Trigger Point Release - Piriformis Muscle

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Trigger Point Therapy Tutorial: Trigger points in the piriformis are a common cause or contributing factor in low back pain, hip pain, hip dysfunction and sciatica or sciatic type pain.
In this video we cover the anatomy of the piriformis, locating trigger points and treatment including ischemic compression for trigger point release.
00:00 - Introduction to Piriformis Muscle
00:11 - Anatomy Overview
01:00 - Greater Trochanter Identification
01:50 - Piriformis Muscle Attachment
02:50 - Piriformis Functions
03:40 - Sciatic Nerve Relationship
04:50 - Trigger Points and Pain
06:00 - Identifying Trigger Points
07:20 - Ischemic Pressure Technique
08:50 - Cold and Hot Treatment
09:50 - Ice Pack Application
10:20 - Stretching the Piriformis Muscle
11:10 - Heat Pack Application
11:40 - Final Stretching and Conclusion
The full NAT online certification course covers treatment techniques and considerations for all common forms of chronic back pain including step-by-step trigger point therapy protocols.
The course is suitable for all levels of Manual Therapists, Massage Therapists, Trigger Point Therapists, Physical Therapists, Body Workers, Athletic Trainers, Exercise and Fitness Professionals.
About the Presenter
Jonathan Kuttner is a medical doctor and physical therapist. He is a qualified sports physician, and chronic pain specialist.
Dr. Kuttner is a leading advocate for research into Mind Body Healing and a regular contributor to journals and international conferences.
In 2014, Dr. Kuttner received a lifetime achievement award from the NAMTPT (National Association of Myofascial Trigger Point Therapists).
Unlimited access membership education packages available from $19.95/monthly. For more information please visit:
Trigger Point Therapy Course (Presented by Dr. Jonathan Kuttner M.D.):
nielasher.com/collections/nat...
nielasher.com/pages/education...

Опубликовано:

4 авг 2024

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Комментарии : 624

@pamelarobinson6087 2 года назад

I’ve been trying to explain this pain to Doctors forever and a day but no one seems to understand what I was saying 😱😭… I’m saving your video for my Doctor… thank You so much ♥️🙏🙏

@Yenhal7 2 года назад

You nailed exellen explanation i can wait to see more thank you.

@charlotterockel-kennedy8913 2 года назад

Same with me too. Sadly I live in Germany an my Doctor wont understand this video and they only have a few min. with each patient 😢

@jolujo5842 2 года назад

I know that frustration 🤕✌

@fishballrox 2 года назад

me too, and they even make me do an MRI, and still cant find out whats the problem

@Zeo_saiyan 2 года назад

@@jolujo5842 Me tooo 😭😭 I have sciatica almost from 3 years.

@TrishJay1577 2 года назад

My sincere thoughts to anyone who suffers with sciatica. I used to suffer terribly. A compassionate and brilliant physio and ongoing Yoga have been my saving grace.

@alpasheth5453 2 года назад

Thank you so much. Instent relief from pain.

@brendawilliams8062 Год назад

Thx

@eileen9841 2 года назад

Excellent explanation! I wish more PTs were trained in these techniques. I suffered for a couple of years with a tight pirformis and illiacus muscle. There wasn't anyone who knew what it was or how to treat me. after much self study, not to mention PT, acupuncture, chiropractor, MRIs and NSAIDs, I finally came across releasing trigger points as a solution. Life changing! I wish I had seen this video earlier!

@josiecamilo7098 2 года назад

Same here I wish I could divorce my right leg. It's the worst!

@joannegreenhalgh8239 2 года назад

It's not part of PT training. A good PT would suggest you see a physical therapist. Yoga can help. I've worked with lots of students with this issue but if it's really bad I would always refer to the club therapist.

@NansGlobalKitchen 2 года назад

Sounds like what I have been through! I have been to everyone of those practioners that you mentioned, but never got any relief.I am in pain everyday and I have it in both side my left side and leg is the worst. I get so sad and depressed because of this pain.

@lynncameron9885 2 года назад

I had a pointed elbow there. For 15 minutes. I cried like a baby. But omg did it feel good

@janicetribbiani7535 2 года назад

@@joannegreenhalgh8239 a good physical therapist would suggest you see a physical therapist?

