Guest guest Posted August 8, 2006 Report Share Posted August 8, 2006 Bonnie, Cam, Andy-all, I also suffer from these symptoms. I know I am still healing. I chalked this deep rooted pain up to screws. I mean if I look at the placement of the screws, they could very easily be causing pain in the piriformis area. Sometimes, I go to sit and can't until the pain passes. > > Hi Bonnie, Cam, > > > > I've been reading your posts about Piriformis Syndrome - and I think I have > it! Can you please tell me (sorry to ask you to repeat this) what your > symptoms are/were? I have chronic tailbone pain that spreads down the backs > of my legs (but it's not quite as painful as the sciatica I had before my > revision), as well as groin muscle pain and outer hip muscle pain. It all > gets worse when I sit or walk. > > > > Thanks, > > Andy > > (Revision 2003/Boachie) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2007 Report Share Posted March 26, 2007 JP, Have you ever seen a physical therapist for your piriformis? Not just any PT but one specially trained in pelvic floor treatment? They can truly get your muscles to do what they're supposed to and stop the nerve compression. They teach you how to maintain it and do self treatment as well. I have SIJD and learned a lot about how the muscles around there can compress the nerves and cause all kinds of strange things to happen. I won't bore everyone with the details, but if you have any questions or want to know more about it, feel free to e-mail off the group (or on) if you like. Take care, JP <jpbonner65@...> wrote: , Does it hurt near your hip? Does it also hurt say if you are lying flat on your back and try to roll to one side or other? That plus all the other symptoms is more like Sacroillitis. SI joint dysfunction. I had sciatica…I had the injections and the L5S1 actually worked wonders for mine but since they did an injection in my SI joint…not sure if that is what did it or not but I ended up in the ER with the worse pain I ever had. And for 6 months, I have had similar pain tho not quite that bad. I did oral steroids that worked great but another injection actually caused a flare and made it worse. I can no longer do any lower body activity without pain that requires narcotic meds. I know my situation is not the same because my sciatic problem is most likely piriformis which means a muscle in the low back/buttock is actually pinching the nerve. However the injections can do wonders. I also had an epidural that still seems to be controlling the sciatica since about 2 months now…I think it is worth a try. Do you see a pain doctor? Or an orthopedic/neurosurgeon? You should probably be seeing a pain management specialist and a neurosurgeon to find out what your options are such as surgery etc. Don’t count on a ortho or nuero to necessarily control your pain well or do injections – they most likely don’t do them as regularly as a pain management specialist and they can offer you a number of options including pain meds until you get a procedure or surgery which ever you decide on. Studies have shown that the injections do not keep most people from needing surgery if you are a candidate. But they do offer some short term relief. I would really strongly suggest you see a pain specialist as soon as possible, you should not be suffering like that. My ortho kept giving me one after another of pain meds, mostly muscle relaxants and they did nothing. It may not take it away all together but pain has a way of interfering with everything even just having patience with your children and spouse…I was amazed at how I could finally SIT and listen and talk to my kids etc even if I cant do all the activities I want, I can do many more than I could when I am in pain. JP spinal stenosis -medical run arounds? Last October a cat scan revealed lumbar spinal stenosis and I've been on hold since then. From June '06 I was off work with what was thought to be sciatica that never got better. I have had one 'bad spell' that a doctor told me would happen again. My left leg cramped from my left buttock down to my ankle so badly I could not force my leg to move and the pain left me breathless. I was on the couch for two solid weeks and even to shift myself was agony. Many times I walk hunched over and thru the day I gradually can stand upright. I can't sit on any hard surface and most days trying to work leaning forward is difficult. My left rear end is always hurting and my left leg is weak. Somedays I walk fine and the next I'm a mess. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/730 - Release Date: 3/22/2007 7:44 AM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2007 Report Share Posted March 26, 2007 I will email you tomorrow, heading off to bed but I would definitely like to hear more!! JP RE: piriformis JP, Have you ever seen a physical therapist for your piriformis? Not just any PT but one specially trained in pelvic floor treatment? They can truly get your muscles to do what they're supposed to and stop the nerve compression. They teach you how to maintain it and do self treatment as well. I have SIJD and learned a lot about how the muscles around there can compress the nerves and cause all kinds of strange things to happen. I won't bore everyone with the details, but if you have any questions or want to know more about it, feel free to e-mail off the group (or on) if you like. Take care, _,___ -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2007 Report Share Posted March 27, 2007 I would definitely like to hear more also. I think I could benefit from this very much. Thank you, . Barbara JP <jpbonner65@...