secret piriformis syndrome treatment
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Secret Piriformis Syndrome Treatment reveals what piriformis syndrome is, what it is not and how to tell whether you have it. It also tells you the "secret" treatment used in a highly successful Orange County CA Pain health care center to relieve your painTRANSCRIPT
“SecretPiriformisSyndromeTreatment”A Clinical Guide to Back &Buttocks Pain Relief
By Author, Lecturer &Back Pain Specialist
Dr. Barry L. Marks, DCMEDICAL DIRECTORORANGE SPINE & DISC REHABILITATION CENTER
FORMER ASSOCIATE CLINICAL PROFESSOR
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”Secret Piriformis Syndrome Treatment”A Clinical Guide to Back & Buttocks Pain Relief
Dr. Barry L. Marks, DC
LEGAL NOTICE:
You Do NOT Have the Right to Reprint or Resell this Report!
You MAY NOT Give Away, Sell or Share the Content Herein
All Rights ReservedNo part of this book may be reproduced, stored or transmitted by anymeans, electronic, mechanical, photocopying, recording or otherwise
without the expressed written permission from the author.
2008 Dr. Barry L. Marks, DC
Abundant Health Publishing
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Table of Contents
PIRIFORMIS SYNDROME SURFACE ANATOMY............................................4
PIRIFORMIS SYNDROME IS…..........................................................................6
HOW CAN I TELL IF I HAVE PIRIFORMIS SYNDROME?............................9
SECRET PIRIFORMIS SYNDROME TREATMENT REVEALED… ..................11
WHAT DOES FAILURE OF THE SECRET PIRIFORMIS SYNDROMETREATMENT MEAN… .......................................................................................16
SPECIAL OFFER FOR READERS OF THE SECRET PIRIFORMISSYNDROME TREATMENT PROGRAM.............................................................18
“ABOUT THE AUTHOR” ...................................................................................19
MORE FROM DR MARKS .................................................................................20
CONTACT DR. MARKS.....................................................................................21
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Piriformis SyndromeSurface Anatomy
“Doctor, my…
…hip…bottom…behind…tush…culo…gluteus…bum…really low back…etc.
…is killing me…”
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Sound familiar?
When I hear those words, my mind immediately starts to race…what do theymean? Is it really their hip? Or is their sacroiliac? Or as is often the case, do theymean their buttocks?
Let’s get something clear right away…
Doctors don’t really know where you hurt when youuse vague or confusing terms. Hey we’re human. Sothe diagram on this page will give you a little anatomyand medical terminology so that we can allunderstand each other.
Back: the area from the top of your shoulders downto your waist. You can divide it into upper, middle andlower regions. The low back is called the lumbarregion.
Buttocks: yep, the butt. It’s the area on the backsidebelow your wait that you sit on. As a doctor, I don’tcare what you call it, but I call it a butt or buttocks.
Sacroiliac: this is a joint between your pelvic boneand your tailbone. You can find one on each side byputting your hands on your waist and reaching yourthumbs in and down. There you’ll find a hard knobbybone inside of a depression or dimple above your butt.
Hip: this is the actual leg bone connected to thepelvic bone. This is the joint that allows your leg tomove up and down. This joint is on your side at aboutthe level of your wrist as you are standing with yourarms hanging down. In the front, your hip joint forms acrease in your groin area on lifting your thigh up.
Thigh: the area of your upper leg between thebuttock and knee on the backside and the groin andknee on the front.
So now you should have a clear understanding of thebasic surface anatomy of the area. It’s now time to digin and see what this Piriformis Syndrome thing is allabout.
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Piriformis Syndrome is…
…a neuromuscular, anatomic, physiologicmalfunction…
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Now that that’s crystal clear…
Let’s cut through the medical jargongobbeldy gook and breakdown what thatmeans and what Piriformis Syndrome is.
Neuromuscular:Neuro pertains to nerve and muscularobviously pertains to muscle.
Sp the condition involves nerves andmuscles. Most notably, the Sciatic nerveand the Piriformis muscle are involved.
Anatomic:Anatomic refers to the structure of thebody. In this case, there are certainanatomic relationships that lead one to bemore prone to Piriformis Syndrome thanothers.
The anatomy of the sciatic nerve and thepath it takes in relationship to the physicalcharacteristics of the Piriformis muscle iskey.
Physiologic:Physiology means how the body or aspecific structure or organ functions.Normal physiology means that an organ orbody system is working as it is intended to. Abnormal physiology can be termedmalfunction.
So, Piriformis Syndrome is…A condition in which the Piriformis muscle has tightened up and thereforebecome thicker, which causes it to put pressure on the sciatic nerve as it travelsunder, through or around it.
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The Piriformis muscle is located underneath your gluteusmaximus muscle. It attaches to the side of the sacrum ortailbone and inserts into the top of the femur or hipbone.Its purpose or action is to rotate your leg outward. ThePiriformis muscles shape varies from person to person.
The largest nerve in the body is the sciatica nerve, whichis a bundle of nerves that arises from he spinal cord atabout the L4, L5, S1, S2, S3 and S4 levels. I say aboutbecause this nerve varies from person to person. Somepeople have branches that being as high as L2 or L3. Skin
sensation and muscle strength of the thigh, lower leg and foot are supplied by thesciatic nerve.