@tkt874 2 года назад

one of the best video...8 years with no stop pain,30 doctors and no one knows... last 6 months one doctor found this..after 7,5 years and 50.000 euros..

@Nielasher 2 года назад

Thank you for your feedback 🙏

@dissau2115 2 года назад

What was the problem that you had. Sciatica?

@tkt874 2 года назад

@@dissau2115 non stop pain 24 hours a day,for 8 years in the piriformis and sciatica...

@teresamcgill1326 2 года назад

I Teresa had surgery piriformis syndrome for some reason it did not work for me. The way I went in I came back out. My right leg what's the problem still has not fix the problem and still suffer not able to walk properly. I feel like something's growing and my buttock on the right side it's swallowing like it's growing. Knee problem very hard to struggle to walk. The doctor did not give me any explanation when I came out of surgery. All he said everything was stuck together. I cry was going to happen to me now. I'm back with a cane. Now my left leg did not have a problem at first. It's numb also. I feel something on my right buttocks moving up and down nerves like water. I gave everything I could to get well and nothing work. Someone can help me and reach me.

@goldfinger1970 Год назад

Incredible video. I just went through nearly a week without being able to walk without excruciating pain, getting enough quality sleep, shower, etc. I had the worst sciatic pain. I’m just getting better, but it took a lot of work to get to this point. I injured myself at the gym, and now I’ve realized I’m no spring chicken anymore so I need to rethink my routine. Anyone out there dealing with this, my heart is with you. The woman who gives me allergy injections told me she’s dealt with it and she told me it’s worse than childbirth. I know it’s floored me before where I couldn’t move and paramedics had to take me to the hospital. It was that bad.

@Nielasher Год назад

Thank you for your feedback and wishing you well 🙏

@truenative5251 Год назад

I totally agree with the lady comparing it to childbirth 😔that's exactly what l've been sayn when l describe how painful it is!!!! Im going into 5months straight with both piriformis and sciatic 😭

@brendawilliams8062 Год назад

You got that right. My goodness!

@awaiting5078 Год назад

Worse than childbirth yes

@chasecentario5308 11 месяцев назад

@@truenative5251 hope your better since you posted. Currently having back problems with wrong diagnosis that made pain worse. Now got the proper treatment exercises to,do. Whew!

@Iamnosey 2 года назад

I think this explains a lot about what my hip, butt pain may be. Thank you.

@chapina1492 2 года назад

I've been going thru every shot, nerve block, and other stuff done and nothing stops the pain. The pain is exactly where you're drawing. I'm taking this video to my next appointment so my doctor can see it. Very grateful for this video.

@ricosuave5120 2 года назад

I had the same issue for years until I got a "tight hip, twisted core" ball and learned how to use it from RU-vid. Best $20 I ever spent! No more pain, no more numbness. But doctors couldn't figure it out!

@Lydirius 2 года назад

I have the EXACT thing going on with my spine. SAME location. Already had 2 steroid injections. First was way too high (L3-L4) the second was in the my SI joint. The first did absolutely nothing to help. The second only a week ago made it feel better for a couple of days. Right back where I was. I've been having this pain for about 6 years now. In 2015, I had a lamenectomy done on L3-L4. Helped for about a year. Ever since then I've had increased pain mainly in this exact area.

@helenphillips5419 2 года назад

Botox injection worked for me.

@terismith4512 2 года назад

I'm thinking of having the nerve stimulator put in, anyone watching have you had one

@carmanburns3963 2 года назад

Yall need to have a glute massage from a professional massage therapist !!!!!

@yoya4766 Год назад

Your presentations are excellent. Showing a real person, drawing on the relevant muscles and your calm delivery. I've had this pain for years and its now extended to the whole hip. I cannot walk, climb stairs or get in/out of the car without severe pain. The resulting lopsidedness and misalignment has repercussions throughout the body, leading to osteoarthritis and other complications. Despite seeing countless drs and physios, only one said it was piriformis syndrome. Everyone else said its just a bit of everything. Sad why they choose not to tell patients what must be fundamental in their training.

