Sciatic pain migrating to asis

billyvnilly

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I have a client that I have been seeing for about a month. When she first came to me it was because she was having sciatic pain in the Rt. side that traveled down to her knee. I have been working gluts, periformis, QL, and TFL on both sides and she has been streching and using a tennis ball at home. She is seeing relief of the pain and has started exercising again, but now she is experiencing pain in the groin area and asis. She is a nurse and thinks that her body is starting to heal and now areas that were compensating for the sciatic pain are now able to experience pain because they don't have to compensate as much? I am a fairly new MT and don't want to miss some thing that I could help with. Does anyone has any suggestions or have experienced this with a client?
 


Have you tried working the psoas and iliacus? Those muscles are very important when dealing with low back or hip pain and could be causing the pain in the groin and asis area.

Angie
 


Read up on the Lateral Femoral Cutaneous Nerve, may be the problem, usually is impinged if there is an increase in anterior tilt of the pelvis or you are pregnant. There also tends to be numbness on the lateral part of the thigh....
 


Please disregard my comment then. I am still new at this..... :?
 


I am working with a client who has been plagued with sciatic pain for the past couple of years after undergoing several abdominal surgeries. The client has found amazing relief when we work the abdominals. The main surgery was on the right side near the appendix and now client experiences sciatic pain on the ride side. We've found trigger points from belly button area down to the pubic bone and covering the right side.

My sister also has horrible hip pain which didn't start until after her c-section, and her MT has been working the lower abdominals for her with great success.
 


Sort of inline with what AKB said... MFR in the abdominal area has been successful for some of my clients as well as the work you've done in the key areas you mentioned. Also look at adductors. Restrictions here can cause a forward pelvic tilt, falsely tightening the piriformis. You may also want to suggest a good restorative yoga class for her self care. There are poses like Sleeping Pigeon that when done gentle, will open the hip rotators.

Namaste

Darren
 


renauddv said:
There are poses like Sleeping Pigeon that when done gentle, will open the hip rotators.
I did a quick google search & couldn't find a description of the sleeping pigeon, but I found a similar pose called the sleeping swan. Here's a link to a photo & instructions on the pose, in case anyone's interested:
http://www.yinyoga.com/ys2_2.0_asanas_swan_sleeping.php
 


Thanks Blisss...

Sometimes names get mixed up and since it seems every book and instructor varies the names slightly, it's easy enough to get confused.

I've not heard it called swan, but here is a less stressful reference...
http://yoga.about.com/od/yogaposes/a/pigeon.htm

Either way both open up the hip, and if held for more that 30sec. to 1min, the gogli will begin to reset, and the piriformis is less likely to spasm.

Also look at Cobra and eventually Upward Facing Dog.

Namaste

Darren
 


I just started seeing a chiropractor, one of my main issues being sciatic pain. Although it had really diminished in the last few months thanks to stretching the piriformis, I soon found out that my L1-5 are a little off kilter and the disks are inflamed. This apparently is sending a constant signal to my sciatic making it easier to set off. I also discovered that even though I thought I've just had extra tight hamstrings all these years its actually my nerve keeping my legs from being able to stretch out.

It sounds like your person is having a lot of low back issues as well...if nothing else I'd have them go to the chiro and see what they have to say!
 
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