> wrote: I will email you tomorrow, heading off to bed but I would definitely like to hear more!! JP RE: piriformis JP, Have you ever seen a physical therapist for your piriformis? Not just any PT but one specially trained in pelvic floor treatment? They can truly get your muscles to do what they're supposed to and stop the nerve compression. They teach you how to maintain it and do self treatment as well. I have SIJD and learned a lot about how the muscles around there can compress the nerves and cause all kinds of strange things to happen. I won't bore everyone with the details, but if you have any questions or want to know more about it, feel free to e-mail off the group (or on) if you like. Take care, _,___ -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2007 Report Share Posted March 27, 2007 I am interested in following up with you, too. Please include me in any mailings. I know some piriformis stretches, but always willing to study more. Sandi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2007 Report Share Posted March 27, 2007 ok, I don't want to bore you with too many details of pelvic floor dysfunction, which I am currently being treated for. It was when I began treatment for this that I found out I had SIJD and a chronically tight and spasming piriformis, among many other pelvic floor muscles. The piriformis can compress the sciatic nerve, I think we all know what that one is, and also the pudendal nerve which innervates the internal and external genital area. Since that is where part of my problem lies, I get internal and external trigger point therapy from a PT specially trained in pelvic floor dysfunction. I also saw a regular PT who confirmed the piriformis and SI issue and gave me some exercises and stretches to do. Both PT's were able to adjust my torqued pelvis and my hypomobile left SI joint, and work on the piriformis as well. I guess if you don't have any other pelvic floor issues, that includes bladder, rectum, and pretty much everything in the pelvic area, then you would want to ask a regular orthopedic PT if it was something they could address. A regular PT would not be doing any internal work, just getting at it externally. Also, possibly a massage therapist with training in trigger point therapy would be able to tell you if you have trigger points in that muscle and, if so, work them out. That will be one of my next moves - getting a deep tissue massage with trigger point therapy. I'm afraid they're going to say " OMG, you're a mess! " We'll see. Hope this may help some of you. You can also do a search for piriformis syndrome, and whether you actually have that or not it may provide some useful information, or at least help you rule that out as a problem. Here's a tidbit from one site: Pelvic Floor Pain Syndrome - The pelvic floor muscles can be in spasm and cause pelvic pain. It si also referred to as levator ani syndrome (the levator ani muscles are the major muscles of the pelvic floor), or pelvic tension myalgia. These muscles must be examined carefully, with each muscle palpated separately, to gain some idea about their tenderness or spasm. They may sometimes have trigger points as well. One of the pelvic muscles often affected is the piriformis muscle (sometimes called piriformis syndrome). This muscle lies high in the pelvis and can be palpated with some difficulty through the vagina. It can also be evaluated by examining the lower buttocks. Most patients who have piriformis spasm experience pain in their buttocks and down the back of the leg, as well as discomfort with intercourse. If any of you have any more specific questions please feel free to ask. Take care, Sandi <ellen@...> wrote: I am interested in following up with you, too. Please include me in any mailings. I know some piriformis stretches, but always willing to study more. Sandi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2007 Report Share Posted March 27, 2007 Sandi, I have no pain in the pelvic area it is all hip area, back of the si joint, front of the thigh and calf. I have done therapy about 5,6 times now. I don’t know if they would give me anything different to do, not sure if insurance would even approve it. I have all the piriformis stretches. I DID have an incredible massage therapist that could find my pain instantly every time. But as soon as I get off the table…back to the same pain. Do you have any exercise or stretches etc for SIJD??? How did the pt adjust your si?/pelvis? I would definitely be interested in someone doing this…if this would possibly help. My ortho just said treat it like a stress fracture. And when I do anything with that left leg you hear a click/pop every time. JP ok, I don't want to bore you with too many details of pelvic floor dysfunction, which I am currently being treated for. It was when I began treatment for this that I found out I had SIJD and a chronically tight and spasming piriformis, among many other pelvic floor muscles. The piriformis can compress the sciatic nerve, I think we all know what that one is, and also the pudendal nerve which innervates the internal and external genital area. Since that is where part of my problem lies, I get internal and external trigger point therapy from a PT specially trained in pelvic floor dysfunction. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2007 Report Share Posted March 28, 2007 oh good! No pelvic pain is a good thing The stretches I was given are calf, quad, piriformis, TFL, & hamstring. Most of the exercises are for core strengthening. A strong core should help stabilize and support your pelvis and spine thereby putting less stress on the joints and allowing other muscles to do what they are supposed to do instead of compensating for the weaker ones. Let's see, they told me to do clam shells, side lying hip abductions, bridge. A variation of the side lying hip abduction where, instead of having your top leg directly over the bottom leg, you take it back as far as you can and lift and lower from there while keeping your hips stacked (and not leaning back with the top leg). Lower trunk rotations - lay on your back, knees bent, feet on the ground. Slowly tilt both knees to one side in a small pain-free motion, then back up and to the other side while letting your lower back rotate only slightly. I should mention that all of these are to be done with your abs tightened, but without arching your back. If you have a stability ball, you can sit on that and slowly, with abs contracted, lift one leg straight out, hold for 5 seconds, lower leg and repeat on other side. To make it a bit more challenging you can do it with your eyes closed. Most of these they said to do for 1-2 minutes, but of course you would only want to do what you can without causing pain. Kneel on all fours with back straight and neck and head in line with back. Lift one arm and opposite leg keeping them in line with back and hold for 10 secs. Switch sides and repeat 5 or more times, again holding abs in. This one you want to try not to wobble at all. They are all pretty basic familiar exercises, but I learned the importance of doing them correctly to stregthen your core. Nothing too fancy. It's hard to explain the adjustments that were done. He had me contorted in some wacky positions, but it did help. I went for a couple months and then he basically said to keep doing the exercises and to come in if I needed to be adjusted or stretched. He was really able to stretch the muscles better than I could myself, again in some contorted positions. I hope this may help. Sorry I couldn't explain more. It's tough to explain some of these things without showing you. Take care, JP <jpbonner65@...> wrote: Sandi, I have no pain in the pelvic area it is all hip area, back of the si joint, front of the thigh and calf. I have done therapy about 5,6 times now. I don’t know if they would give me anything different to do, not sure if insurance would even approve it. I have all the piriformis stretches. I DID have an incredible massage therapist that could find my pain instantly every time. But as soon as I get off the table…back to the same pain. Do you have any exercise or stretches etc for SIJD??? How did the pt adjust your si?/pelvis? I would definitely be interested in someone doing this…if this would possibly help. My ortho just said treat it like a stress fracture. And when I do anything with that left leg you hear a click/pop every time. JP ok, I don't want to bore you with too many details of pelvic floor dysfunction, which I am currently being treated for. It was when I began treatment for this that I found out I had SIJD and a chronically tight and spasming piriformis, among many other pelvic floor muscles. The piriformis can compress the sciatic nerve, I think we all know what that one is, and also the pudendal nerve which innervates the internal and external genital area. Since that is where part of my problem lies, I get internal and external trigger point therapy from a PT specially trained in pelvic floor dysfunction. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2007 Report Share Posted March 28, 2007 oh good! No pelvic pain is a good thing The stretches I was given are calf, quad, piriformis, TFL, & hamstring. Most of the exercises are for core strengthening. A strong core should help stabilize and support your pelvis and spine thereby putting less stress on the joints and allowing other muscles to do what they are supposed to do instead of compensating for the weaker ones. Let's see, they told me to do clam shells, side lying hip abductions, bridge. A variation of the side lying hip abduction where, instead of having your top leg directly over the bottom leg, you take it back as far as you can and lift and lower from there while keeping your hips stacked (and not leaning back with the top leg). Lower trunk rotations - lay on your back, knees bent, feet on the ground. Slowly tilt both knees to one side in a small pain-free motion, then back up and to the other side while letting your lower back rotate only slightly. I should mention that all of these are to be done with your abs tightened, but without arching your back. If you have a stability ball, you can sit on that and slowly, with abs contracted, lift one leg straight out, hold for 5 seconds, lower leg and repeat on other side. To make it a bit more challenging you can do it with your eyes closed. Most of these they said