@Nielasher Год назад

Thank you for your comment and kind feedback. For more information please visit the blogs and articles section of our website www.nielasher.com where you can find loads more free information and videos regarding your symptoms. 🙏 Good luck to you xx

@shk2564 2 года назад

Oh how I wish I had found this channel sooner! I suffered horribly for years and found it impossible to get help from doctors. I had to search and study and learn to release my own trigger points with a candy cane shaped tool. Almost every trigger point in my body had become involved and were very painful and sensitive. It took very intense and repeated self treatment over a long period of time to totally and completely release them all and eventually get relief. It seemed like there was little information on the subject and I couldn’t find anyone to do it for me. I pray that you will be a help to those who are suffering and I thank you for sharing your knowledge and explaining things so clearly and freely!

@tamiressaint5277 2 года назад

Candy cane tool? So did you use this tool by yourself? I feel so much pain

@tamiressaint5277 2 года назад

And does your pain affect more one side than the other?

@shk2564 2 года назад

@@tamiressaint5277 yes it is for reaching the places that you cannot reach for yourself and it has a “T” across it and all of the ends have a ball on them. I wish I knew the name of it but it allows you to put a lot of pressure without a lot of strength being put into it because of the leverage you get. I looked up the trigger point locations and they were all extremely tender. I just learned to hold it on them until they released but they tend to cluster and when one would release it would often move to the next nearest one. But eventually I was able to get them all to release and it changed my life. I hope you can find it and figure out how to get the relief you need! 🥰

@shk2564 2 года назад

@@tamiressaint5277 so imagine a cross with the top extending into the candy cane crook on top

@shk2564 2 года назад

@@tamiressaint5277 yes my right side was worse than the left but I had a lot of pain in my lower back, hips, and down my legs to my calves. But years of this caused tension and pain in all parts of the back and neck and even in my arms. I literally had pain and sensitivity in EVERY trigger point on my body from decades of pain. Today I have very little and it has gone from a 8-9 on the pain scale to a 2-3. 😊

@daelynnmarie 2 года назад

After years and years of hip pain I went to a massage therapist and she was the first one to address this trigger and changed my life.

@iamjoyt 2 года назад

I’m going to have to try it!! Thank you for sharing….

@4thandbridge 2 года назад

@@iamjoyt If you happen to be a MT in the Bay Area (CA) please let me know!

@reneejohnson5041 2 года назад

Oh my gosh! Thanks so much for giving me the answer to my pain I've been fighting with for so long. Very Helpful!!!

@bell2thesy 2 года назад

Hi Glenda, that's close to my mom's name, Glenna. Haha, so anyway, this is called piriformis syndrome, it took over 4 years for my many Dr's to figure out. I still have severe pain I'm my legs, but not this anymore. What help dramaticly was my Dr giving me cortisone shots in my hip, back and piriformis muscle to help release the muscle that was tightening around my sciatic nerve and causing severe pain and my whole leg would go numb. So I got shots every 3 weeks for a year and a half and that part of my pain is pretty much gone now. So ask your Dr about cortisone shots, if he says no, get another one, because it's life changing, believe me!!

@reneejohnson5041 2 года назад

@@bell2thesy thanks so much!! I have had dry needling and it has helped me as well

@btbb3726 Год назад

Good stuff. I’ve been diagnosed with sciatic nerve issues that are caused by the piriformis muscle. It hasn’t really given me sciatic leg “pain” (only very infrequently) but I’ve had a lot of tingling and numbness. The piriformis muscle itself doesn’t typically hurt but when I go after the pressure points, as per this video, it is very tender. This video has certainly given me a better understanding of the components and dynamics of my condition. Thank You.

@Nielasher Год назад

Thank you for your feedback. Wishing you good health 🙏

@smas3256 2 года назад

So simple, and easy on the thumbs and hands for the therapist. Most importantly, gentile on a person in pain. Thank you Dr. Jonathan Kuttner.

@smas3256 2 года назад

You picked a really good model for this tutorial because of his muscle definition.

@freiherrvonstein 2 года назад

Thank you so much. This has been more helpful/informative than years of chiropractic and physical therapy….. only one person knew about the trigger point release which gave me more relief than all else immediately

@Nielasher 2 года назад

Thank you for your feedback 🙏

@joecoogan661 2 года назад

Thank you for the most helpful information. This is the best information I have ever seen

@sandrakillalea1150 2 года назад

You were seeing the wrong chiropractor. This is such a commonly treated condition and technique in chiropractic.

@tamiressaint5277 2 года назад

Just one? I live in Brazil and it seems nobody knows about them and piriformis syndrome

@sharond7355 2 года назад

I have lived with this pain for 2 years. Thank you. This video goes with me to a doctor.

