Hey y’all, it’s Doctor Jo and my assistant with me today is Bailey again. And today I’m going to be talking about your piriformis. So lots of times I hear people say they’ve got that sciatic nerve, well actually everybody has a sciatic nerve, but you can have paining from that nerve, and a lot of times that piriformis muscle is causing the pain. So we’re gonna show you some stretches to stretch out your piriformis and hopefully get rid of that sciatic nerve pain. Alright let’s go on to our backs. Here we go. I think we’re gonna maybe move Bailey out of the way. In the first stretch for your piriformis is a pretty simple one. A lot of pictures you may get from your therapist will actually show one leg down, I actually like for you to have it staying up so you can prop your foot over it. So your gonna make almost like a figure 4 with your legs and then what you’re gonna do, the side that’s hurting, so my left side is hurting, I’m gonna cross that leg over. And what I’m gonna do is I’m gonna bring my knee with my opposite hand towards my shoulder over here. So I’m pulling this leg up and across my body. And what you wanna do same kind of thing with all the stretches, you wanna pull and you wanna feel a stretch under there.
Soon as you feel a really good stretch you wanna hold it for 30 seconds. So remember up and across the body. Justing up is not gonna get that piriformis stretch. Buting up and across the body like I’m trying to bring that knee towards my shoulder. Holding it there for about 30 secondsa real 30 seconds. And thening back down and you wanna do that 3 times. Now the next one to do, sometimes this is a little harder for people, but what your gonna do is your gonna keep that same figure 4, and what your gonna do is your gonna take your hands and on the opposite side that it’s hurting, so the hurting side is still up crossed over it’s still my left side. I’m gonna take my hands and put them underneath my thigh, and I’m gonna bring my leg up, and I’m gonna pull until I feel that stretch underneath there. Now some people might have a hard time grabbing on to their leg here, so again you can use your belt, or your dog leash and put it under, around your leg, and pull up towards you like this. Same kind of thing, you want to hold that stretch for 30 secondsbye Bailey, we’ll see you later and then 3 times each. Alright, so now you’re gonna bring that down getting it nice and stretched. For those of you that need a stronger stretch, those might not be stretching it out quite as much, what I’m gonna have you do is I’m gonna have you turn over. And what your gonna do is the side that’s hurt again, my left side, I’m gonna bring my leg up across. Now as you can see, this is something you have to be pretty high level, pretty flexible to do, but it’s gonna get a fantastic stretch. So your gonna put your knee over across your body, and bring your body down. So it’s almost that same concept, you’re bringing that knee towards the opposite shoulder, but what you’re doing now, is you’re using your body weight to bring it down. You can stretch that back leg as far as you can.
Back Massage Therapy How to for Sciatica Pain Relief Treatment, CranioSacral Techniques
Greetings again! This is Athena Jezik. We’re gonna work on some more tutorials and explain some things out. Sciatica seems to be a problem that many many people suffer from so i thought i would go through a little bit more sciatica work and explanation on how i deal with sciatica. There’s many different techniques that people have but for me this has been the most effective and i’m also learning that there’s different types of things thate from that area.
Sciatica usually is paining from about here. When it’s real bad it will run down the leg. It’s a nerve pain so it runs as though it’s a like a hot iron or a hot rod going down the leg. Very ufortable. Sometimes there’s pain though in other parts of the hip which isn’t really the classic sciatica but it does still involve things similar because there’s so many nerves thate out of this sacral area. So that’s another thing that i’ve been discovering.
So not everything that happens with the pain and going down the leg is maybe the classic sciatica but it doesn’t matter because in my opinion naming a lot of things doesn’t really do anything except for make it a disease and then a disease is only by law treatable by the western medical people.
So that’s just names and labels. The thing is we want to get people out of pain. We want to move them into a space of being able to function well. So in that pain area of the hip impinging nerves and creating bad sensation or pain down the leg we’ll call that the sciatica pain and of course ites from here and I find that it is always got a direct connection to the positioning of the sacrum that also has a direct connection to the position of the sphenoid bone at the occipital base and I’m gonna show you a little bit of this.
I’ll just show it to you now. Excuse me it’s early in the morning and I’m kind of foggy today. So the sacrum is sitting here and in that sacral bone there is a lot of nerves thate out from here.
These little holes are where theye out of so if that is position a little bit crooked on there, which happens quite a bit then we’re gonna have this pressure. The nerves are not going to being out with the proper alignment and the nerves are gonna have pressure on them when they are twisted a little bit.
sometimes this bone can be in a position that’s a little more like this or it can also be an abination of that particular pattern so it’s important to be able to allow this bone to be able to lengthen down. This is something better done if the body can do it itself.