Variations of Piriformis Muscle and Sciatic NerveIn many people the sciatic nerve passes under thePiriformis muscle and then branches off into two parts tosupply different parts of the leg.
In others, the nerve may branch before the Piriformismuscle and overlap parts of it.
Another variation is where the Piriformis muscle is split intwo parts with the sciatic nerve passing between themuscle branches.
In Piriformis syndrome the muscle contracts and thickensdue to spasm in response to a strain, injury or chronicpostural stress. When it thickens it squeezes the sciaticnerve causing the characteristic pain from the buttocks tothe thigh or lower leg.
It is theorized that for people with the latter two variations,chronic Piriformis Syndrome is most prevalent. Reportedly,15% of the population has one of these variations.
Chronically relapsing symptoms of Piriformis Syndromemay also indicate an underlying disc issue where thenerves are being slightly irritated by the disc bulge andthen again by a tight Piriformis muscle. The resultant“double crush” of the nerve causes sciatic pain. Both thedisc and the muscle must be treated for completeresolution. An MRI of the back will help diagnose thiscondition.
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How Can I Tell If I HavePiriformis Syndrome?...
…a simple 5 second test…
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Piriformis Syndrome Self-Test:This is a simple 5-second test that will tell you if your sciatica is caused by yourPiriformis muscle.
1. Locate Piriformis muscleLocate the area of your Piriformis muscleby finding the part of your hip bone on theside of your leg that sticks out. Slide yourfingers back and up at a 45 degree angletowards your tailbone. You should be overthe Piriformis.
2. Apply deep pressurePut firm deep pressure with a thumb orfingers into the buttocks over the Piriformisarea at 3 different points along the muscle.
3. Interpret resultsYou Do Have Piriformis Syndrome if…you experience numbness, tingling and/orpain radiating down your leg or out towardsyour hip region
You Probably Do Not Have Piriformis Syndrome if…you have only localized pain with no radiation. Your problem is one of the othercauses of buttocks pain and/or your sciatica such as a lumbar disc bulge or othercondition. If this is the case, go here for more info:www.orangespinaldecompression.com
What to do about Piriformis syndrome:In the following section, I will reveal the “secret” Piriformis Syndrome treatment Iuse in my Orange, California Spine & Disc Rehab Center…
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Secret Piriformis SyndromeTreatment Revealed…
…a program to relieve buttocks and legpain due to piriformis spasm andinflammation…
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Secret Piriformis Syndrome treatment revealed…
This is the protocol I use in my office daily for people I have diagnosed withPiriformis Syndrome. I have experimented with many different forms of therapyand have found that the therapy modalities listed and at the exact sameparameters I suggest are the most effective. Deviating from these parametersmay or may not work.
Go ahead and share this information with your chiropractor or therapist. If theyare open minded and are interested in relieving your pain, then they should haveno problem with trying this out on you. After all, if you’ve ordered this report, thenit is obvious you are still looking for a solution.
Initial CareThe initial goals of treatment are to reduce inflammation around the nerve andreduce spasm of the Piriformis muscle.
In OfficeThis treatment is given in the office 3 times each week for 4 weeks
Hydroccolator moist heat pack with Dynatron Interferential Current 1-150Hz x 12 minutes over the affected area
Erchonia Cold Laser (630 Nm) 9, 16, 26, 42 x 180 seconds over theaffected area
Chiropractic manipulation of the sacroiliac and sacral base as indicated bypalpation (often find opposite side sacral base is posterior with inferiorilium on affected side)
Deep ischemic muscle goading of Piriformis
PIR stretching of piriformis, glute and hamstring muscles with ErchoniaCold Laser at 4, 9, 33, 60
At HomeHome care is done every day.
Moist heat (hot shower, bath, Jacuzzi, hot towels, moist heat pad) x 15minutes
Stretching of Piriformis, glue and hamstring muscles
In most cases the pain levels will be reduced by about 70-80% after this initialtreatment period, at which time it is appropriate to commence rehabilitative care.
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Rehabilitative Care
In OfficeThis treatment is given in the office 2 times each week for 4-8 weeks with re-evaluation of symptoms and objective exam findings every 4 weeks.
Hydroccolator moist heat pack with Russian Isoelectronic Rehabilitation2500Hz on 10:30 timing cycle x 12 minutes with active contraction ofmuscle
Erchonia Cold Laser (630 Nm) 9, 16, 26, 42 x 180 seconds over theaffected area
Chiropractic manipulation of the sacroiliac and sacral base as indicated bypalpation (often find opposite side sacral base is posterior with inferiorilium on affected side)
Erchonia Cold Laser neurological upgrade protocol for lumbar spine at4,9,33,60
PIR stretching of piriformis, glute and hamstring muscles with ErchoniaCold Laser at 4, 9, 33, 60 as indicated by tight or weak muscles on testing
At HomeHome care is done every day.