@prapullaks971 8 месяцев назад

Great explanation.. I am having this problem from 15months with severe pain where I literally limp while and I visited multiple doctors, PTs and got MRIs, Acupuncture, medicines, massage and many more but no progress. This video is giving me idea on trigger point of pain, I will start with this exercise and see the result. Thanks a lot for sharing this detailed video

@koullaantoniou6856 11 месяцев назад

I HAVE SUFFERED FOR ONE AND A HALF YEAR.... ONLY THE TRIGGER POINTS HELP ME. THANK YOU SIR FOR HELPING PEOPLE...

@lucychattopadhyay7703 2 года назад

This is the condition I have been in....thank you so much for sharing this brilliant video. How I wish many more doctors share brilliant explanations of many more problems we normally don't understand.

@Nielasher 2 года назад

🙏🙏🙏

@dianemaurone7277 2 года назад

This truly explain exactly what we go through thank you for sharing

@zzzcocopepe 11 месяцев назад

I've found that "good mornings" help with my sciatic pain. Non weighted. Just, a simple exercise done a few times. It sort of strengthens the hamstrings ever so slightly and awakens those inner muscles or something

@Sharkblood440 2 года назад

Great video! Lumbar spondylotheliosis? from a back injury long ago resulting in two back fusions. Before the surgeries I was a runner from 1988 to 2012. The pain I experienced the most was from my hips and butt, due to hip flexor, illiacus and piriformis weakness. In-between my 1st and 2nd fusion I learned stretches for those three muscles with other stretches and 2 years after my 2nd surgery and with meds, I could finally walk long enough to start losing the 45 pounds I gained! I have lost 15 pounds since Jan 1! It is so important to adhere to a regimen of stretching those hip, back and leg muscles to minimize pain in those areas! Peace and love to all of you!

@JennMartinello Год назад

OMG!!!! I'm sorry for your suffering. I need surgery 😫 but I don't want to lose my mobility, flexibility, and everything I worked for. My spirit is broken. How are you doing now?? I almost feel like saying no to surgery reading comments all over RU-vid and I see so many negative results. I'm to scared to trust any surgeon now. What can you do know activities wise? Have you ever gone ketogenic for weight management and inflammation?

@totallyraw1313 2 года назад

Lovely voice, Dr Kuttner. Very calming and soothing.

@Nielasher 2 года назад

Thank you for your feedback 🙏 for more information please visit our website www.nielasher.com

@markstubbs1973 2 года назад

Brilliant video best I have seen explaining it

@lifeintheshack2193 2 года назад

Can't wait to try Thank you so much My husband found trigger point prior to seeing this video and yes ,jumped from pain lol

@johnobiro5202 2 года назад

Thanks Niel. Great information.

@jimwallace3441 2 года назад

My experience was after back surgery, I had nerve pain in both hips and nerve damage down both legs and feet. The pain was the worst pain I’ve ever had and it lasted four months.This was four years ago and I still have numbness in my legs and feet. Two weeks after the surgery I couldn’t move without awful pain. I spent six weeks inpatient physical therapy. The nerve pain started going down my leg so couldn’t make anymore progress and I was discharged. I made an appt. with a pain management doctor. I told him what all was going on. He gave me an injection. It didn’t work. I went back and he did another. In three days I noticed some change and that was the beginning of the end of the nerve pain. This was four years ago and I’m pain free as far as nerve pain goes. I still am unsteady walking from the nerve damage in my legs and feet. But no pain. Just thought I’d put this out there. I hope anyone with this pain finds a solution. When I had the pain, I couldn’t sit in an upright position. I had to recline or lie flat or the nerve pain was unbearable. And that was for four months. It’s not for sissies. Bev

@jacquelinezr Год назад

I am going through this myself now with great pain if I sit. Where did you receive the injection that ultimately helped you. I want to tell my pain mgmt doctor about this.

@myo_therapy Год назад

Hello, unfortunately, no injections will help you, they only transfer the active trigger to the passive state. Painkiller injections give only a temporary effect, until, under the influence of a number of negative factors (hypothermia, overload), your trigger becomes active again. And remember the main thing. Not treated trigger point always leads to myofibrosis

@hssu9076 2 года назад

Thank you so much this has been most helpful.