to do for 1-2 minutes, but of course you would only want to do what you can without causing pain. Kneel on all fours with back straight and neck and head in line with back. Lift one arm and opposite leg keeping them in line with back and hold for 10 secs. Switch sides and repeat 5 or more times, again holding abs in. This one you want to try not to wobble at all. They are all pretty basic familiar exercises, but I learned the importance of doing them correctly to stregthen your core. Nothing too fancy. It's hard to explain the adjustments that were done. He had me contorted in some wacky positions, but it did help. I went for a couple months and then he basically said to keep doing the exercises and to come in if I needed to be adjusted or stretched. He was really able to stretch the muscles better than I could myself, again in some contorted positions. I hope this may help. Sorry I couldn't explain more. It's tough to explain some of these things without showing you. Take care, JP <jpbonner65@...> wrote: Sandi, I have no pain in the pelvic area it is all hip area, back of the si joint, front of the thigh and calf. I have done therapy about 5,6 times now. I don’t know if they would give me anything different to do, not sure if insurance would even approve it. I have all the piriformis stretches. I DID have an incredible massage therapist that could find my pain instantly every time. But as soon as I get off the table…back to the same pain. Do you have any exercise or stretches etc for SIJD??? How did the pt adjust your si?/pelvis? I would definitely be interested in someone doing this…if this would possibly help. My ortho just said treat it like a stress fracture. And when I do anything with that left leg you hear a click/pop every time. JP ok, I don't want to bore you with too many details of pelvic floor dysfunction, which I am currently being treated for. It was when I began treatment for this that I found out I had SIJD and a chronically tight and spasming piriformis, among many other pelvic floor muscles. The piriformis can compress the sciatic nerve, I think we all know what that one is, and also the pudendal nerve which innervates the internal and external genital area. Since that is where part of my problem lies, I get internal and external trigger point therapy from a PT specially trained in pelvic floor dysfunction. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2007 Report Share Posted March 28, 2007 Thanks for writing all of this out. I have hip pain also. I got back my mri report but haven't an idea what it is really saying. I go to the orthopedic tomorrow. What I wanted to say was, if you have hip pain and sacrioliac problems, I think some of these exercises might irritate your hips. Never sure what is really good to do. I don't think doing nothing is good, at least I hate doing nothing when I was used to doing so much. Do you or does anyone have exercises that help your back and does not stress your hips? Barbara Tiff <bestel63@...> wrote: oh good! No pelvic pain is a good thing The stretches I was given are calf, quad, piriformis, TFL, & hamstring. Most of the exercises are for core strengthening. A strong core should help stabilize and support your pelvis and spine thereby putting less stress on the joints and allowing other muscles to do what they are supposed to do instead of compensating for the weaker ones. Let's see, they told me to do clam shells, side lying hip abductions, bridge. A variation of the side lying hip abduction where, instead of having your top leg directly over the bottom leg, you take it back as far as you can and lift and lower from there while keeping your hips stacked (and not leaning back with the top leg). Lower trunk rotations - lay on your back, knees bent, feet on the ground. Slowly tilt both knees to one side in a small pain-free motion, then back up and to the other side while letting your lower back rotate only slightly. I should mention that all of these are to be done with your abs tightened, but without arching your back. If you have a stability ball, you can sit on that and slowly, with abs contracted, lift one leg straight out, hold for 5 seconds, lower leg and repeat on other side. To make it a bit more challenging you can do it with your eyes closed. Most of these they said to do for 1-2 minutes, but of course you would only want to do what you can without causing pain. Kneel on all fours with back straight and neck and head in line with back. Lift one arm and opposite leg keeping them in line with back and hold for 10 secs. Switch sides and repeat 5 or more times, again holding abs in. This one you want to try not to wobble at all. They are all pretty basic familiar exercises, but I learned the importance of doing them correctly to stregthen your core. Nothing too fancy. It's hard to explain the adjustments that were done. He had me contorted in some wacky positions, but it did help. I went for a couple months and then he basically said to keep doing the exercises and to come in if I needed to be adjusted or stretched. He was really able to stretch the muscles better than I could myself, again in some contorted positions. I hope this may help. Sorry I couldn't explain more. It's tough to explain some of these things without showing you. Take care, JP wrote: Sandi, I have no pain in the pelvic area it is all hip area, back of the si joint, front of the thigh and calf. I have done therapy about 5,6 times now. I don’t know if they would give me anything different to do, not sure if insurance would even approve it. I have all the piriformis stretches. I DID have an incredible massage therapist that could find my pain instantly every time. But as soon as I get off the table…back to the same pain. Do you have any exercise or stretches etc for SIJD??? How did the pt adjust your si?