#piriformis

Getting desperate for relief

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Hypermobile Sacro Iliac Joint

A hypermobile SIJ is an unsupported SIJ. This is usually a result of excessive tension/fixation of the opposite SIJ. The muscles that support the integrity of the SIJ are The Quadratus Lumborum and Glut Min Med and lateral branches of the Glut Max. They intersect by way of a fascial continuing and muscle kinetic chain sequence. There is a front and a back to the muscles that have shortened to cause this condition to persist. Today we’ll show just the back portion.

My client had been engaging some injections to stabilize her left SIJ. The muscle co-contractions across her hips as a result of years of living with this instability were a sufficient barrier to her ability to respond positively to this intervention. The PT thought that the issue was weakness in the right Glut Medius, but the greatest fixation was medial in the area of the origins of the external hip rotators.

Here in this video is a typical neuromuscular facilitation/inhibition pattern of the posterior muscles that are a major part of this persistent left SIJ instability.

The Glut Med was indeed inhibited but so was the left lateral stabilization.The primary ‘compensation’ muscle was the right Piriformis. But the intense fixation of the Rt Piriformis compensating for a weak Rt Erector Spinae muscle caused a persistence of the lateral instability of both SIJ’s.

From an NMR perspective one sees the reduction over a series of sessions of the volume of the imbalance. There are layers of muscles involved.

Both the Rt QL and Rt Piriformis were inhibiting the Rt SIJ

But once that issue was addressed, the Rt Piriformis was STILL inhibiting the Rt AND Lt lateral stabilization. The lack of lateral stability causes the medially anchored external rotators to respond first when using the hips. One cannot simply consciously eliminate the stored and saved motor strategies programming into the Cerebellum. This is where NeuroMuscular Reprogramming has a big part to play.

RT QL → Rt SIJ;--> Rt lateral stabilization (Gl Min/Med)                                    

Rt Pririf → Rt SIJ; Rt Gl Min/MedLT/RT Gl Med (abd) → 

L/R SIJ;-->L/R Gl Min/M

And after the low back and hip coordination there is the next necessary step: investigating the coordination dysfunctions between the right Hip Flexors and the left low back SIJ stability….

https://www.facebook.com/neuromuscularreprogramming/videos/1657209301314277

STRETCH PIRIFORMIS MUSCLE TO GET RID OF SCIATICA PAIN #findingnaturalcures

WHERE IS PIRIFORMIS MUSCLE?

Your piriformis muscle is located deep in your buttock underneath your gluteus maximus. This muscle can sometimes go into spasm causing sciatica pain.

STRETCHING PRIFORMIS MUSCLE SEATED:

1. Sit on a chair and put the foot of your right leg onto the knee of your left leg.

2. Bend forward while applying pressure on the right leg.

3. Hold your right heel with the other hand.

4. Wait for 15 seconds in this position.

5. Repeat the exercise three times and switch to the other leg.