@deedahl2866 Год назад

Few years ago, I used a heating pad for a few minutes to hopefully relax the nerves and muscles in this area. I ended up in the hospital! It increased my inflammation to the point of unbearable. I found a TENS unit was the best form of relief, and it was immediate. Also it calmed the nerves enough that the pain went away for at least a week. I stand by my TENS unit! Cold and heat were big no-nos for me.

@goldfinger1970 Год назад

What are TENS unit?

@tracymoss7210 Год назад

@@goldfinger1970 it's a machine that chiropractors tend to use to loosen up muscles. You attach pads around your muscles and it connects to a machine that sends electrical impulses to the pads.

@danielhawks2532 Год назад

I use a tens unit as well

@Chahlie Год назад

As much as I want to use heat on mine I know from experience it only makes things worse :( It's annoying but when mine 'goes out' all I can do is go straight to bed for 3 or 4 days. Fighting it does no good whatsoever.

@awaiting5078 Год назад

Yes! I took a hot bath and couldn't walk after.

@roselynelaemmel8502 2 года назад

Début d'année on m'a diagnostique de l arthrose au niveau du dos et j'ai des crise de douleur intense au niveau du nerf sciatique. Le médecin m'a présidés séance de kinésithérapie j'ai trouvent kinésithérapeute qui utilise les points trigger au début j'étais septique sur le fait d'utiliser les points tricher. Ça fait 3 mois que j'ai commencé les séances à 2 séance par semaine sa me soulage très bien et en continu j'ai encore de temps en temps des douleurs elle son moins forte et dure moins longtemps donc je recommande vivement se genre thérapie.

@jhezzy 2 года назад

Very helpful. Thank you!

@vascharis 11 месяцев назад

Dr. Kuttner and NeilAsher is always a point of relief! So nice to watch, so nice to apply.

@Nielasher 11 месяцев назад

Thank you very much for your feedback 🙌🏻  😊 Please make sure to subscribe or for more information please visit our website nielasher.com/blogs/video-blog

@stormwalker321 2 года назад

Thank you so very much,Dr.

@marisa5934 2 года назад

Super! Thank you for a great video 👌

@afaithfulman 2 года назад

Wonderful explanation and anatomical review. Learned this first while in massage training. Also helped my nursing practice. Thanks so much for this, a refresher for some and new information for many!

@daviddesouza5093 2 года назад

I am at the initial stages of this painful sciatica for which my GP has recommended frequent Tyleno and Pregamblin medication.. another chiropractor suggested spinal decompression. However after watching your Excellent video, understanding the trigger-points,the hot and cold massage and the associated extensions I have realized a better sustainable solution for my performs Inflammations . hank you very much.

@thesliverhankie 2 года назад

Congratulations! I'm a trigger point and myofascial release specialist. I learned to refine my technique because of my own nerve impingement issues. I am confident these techniques will help you. Tylenol is hepato- toxic in large quantities. I found meloxicam very helpful. I couldn't stand pregabalin because it made me tired and dopey. If you can get keterolac 10mg po it's also very effective and less damaging to the liver. Best of luck for relief!

@NansGlobalKitchen 2 года назад

@@thesliverhankie I have this pain on both legs but more on the left side. My doctor prescribed meloxicam but after reading the after effects it has on the heart and liver, I decided not to take it and suffer with this pain. I have this kind of pain daily. I wish I can find someone to do it for me. I have been to countless doctors and health practioners like Chiro, Accupunterist Massage therapist etc etc.

@_scumbrisket3172 2 года назад

Best video ive see on the topic yet!!! Thanks

@DOC7ORT 2 года назад

Excellent demonstration

@joycharles6193 Год назад

U have explained everything so clearly thank you so much for your time I do appreciate it, I have never heard anyone else did it this way thanks

@Nielasher Год назад

Hello Joy … thank you for your feedback 🙏

@RA-rl4mx 9 месяцев назад

Great explanation. Wonderful teacher!

@troysublett8493 Год назад

the best information i have seen on the internet. Very easy to understand! Thank you very much!

@Nielasher Год назад

Hello Troy … thank you for your feedback 🙏

@marzenazastrzezone6098 Год назад

Rewelacyjny wykład. Wspaniały specjalista. Dziękuję

@Nielasher Год назад

Hello Marzena …. Thank you for your feedback 🙏

@RichRich1955 8 месяцев назад

A youtube video of a piriformis release shows they were too low. You explained it correctly. Its easy to find. Top of gt and appears to angle up to the sacrum at 15 degrees.