/pelvis? I would definitely be interested in someone doing this…if this would possibly help. My ortho just said treat it like a stress fracture. And when I do anything with that left leg you hear a click/pop every time. JP ok, I don't want to bore you with too many details of pelvic floor dysfunction, which I am currently being treated for. It was when I began treatment for this that I found out I had SIJD and a chronically tight and spasming piriformis, among many other pelvic floor muscles. The piriformis can compress the sciatic nerve, I think we all know what that one is, and also the pudendal nerve which innervates the internal and external genital area. Since that is where part of my problem lies, I get internal and external trigger point therapy from a PT specially trained in pelvic floor dysfunction. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2007 Report Share Posted March 28, 2007 Thanks for writing all of this out. I have hip pain also. I got back my mri report but haven't an idea what it is really saying. I go to the orthopedic tomorrow. What I wanted to say was, if you have hip pain and sacrioliac problems, I think some of these exercises might irritate your hips. Never sure what is really good to do. I don't think doing nothing is good, at least I hate doing nothing when I was used to doing so much. Do you or does anyone have exercises that help your back and does not stress your hips? Barbara Tiff <bestel63@...> wrote: oh good! No pelvic pain is a good thing The stretches I was given are calf, quad, piriformis, TFL, & hamstring. Most of the exercises are for core strengthening. A strong core should help stabilize and support your pelvis and spine thereby putting less stress on the joints and allowing other muscles to do what they are supposed to do instead of compensating for the weaker ones. Let's see, they told me to do clam shells, side lying hip abductions, bridge. A variation of the side lying hip abduction where, instead of having your top leg directly over the bottom leg, you take it back as far as you can and lift and lower from there while keeping your hips stacked (and not leaning back with the top leg). Lower trunk rotations - lay on your back, knees bent, feet on the ground. Slowly tilt both knees to one side in a small pain-free motion, then back up and to the other side while letting your lower back rotate only slightly. I should mention that all of these are to be done with your abs tightened, but without arching your back. If you have a stability ball, you can sit on that and slowly, with abs contracted, lift one leg straight out, hold for 5 seconds, lower leg and repeat on other side. To make it a bit more challenging you can do it with your eyes closed. Most of these they said to do for 1-2 minutes, but of course you would only want to do what you can without causing pain. Kneel on all fours with back straight and neck and head in line with back. Lift one arm and opposite leg keeping them in line with back and hold for 10 secs. Switch sides and repeat 5 or more times, again holding abs in. This one you want to try not to wobble at all. They are all pretty basic familiar exercises, but I learned the importance of doing them correctly to stregthen your core. Nothing too fancy. It's hard to explain the adjustments that were done. He had me contorted in some wacky positions, but it did help. I went for a couple months and then he basically said to keep doing the exercises and to come in if I needed to be adjusted or stretched. He was really able to stretch the muscles better than I could myself, again in some contorted positions. I hope this may help. Sorry I couldn't explain more. It's tough to explain some of these things without showing you. Take care, JP wrote: Sandi, I have no pain in the pelvic area it is all hip area, back of the si joint, front of the thigh and calf. I have done therapy about 5,6 times now. I don’t know if they would give me anything different to do, not sure if insurance would even approve it. I have all the piriformis stretches. I DID have an incredible massage therapist that could find my pain instantly every time. But as soon as I get off the table…back to the same pain. Do you have any exercise or stretches etc for SIJD??? How did the pt adjust your si?/pelvis? I would definitely be interested in someone doing this…if this would possibly help. My ortho just said treat it like a stress fracture. And when I do anything with that left leg you hear a click/pop every time. JP ok, I don't want to bore you with too many details of pelvic floor dysfunction, which I am currently being treated for. It was when I began treatment for this that I found out I had SIJD and a chronically tight and spasming piriformis, among many other pelvic floor muscles. The piriformis can compress the sciatic nerve, I think we all know what that one is, and also the pudendal nerve which innervates the internal and external genital area. Since that is where part of my problem lies, I get internal and external trigger point therapy from a PT specially trained in pelvic floor dysfunction. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2007 Report Share Posted March 28, 2007 Hi Barbara, I think you're right. Sometimes I have hip pain as well, and I have to be careful doing the exercises. If something hurts, and not a good hurt, I skip it. It's really hard to know what is good and what is bad sometimes. I don't know of any specific exercises that would be easy on the hips, but check out www.spine-health.com (if you haven't already). There's tons of info about different types of exercises for back pain on there. They talk about different methods like yoga and pilates, use of an exercise ball and lots more. I hope you can find something there. Take care, Barbara <barbarac102@...> wrote: Thanks for writing all of this out. I have hip pain also. I got back my mri report but haven't an idea what it is really saying. I go to the orthopedic tomorrow. What I wanted to say was, if you have hip pain and sacrioliac problems, I think some of these exercises might irritate your hips. Never sure what is really good to do. I don't think doing nothing is good, at least I hate doing nothing when I was used to doing so much. Do you or does anyone have exercises that help your back and does not stress your hips? Barbara Tiff <bestel63@...> wrote: oh good! No pelvic pain is a good thing The stretches I was given are calf, quad, piriformis, TFL, & hamstring. Most of the exercises are for core strengthening. A strong core should help stabilize and support your pelvis and spine thereby putting less stress on the joints and allowing other muscles to do what they are supposed to do instead of compensating for the weaker ones. Let's see, they told me to do clam shells, side lying hip abductions, bridge. A variation of the side lying hip abduction where, instead of having your top leg directly over the bottom leg, you take it back as far as you can and lift and lower from there while keeping your hips stacked (and not leaning back with the top leg). Lower trunk rotations - lay on your back, knees bent, feet on the ground. Slowly tilt both knees to one side in a small pain-free motion, then back up and to the other side while letting your lower back rotate only slightly. I should mention that all of these are to be done with your abs tightened, but without arching your back. If you have a stability ball, you can sit on that and slowly, with abs contracted, lift one leg straight out, hold for 5 seconds, lower leg and repeat on other side. To make it a bit more challenging you can do it with your eyes closed. Most of these they said to do for 1-2 minutes, but of course you would only want to do what you can without causing pain. Kneel on all fours with back straight and neck and head in line with back. Lift one arm and opposite leg keeping them in line with back and hold for 10 secs. Switch sides and repeat 5 or more times, again holding abs in. This one you want to try not to wobble at all. They are all pretty basic familiar exercises, but I learned the importance of doing them correctly to stregthen your core. Nothing too fancy. It's hard to explain the adjustments that were done. He had me contorted in some wacky positions, but it did help. I went for a couple months and then he basically said to keep doing the exercises and to come in if I needed to be adjusted or stretched. He was really able to stretch the muscles better than I could myself, again in some contorted positions. I hope this may help. Sorry I couldn't explain more. It's tough to explain some of these things without showing you. Take care, JP wrote: Sandi, I have no pain in the pelvic area it is all hip area, back of the si joint, front of the thigh and calf. I have done therapy about 5,6 times now. I don’t know if they would give me anything different to do, not sure if insurance would even approve it. I have all the piriformis stretches. I DID have an incredible massage therapist that could find my pain instantly every time. But as soon as I get off the table…back to the same pain. Do you have any exercise or stretches etc for SIJD??? How did the pt adjust your si?/pelvis? I would definitely be interested in someone doing this…if this would possibly help. My ortho just said treat it like a stress fracture. And when I do anything with that left leg you hear a click/pop every time. JP ok, I don't want to bore you with too many details of pelvic floor dysfunction, which I am currently being treated for. It was when I began treatment for this that I found out I had SIJD and a chronically tight and spasming piriformis, among many other pelvic floor muscles. The piriformis can compress the sciatic nerve, I think we all know what that one is, and also the pudendal nerve which innervates the internal and external genital area. Since that is where part of my problem lies, I get internal and external trigger point therapy from a PT specially trained in pelvic floor dysfunction. -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.17/731 - Release Date: 3/23/2007 3:27 PM Quote Link to comment Share on other sites More sharing options...
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