If it’s forced into it, it doesn’t always mean that it’s going to hold because there’s a bunch of stuff underneath there. Thework of the facial structure, the membranes under that that will twist like a nylon stocking and so if it’s forced back it will go back but because of the underlying structures there it will pull it back into that odd position.
This is translating up into the head and because I’m a cranial sacral therapist and I’ve been doing it for so many years I have a lot of understanding how these connections are made. So right in there where the purple and the yellowe together is the sphenobasilar junction.
The sphenoid bone is the yellow bone right here and so that bone touches all the other bones and it does relate directly to the sacrum at this joint. So if this sacral structure is sideways, crooked on there, that’s going to be placed and it’s going to be like so The same thing is gonna happen at at the head. This sphenoid bone is going to be out in a similar manner because it’s a counterbalance for what’s going on with the body. So it keeps things balanced so that we feel somewhat straight.
So that’s areas that I look for in work around low back pain particularly down in the sacral area. I do not like to do the hard pushing with the elbow. For one thing You can get through muscles that way but your elbows are not very sensitive as to what you’re really doing and what structures you’re on and i have found that when i’ve tried to work elbows even forearms the bones and the bony surfaces. it’s just too rough. I don’t feel good about it. It doesn’t feel productive so I don’t use that method.
Also sometimes when the nerve is affected there’s inflammation. So in my opinion the way that I see things is by driving yourself into that nerve, through those muscles with a bunch of inflammation going on is not really going to help the problem.
So there’s little things like that that I pay attention to that I don’t know if many other people take a lot of that into account because we do get sort of a technique to loosen things up and it doesn’t always provide for us the thoughts of what’s happening at the subtle anatomy level.
So I test this just by checking at the occipital base and at the sacrum to see the position of everything and once the position is established then I can go in and work with the sacrum in order to correct it.
Sometimes this will be corrected quickly and sometimes it’s not corrected as quickly and I believe that a lot of that is because it’s maybe not a true quote sciatica but there’s other stuff going on maybe in the hip joint. There might be some kind of misalignment in the pubic arch. There might be some kind of a rotation in the hip as well so other things have to happen. So here I’m just giving a little drag on the sacrum and letting it loosen up and letting it swim around and my other hand is at the occipital base.
Just steadying the dural tube. And so there I just wait a little while and then I will soften the muscle area around there. I work really differently. It just kind of depends.
So much of my work is intuitive. There’s somewhat of a protocol that I follow but each person presents things differently. No two bodies are ever the same. No injury patterns are ever the same. So flexibility is important to be able to move from various techniques and not follow things too rigidly particularly in pain problems and issues Then the other thing that i will do is to get my finger at the base of the sacrum.
Excuse me, at L5 S1, which is right in this area here L5 S1 so try to put some distance between there because that’s where the jamming probably tends to be. Sometimes it’s at the coccyx.
And I’ll show you that technique as well. So with that you just do a little stretching integrating in with the muscles integrating in with the tissues and then just waiting for it to move. This is going face down. There is a better way to do the sacral pull when they are on their back but this way will also open it up.
Either way is fine and my other hand up here is also feeling some rotation and some movementing up the spine. So as one area of the spine is off every little vertebrae is affected to some degree. There’s a little bit of adjustment that they have to make in order to keep the misalignment aligned and the bodies just gonna do that it’s gonna work within the framework that it has and it’s gonna normalize whether a pattern is there.
And so there now we’re getting it softened and now there’s a little bit of a stretch happening. I’m stretching downward with the hand that’s on the L5 S1. And I am taking a little bit of a stretch upward.
Just a little traction. No deeper than the fascial level. So we have skin, fluid, then fascia. So I’m three layers down and giving a little stretch there and i’m feeling quite a bit of rumbling going on and there is a separation happening between L5 S1 And it just swims around and the sacrum is trying right now to find its way back to the proper position.
It’s a good idea, if you know cranial work to also balance it at the spenoid level because the sphenoid bone, if not corrected, can pull this thing out. Sometimes this will correct the sphenoid bone but it’s a good idea to check both.
She just had a couple pulses. There’s a lot of activity going on. Even though she’s not suffering from sciatica or any kind of hip serious pain problems there’s still a lot of activity going on, which is correcting little misalignments in there, which is a reason that we should be paying attention to maintenance.
Even though we’re not hurting, we might wanna have some kind of session just for tweaking. I see a number of people whoe in regularly every four to six weeks just to be tweaked with cranial work And I myself have an hour and a half session with somebody once a month.
And I love it when I get it. It took me a while to find somebody that I felt was at my capacity.