@joseluizperez1431 2 месяца назад

Can u help me locate the pressure point ? So can u elaborate more on what is “Top of gt”

@coryeb16 2 года назад

Best video explanation ever. Thankyou so much.

@Nielasher 2 года назад

Thank you so much for your feedback!

@downtoearth5108 Год назад

Thank you Dr Jonathan Kuttner. Great explanations and certainly on the money for me. I am an amputee of 34 years. Currently I'm really feeling it in this area that you are describing. I have been off my Prosthesis for near 8 months now after a Surgical operation to my stump. I'm at the point now of of fitting into my prosthesis; weak lower back, constant stubborn pain in the area that you are describing. I really appreciate your expertise. THANK YOU DOCTOR JONATHAN KUTTNER.

@Nielasher Год назад

Thank you very much for your feedback 🙌🏻  Please make sure to subscribe or for more information please visit our website nielasher.com/blogs/video-blog

@user-22- 2 года назад

Well done!

@josephsepulveda8819 2 года назад

That is my problem spot right there. I have been a delivery man for about 23-24 years at the Brown company. I barely have any disc at the L5 S1 location. My left leg is in terrible shape now. Im looking at permanent disability and possible forced retirement. My left foot is constantly tripping my up.

@sanskritchants6213 2 года назад

Very clear and precise explanation! Really useful!! Thank you very much🙏

@mariapazaristeaguirre4491 2 года назад

Thanks a lot. My pain starts higher in the lumbar and takes the gluteous. That exercise is perfect.

@Lisasuhr47 2 года назад

Thank you for this informative video! I had back surgery last October and am working out the kinks. My left leg is healing at a slower pace and I suffer with rather powerful left hip/leg cramps when I get up from sitting after about 15 minutes. I really like your clear explanations and demonstration of the leg drop-down; will try that in a minute! Lol Thanks again!!

@minnieweber1215 Год назад

@avalerie4467 2 года назад

Because every movement has to be deliberate, i only have breathing into the fascia as as tool for when i would just rather pass out ! Listening to your explanation of the area was at times even too painful ! Pausing just for these few words. Looking forward to pressing on past the pain. Thank you very much. I love to learn to better live and hopefully pass on knowledge to help others.

@nancewheeler9665 Год назад

Makes sense! You are literally spot on. Thank you.

@Nielasher Год назад

Hi Nanace, Thank you very much for your feedback🙌🏻  Please make sure to subscribe or for more information please visit our website nielasher.com/blogs/video-blog

@MakenzieMcBride 2 года назад

Dude you're awesome thank you

@JR-cc7pt 2 года назад

THANK YOU!!!

@tulsacaupain2882 Год назад

Thank god for you tube. Maybe now all these experts will understand my pain and problems.

@Nielasher Год назад

Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website www.nielasher.com/blog

@JensuyaBellyDance 2 года назад

Superb explanation! Thank you so much for taking your time with this! 🥰

@kentruthseeker 2 года назад

Excellent!!

@FL-gg4dq 2 года назад

Thank thank you!

@annmarieveronicajames2536 2 года назад

Excellent to see and I understand even more now.

@Nielasher 2 года назад

Thank you for your feedback. Please visit our website www.nielasher.com for more information. 🙏

@redwilliams837 2 года назад

This explanation is so on point!!! I wish someone would push on it for me... It seems like it would make it feel better. Thank you Sir. Bravo 👏👏👏

@Nielasher 2 года назад

Thank you for your feedback. Please visit our website www.nielasher.com for more information. 🙏

@MrJawwadRasheed 2 года назад

Wow. Great work sir. You have done a marvelous tutorial.

@Nielasher 2 года назад

Thank you for your feedback 🙏 for more information please visit our website www.nielasher.com

@stephenyoung4433 Год назад

Thank you for detailed explanation and technique!

@Nielasher Год назад

Hello Stephen … thank you for your feedback 🙏

@christopheroldham7862 2 года назад

Brilliant advice. This is almost magical.

@Nielasher 2 года назад

Christopher … thank you for your feedback 🙏

@nicol31sp 2 года назад

Very good explanation

@user-tp6gm8qx1d 2 года назад

Excellent lesson!!!

