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Sacroiliac joint, piriformis, or sciatica?
Spine Health | Last Active: Mar 1, 2022 | Replies (9)Comment receiving replies
Thank you for asking, but sorry to say that I choose not to share specific exercises that involve back or spine issues. They need to be customized to work for each individual depending on their specific and then supervised at first to make sure they are being done correctly. I was referred to a physical therapist in a rehab group, not what I call a "cookie cutter" practice (this pain, this exercise, that pain that exercise, give you a sheet of drawings, have you do it once and send you on the way.)
My therapist read the referral, took her own history, watched me move, manipulated my body on the table, then worked out the stretches & exercises with me over several visits. I was instructed how often to do each, how many reps, what to do for pain...
My suggestion for anyone with sciatic, piriformis or SI pain that doesn't respond to NSAIDs, ice and the stretches you find on line is to ask a trusted doctor to help you find a rehab therapist - often through a rehab center, orthopedic center, or pain clinic.
Sue
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@sus34 Sue makes a great point. Therapeutic exercises need to be taylored to you and your strengths and weaknesses and recommended by a clinician who has specific knowledge of your case. Spine issues are very complex and patients are different. One may have collapsed discs or some disc herniations that compromise the exiting spinal nerves in different places, and someone else like me had a compressed spinal cord. Others may have vertebra that slip past each other. When you move the spine and change its position, you can change the pressure on damaged areas or possibly cause vertebrae to slip if the discs can't maintain proper height or alignment. Even twisting the spine can cause a bulging disc to herniate. I did that in my neck by turning my head, and it didn't take much to pop that disc because it was ready to go.
The best bet is take your questions to the experts in these areas, and also ask your physical therapist how these kinds of issues can progress and what postural habits could escalate the issue. There can be laxity in an SI joint, and PT can help stabilize that. Surgeons also do fusions of the SI joint, but that doesn't always solve the pain when you stop a joint from moving that is meant to move and you can't undo the surgery. Sometimes it is hard to tell if the symptoms are coming from the spine or the pelvis, and an evaluation with a spine specialist or neurologist may be able to answer some questions. I had shared a link earlier in this discussion that you may want to look at for information to help further your discussions with your specialists.
https://mskneurology.com/identify-treat-lumbar-plexus-compression-syndrome-lpcs/