Okay and then the other position is just to lay the hand on the sacrum here and curl the fingers at L5 S1 and give a little bit of traction this way. This is a little tricky because you have to keep the palm of the hand pretty secure and the fingers have to bend so there’s quite a lot of technique in the hands in order to get the right feeling. And the hands have to work independently because I’m right at the sacral coccyx junction and I’m stretching downward on that while I’m allowing the movement, which is a little bit of a swaying motion at L5 S1. There’s a downward traction as well as this being loose to be able to align.
at the same time it’s being tractioned downward. Okay and there’s some movement happening. These techniques will usually give quite a bit of change to the pain.
It doesn’t mean that one time is going to give total remedy to the problem but it does begin to correct that space. Once that’s corrected then we can go in and also work into the muscles, much deeper into the musculature.
And the only reason i work into the musculature is to loosen the muscles so that they’re not sinching down around those nerves because if they are sinching around those nerves then they are not gonna let go really easy even though the alignment happens so i just worked really deeply into these glutial muscles for the purpose of the muscle again, not the purpose of the nerve.
And I’m careful if I go into the area where the sciatic is the main place where you can feel it. I do not go into that with a lot of deep pressure because again I don’t like going into the inflamed areas and I don’t like going into pain with a lot of pressure.
I don’t think in my work it gives me the better results. Okay and then up front and there is many areas of the hip to take and loosen.
And along the ridge of the hip as welling from the sacrum. Working all that. And of course both sides are benefited. I won’t do too much on this side. Both sides have benefited by that.
You can even go into the attachments of the hamstrings. In fact it’s a good idea to make sure that the quadriceps and hamstrings are well stretched.
With this there’s also some stretches that can be done with the leg, but I will show that at another time So basically what i do is corrected the position of the sacrum to alleviate the pain of the sciatic pain or hip pain.
Sciatica Leg Pain Relief
rtf1ansiansicpg1252deff0deflang2057fonttblf0fnilfcharset0 Arialf1fnilfcharset0 Calibri generator Msftedit 22.214.171.1249viewkind4uc1pardsa200sl276slmult1qjlang9fs36 Hi, I’m Paula Moore The Chiropractor and I’m going to show you a sciatica leg pain relief exercise. It should be know that the majority of people whoe to see me as patients who have been diagnosed with sciatica, don’t have true sciatica. They do have leg pain that is mimicking sciatica. In other words, it is running through the buttocks and down the thight, right down to the ankle but it stems from a different place. It’s not the sciatic nerve. It is from a tight muscle in the buttocks, known as the piriformis muscle. It clamps down over the sciatic nerve giving you sciaticlike symtoms. par You chiropractor can tell the difference between these two. True sciatica and a piriformis muscle problem. I’m going to show you a stretch to get rid of the piriformis muscle problem and the resultant leg pain. If you do this stretch and notice your leg pain starting to decrease, you probably didn’t have true sciatica and that’s great, because sciatica is harder to treat. par So you want to sit fairly close to the wall and swing your legs up so your heels touch the wall. If you leg pain is on the left, then take your left ankle and place it over your left knee. Now some of you might find that this position is already very difficult to get into because your piriformis muscle has be very tight. If you want to increase the stretch, shuffle up closer to the wall with your buttocks. If you want to deepen the stretch yet again, slide your right foot down the wall so that your knee is bent. You can increase the stretch by gently bringing the left knee toward your opposite shoulder. That is the perfect position to lie in for the next sixty seconds using your breathing to relax. par Do the stretch on both sides, even if your symptoms are only on the left, as you need to stay symmetrical. 60 seconds on both sides. Remember to increase the stretch by pulling your knee gently toward the opposite shoulder or by sliding the opposite leg down the wall.
Yoga Twist Workout for Back Pain Sciatica Relief How To Do Half Spinal Yoga Twists
Hi, I’m Manish Pole and this is Neetu Singh, we are part of Total Yoga. In this series of Yoga House tutorials we are looking at Desktop Yoga and specifically what can be done for the back to counter the effects of sitting at the desk for very long. Sit cross legged and holding your knee and the armrest turn around and look at the back. Breathing is normal. After 15 secondse back to center and cross your leg the other way, lock your elbow, twist and look at the back. Stretch as much as isfortable for you. Remember that you are are twisting, and don’t turn the chair and think that you are twisting, and say that you body are twisting. For the standing stretch, see that one hand is on the opposite shoulder and holding the hip start to twist the back. Even a simple movement like this goes a long way in ensuring that your central nervous system functions optimally. Change to the other side. Ensure that there is no stiffness in the back, especially if you are sitting 78 hours at your work station. See to it that the back is kept flexed. So in this tutorial we saw what could be done in terms of spinal twisting. Most people would start working sitting like this and as the day proceeds they will then end up working on their desktop or laptop like this which means over a course of few years gets extremely unfit. So we’ve seen what we could do with twisting of the spine. In the next tutorial we are going to look at how we can give the other range of motion to the spine. Keep watching Yoga House tutorials.