@Nielasher 2 года назад

Thank you for your feedback!

@davannisj.donaldson5539 Год назад

Ommmgggg thank youuuuuuu! This started 9 months ago for me. I’ve been seeing chiropractor, did 14 weeks and counting or physical therapy, they are sending me to a spine specialist, did MRI, EMG, everything you name it I’m soooooo tired of trying to explain to them that it is NOT my spine dammit. It’s Piriformis Syndrome. Let me ask you something. Why aren’t doctors believing us? Why are there thousands of people on these different videos having “aha” moments. Do they just not want to treat it? Want more money? Or just don’t believe us? 🥺🙏🏾

@Nielasher Год назад

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@LQOTW Год назад

THANK YOU for explaining to me what is happening to me and why. I understand so much more about what I can do to give myself relief.

@Nielasher Год назад

Hi @LQOTW, Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website nielasher.com/blogs/video-blog

@despoinasamaltani Год назад

Great explanation and suggestions. Thank you for sharing 🙏

@Nielasher Год назад

Thank you for your feedback 🙏🙏🙏

@jolujo5842 2 года назад

Where is this guy? I will pay him well for treatment 👍

@susane9514 6 месяцев назад

I suffered with piriformis syndrome for over 3 months. I found a fabulous sports medicine physician who helped me tremendously. She found my trigger points then performed dry needling (not the same as accupuncture) on those trigger points. It took several sessions but, I have no more pain.

@gendennyamtsoo7551 2 года назад

Thank you so much ,doctor.

@Nielasher 2 года назад

Thank you for your feedback 🙏 for more information please visit our website www.nielasher.com

@jimw6659 6 месяцев назад

What a wonderful explanation. Thank you so much!

@Nielasher 5 месяцев назад

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@avalonavalentine51 2 года назад

Thank you for the information, I really appreciate it, my pain is due to squash, softball and a few other sport, I however have been trying to press on these pressure points myself and it was sore, even hanging my leg down and it gave me relief but this video has been a great help in teaching me about the technique for the piriformis and it's helped with my back a great deal as well, now to follow through and do it more often to get rid of the pain hopefully completely

@KingJesus41 2 года назад

I watched a video saying we need to shorten the muscle... my pain is gone. I overstretched it in exercise. We more often than not try to stretch.

@carolebitz3207 Год назад

@@KingJesus41 yes I have spondylolethesis from a slipped vertebrae ( I think from doing the plough) trying not to have to have surgery. Anyway who could do the CORRECT surgery?

@ayubmohammed214 5 месяцев назад

Thank so much

@RM-bp2uc Год назад

Thanks a lot for this extensive explanation. Now I understand my sciatica pain origin & right method to treat it. 🙏

@Nielasher Год назад

Thank you for your feedback and wishing you well 🙏

@fazelahmad7320 Год назад

I love your explanation. It is very clear and understandable.

@Nielasher Год назад

Hi Fazel, Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website nielasher.com/blogs/video-blog

@googoo554 10 месяцев назад

Amazing info and video. So kind to share this valuable info to help people. Much gratitude.

@Nielasher 10 месяцев назад

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@janiceward2169 2 года назад

Thankyou for this explanation especially showing a real person Ive had tightness from bottom of my rear to approximately five inches above the back of my knre for three years I cant do my yoga on the effected side' left' and it gets numb when sitting.! Will save this video.. Thanks Again..!!

@enadiedericks2006 Год назад

Oh my. Just too watch this brings back memories of extreme pain I've gone through just the last 5 weeks or so! All the above pain. Understanding helps. But it takes time to eventually put two and two together. Rest and steriods and muscle relaxants and now anti inflam before bedtime has me moving more comfortably at least! More pain than all the labour pains of four kids. But whý? I ask. PT is the best. If you can get an appointment soon enough. And helping yourself is nòt a good idea. You may do it wrong.

@alvor2762 2 года назад

Brilliant. Loved the explanation. I am fascinated by this subject as I have had so many problems with lower back and issues in the buttock area. Given my time again I would have loved to have gone into this field of medicine.

@GigiTheWonderDog 10 месяцев назад

Incredible information! Thank you!

@Nielasher 10 месяцев назад

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@annapacura3090 5 месяцев назад

wow very clear doc. thanks for your explanation..