Moist heat (hot shower, bath, Jacuzzi, hot towels, moist heat pad) x 15minutes
Stretching of Piriformis, glue and hamstring muscles
Strengthening exercises
1. BridgeLie flat on your back with your knees bent andfeet flat on floor. Push down with your feetwhile lifting the buttocks off the floor. Hold thepose while tightening your buttocks for a fewseconds then lower. Repeat 10-20 times.
2. Donkey kickAssume a hands and knees position on floor.Lift one leg up and extend up and out. Holdfor a few seconds then lower and lift the otherleg. Repeat 10-20 times each leg.
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3. Side PlanksThis variation works the lateral hip and back muscles.
Beginners use the modified plank using a bentknee and propping up on your arm. Hold 10-20seconds then lower yourself. Repeat for severalrepetitions or one long exercise. Repeat for theopposite side.
Advanced version is to rest on youroutstretched foot and hand as shown. Holdposition for 10-20 seconds then loweryourself and repeat.
ExpectationsWhat can you expect with the Secret Piriformis Syndrome Treatment program?
In the first 1-2 weeks you may feel worse. Your condition involvesinflammation and muscle spasm both of which cause pain. As thetreatment commences inflammation may actually rise slightly. Once themodalities begin to cause physiologic changes however, you will noticeless and less pain.
By the end of 4 weeks you should feel approximately 70-80% lesspain. If not, then continue on with initial care modalities on a week to weekbasis until you do. If your condition takes 8 weeks to make it through InitialCare, don’t worry. Many people with Piriformis Syndrome have had theirproblem for months or years. For some this means a longer duration ofInitial Care.
Rehabilitation Care generally takes twice as long as Initial Care. So ifyou’ve met the 4 weeks mark in Initial Care, then it’s likely you willsuccessfully complete Rehab Care in about 8 weeks.
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At the completion of Rehab Care most people will be fine. It isrecommended to continue the exercises at least 3 times each week tokeep the muscles in good shape and prevent relapse.
But what if my Piriformis Syndrome doesn’t respond well? What if after all thistreatment and 3 months of therapy visits, my butt or leg still hurts? Am I doomedto suffer?
No.
In the next section I will explain what failure to respond to this program means toyou…
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What Does Failure of the SecretPiriformis Syndrome Treatment
Mean…
”Failure is a beginning not an end…”
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What category do you fall under?
1. Relief with the program, but pain returns periodically.Chronically recurring Piriformis syndrome may indicate you have a variationof the sciatic nerve and/or Piriformis muscle in which you are predisposed tothis problem. If this is the case, then you will need to make sure you continuethe exercises and avoid certain postures and/or activities that re-aggravateyour condition.
2. Some relief, but not complete You may need more treatment
Treatment wasn’t properly administered or exercises were notperformed
Piriformis muscle is only part of your problem… see next section
3. Minimal or no responseIf this is the case, then you’re most likely suffering from buttock or leg paindue to a disc problem. If the discs between the spinal bones begin todeteriorate or bulge outward, nerves may become irritated sending painmessages down into the buttocks, hip or thigh.
Buttock pain caused by degenerative disc disease, bulging discs, herniateddisc or stenosis requires a thorough specialized examination and MRI of thelumbar spine. For more information about diagnosis and treatment of discproblems or stenosis may be found here:www.orangespinaldecompression.com
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Special Offer for Readers ofthe Secret Piriformis Syndrome
Treatment Program
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“About the Author”
Dr. Barry L. Marks, DC is the founder of Orange Spine& Disc Rehabilitation Center, a unique health centerdedicated to the diagnosis and restoration of healthfrom mechanical injuries such as disc problems,whiplash, carpal tunnel syndrome and many othercauses. Blending the latest computer technology,mind-body therapy and old fashioned concern, he isable to alleviate difficult conditions that have failedwith other methods.
Dr. Marks is a former Associate Clinical Professor at a leading ChiropracticCollege and is the author of numerous articles on health and wellness.
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More from Dr Marks
Self Help E-Books & Audio Programsby Dr. Barry L. Marks, DC
MyEasyEFT.comEFT is an amazing mind-body science to uncover and remove hidden mental blockagesto finally realize your potential for abundant health, success, self esteem and serenity.EFT titles include:
Emotional Freedom Technique (EFT) for a Healthy &Pain Free Life
Emotional Freedom Technique (EFT) for Success Emotional Freedom Technique (EFT) for Self Esteem Emotional Freedom Technique (EFT) for Serenity
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Uncover the cause of your headaches in this informative, step-by-step guide and find relief once and for all.
Visit Dr. Barry L. Marks Online
Websites:www.DrMarks.comwww.OrangeSpinalDecompression.com
Blogs:www.healthybeyondreason.wordpress.comwww.spinaldecompression.wordpress.comwww.occaraccident.wordpress.com
Free E-Seminars by Dr. Barry L Marks:7 Days to Abundant Healthwww.TruthAboutWhiplash.com
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Contact Dr. Marks
DR. BARRY L. MARKS, DC
ORANGE SPINE & DISCREHABILITATION CENTER2401 W. CHAPMAN AVE #102ORANGE, CALIFORNIA 92868
TELEPHONE(714) 938-0575
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