it hurt to cough or sneeze? is the pain worse with sitting or standing? if the pain is below the knee it is most likely discogenic.

[shammahbn]

Go to an MD and ask for an MRI first? That's insane! Some probing, massage, and piriformis stretching will show you if it's muscular, and that's free and quick. After that, go to a chiropractor, not an MD. MRI's almost never find the problem.

[tarzenoftheapes]

better still see a musculoskeltal Physiotherapist. They'll not only get it right but offer therapy that wont' see you coming back for ever like you would with Chiro

[bbbask]

I wouldn't trust em to fly blind, my stuffs WAY too hurt and chonic-messed up (13 years is chronic). At least a fluoroscope, so the nerve get less pinched. I have had a recurring numb streak down my rt leg to midcalf for about 8 years. I'm 30 and crippled damn near

[shammahbn]

They don't have to fly blind. Even an x-ray can let you see where the vertebrae are and thus how the disk is shaped. Also, feeling around with hands will give any skilled practitioner an idea of what's going on. If you've been to a muscle therapist and they've failed, that's one thing, but if you haven't, you ought to give them a shot. If I personally hadn't found the problem on my wife, she'd be in your position 10 years from now, almost crippled.

[CaliforniaRaisinGirl]

It is interesting that you would say that MRI's almost never find the problem. An MRI with results that are T1 and T2 weighted are the gold standard for low back problems because it allows one to look at both the bone and tissue structures with the greatest clarity. However, most insurance companies will require a radiograph (x-ray) first because it is much cheaper. Then, I'd suggest seeing an orthopedist of physical therapist. That is your best bet! Good luck!

[shammahbn]

Sigh ... I have nothing to say in return. The fact is, we ended up having to give my wife an MRI, which turned up a herniated disk, although the x-ray had given us some indication that would be true.

Timing was great, though. Got the MRI for less than half the price it was originally quoted due to a new clinic opening up, and we found the best back doctor in Tennessee for the operation that was necessary (Dr. Foley).

[aidendouglass]

You should consider getting the Trigger Point Therapy Workbook by Clair Davies. It's awesome! It is a great self-help book. I am a massage therapist myself and use it on myself. The thing is, you really need to stay on top of trigger points until your muscles get out of whatever pattern they are in. This could mean doing self massage on the trouble spot 7 times per day. But it works! And it doesn't take long.

[bowelrock]

I have had an Si joint dysfunction for about 4 ears now. I realy need to get it worked on. Its Dibilitating

[hamadaptpt]

good technique

[gmb75]

Love it, great rotation added! Some of those other psoas fibers.....