@Nielasher 5 месяцев назад

We are glad it was helpful! 🙌

@lucycarlos4923 2 года назад

Excellent

@leisongivangomo4478 Год назад

BRILLIANT EXPLANATION! 7:31: jump off the table AND voice your displeasure colorfully in multiple languages -I believe to be closer to the mark 😳

@Nielasher Год назад

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@thehonestpoppy5950 2 года назад

Thank you! This was great. And really clear 😊

@jenny-DD Год назад

Why didn't he show the groin stretch ? I wanna see everything

@patriciacurran3989 Год назад

Thank you..... I've been treating myself with trigger points but didn't know about the cold/heat. Started and look forward to making greater strives in my recovering

@Nielasher Год назад

Thank you very much for your feedback 🙌🏻 For more information or to find a therapist please visit our website nielasher.com/

@shwetajoshi4638 Год назад

Thank you so much. Nice video

@Nielasher Год назад

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@chevelle68100 Год назад

Thanks for the explanation. I’ve suffered with sciatica and this video has helped me understand exactly where my pain is coming from. That’s helped me get some relief and get much better.

@Nielasher Год назад

So pleased to hear that! Wishing you well and thank you for your feedback 🙏

@randr302 2 года назад

I am so grateful for your video!!

@Nielasher 2 года назад

🙏🙏🙏

@nastehorashid4983 2 года назад

I glad I have seen this video . Thank you so much. For super explanation

@Nielasher 2 года назад

🙏🙏🙏

@mikesnyder1788 Год назад

Fantastic video! Such great information covered here! As for my own situation I have luckily stumbled across a Neuromuscular Therapist who recently worked on my piriformis muscle and the pain in my hindquarter is virtually gone. And I didn't even know the darn muscle existed. I don't know the requirements to become a Neuromuscular Therapist but this I know: mine has magic hands! Hoping everyone finds comfort and support from whatever source they can.

@Nielasher Год назад

Hello Mike … thank you for your feedback which is appreciated. Happy to hear that you’ve found a manual therapist to help, especially one with “magic” hands 🙌

@mikesnyder1788 Год назад

@@Nielasher So many people are in pain and my hope is they continue to search and look for someone who can truly help them. Kind regards.

@violahamilton782 Год назад

Sports Massaage therapists should be familiar with the technique for digging this out!

@DreamBigRealBig Год назад

Mike where is that doctor located i need them Asap

@mikesnyder1788 Год назад

@@DreamBigRealBig Hey, Doug: I am in N.E. Ohio! I suggest looking online for a Neuromuscular Therapist in your local area. Some massage therapists know a great deal but it really is hit and miss (like everything else in the world). Hoping you can find someone to help you with your condition. Regards.

@herekashmir4612 2 года назад

Thank you so much sir....

@morgonerlenstar Год назад

Thank you for this explanation

@Nielasher Год назад

Thank you for your feedback 🙏

@GiC7 2 года назад

Thank you sir.

@mauriceokongo3322 2 года назад

Thanks so much have been going through this pain since 2019.....but now can breathe

@chechuna 2 года назад

Same ...I've been with this pain since 2019. How many times do we practice this techniques? Once a Day, I guess...thank you so much Doctor.

@janetgill3104 Год назад

Thank you after months of pain I can clearly see that this problem could be the source of the sciatic pain!!🇬🇧👍

@Nielasher Год назад

Hi Janet, Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website nielasher.com/blogs/video-blog

@delta201delta201 2 года назад

super simple & super excellent

@Nielasher 2 года назад

🙏

2 года назад

The hands are wonderful. Thank you very much.

@Nielasher 2 года назад

Thank you for your feedback 🙏 for more information please visit our website www.nielasher.com

@rajeshwarieaswaran9666 Год назад

Brilliantly explained

@Nielasher Год назад

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@c.f.5117 6 месяцев назад

All my best congratulations. Dr. You explain it so well and clear that all Drs. should learn! Many years with such painful injury caused by protrusion above coxis which last time it lasted more then 3 months of strong pain making impossible even walking...ending with cortison tablets 8mgs. per day per a week. I will defenetly follow your therapy method and I'm sure it will serve me forever. Many thanks Dr. and my best wishes.

@Nielasher 6 месяцев назад

Thank you for your kind words and for sharing your journey with us! We're glad our therapy method has provided you with hope and clarity. We wish you a smooth path to relief and improved health. Best wishes from our team!