Piriformis Syndrome, Low Back Pain, Sciatica Sock Doc
Hey, this is Doctor Gangemi, The Sock Doc. Today’s Sock Doc tutorial is on piriformis syndrome, lower back issues, and sciatictype pain, or what many people perceive as sciatictype pain. Lara O’Brien, who is a principal dancer with Carolina Ballet, is going to be helping us out today, and we’re going to go through some of thesemon ailments and some things that you can do, hopefully at home or with a friend to alleviate some of the pain that you might be having.
First on sciatic nerve, let’s talk about that. Your sciatic nervees down the back of your thigh here andes all the way down and exits the back of your knee, which is called the popliteal region, and then forms twomon nerves, yourmon peroneal and your tibialis nerve. Down here in the lower leg is where most of the people experience actually true sciatic type pain. This is where you might get some numbness, some tingling, some loss of feeling in your toes, your foot area, or your calf.
A lot of people think that this area, just because the sciatic nervees down through here and in your glute region is actually sciatic type pain, but it’s actually usually not that. It’s called sclerotogenous type pain. What pain in this region is, this sclerotogenous pain, is a referred pain from other areas, other areas of tissue, mostmonly muscles, ligaments, and tendons. Or it can even be a direct tightness of the hamstring muscle, or even your glute max which we’re going to talk about in a minute.
Sciatica is a symptom most often misdiagnosed, but when the sciatic nerve is even pinched up in the lower back region here, it could be from a disc issue, it could be from some arthritis, or it could be from some muscle imbalance, some instability of your biomechanics of your pelvis that’s impairing the sciatic nerve, putting some pressure on it, resulting in pressure all the way down and causing numbness, or pain, or difort in the foot. However, you end up dealing with the issue usually way up here where the sciatic nerve originates, or starts toe together from the nerves of the lower back and the sacral region.
The mostmon muscle is your piriformis. The piriformis musclees off of the front part of your sacrum actually, tucked in on the side here, and thenes to the outside of your hip here. That piriformis muscle like this, you can turn around, does two things It turns your foot out, and it brings your leg up and elevates it, which you can do that on both sides.
You can see they’re pretty symmetrical. Someone with pretty bad piriformis syndrome, or pain in their piriformis is, first of all, they’re going to feel pain deep in their butt region, in the glute, especially right here on the side, and they’re going to have some imbalance or pain doing that motion from side to side.
The sciatic nerve, pretty much in most people, 80 percent, it is said, the sciatic nervees below your piriformis muscle. In about 20 percent of people, the sciatic nerve actually goes through that piriformis muscle. If you had an injury to your piriformis muscle resulting in imbalance, or resulting in a hip rotation issue, then that can put pressure on that sciatic nerve and cause pain in your foot.
I’m going to show you in a minute how to deal with that sciatic nerve, but the other muscle we’re going to talk about real quick for a second is the glute max. Your glute max as I talked about in the ITB syndrome, iliotibial band tutorial, is that big hip extensor muscle thates, actually, all the way down into your thigh here and joins with your tensor fasciae latae to make up your iliotibial band. Most people think of their glute max, or butt muscle, just as this area right here but you’ve actually got to think all the way down here. Glute issues which have to do with extension, a lot of times will cause an imbalance of the lower back, obviously cause a person to have lower back problems and result in hip pain and lower back pain, that sort of thing.
Piriformis issues are going to do more left and right problems. Piriformis, whiche off the side of your pelvis, those are major sacral stabilizers. Having a piriformis imbalance will actually cause pain anywhere up your spine since it’s sort of like the base of your spine, like the pyramid, the foundation to your spine. You can get pain all the way up in your neck.
People get shoulder problems. People get headaches from actually their piriformis being aggravated on the one side rather than the other. That will cause your sacrum to rotate one side to the other, or your pelvis. Where glute max issues will cause your pelvis to rotate forwards and backwards rather than side to side like the sacrum. We’re going to think about those two things when we talk about the stability of the pelvis. If you can lie on your belly.
With the piriformis here, as the piriformises out to the side and attaches to the top of the thigh muscle here, the greater trochanter, typically there’s going to be a trigger point somewhere in there. Trigger points are these points we’ve talked about in other tutorials where you’re just going to hold that or have someone hold it for you, and any sore spot you basically hold, rub it out. If you have trouble getting in there, if your hands aren’t strong enough for your partner that you’re doing this with, some people like to use their elbow, and you cane in like this.
You’re kind of scooping the glute muscle out of the way a little bit and pulling it towards you to hold that in there. That’s one thing with the piriformis. One other thing as I’m thinking about it to mention here is if the piriformis is painful on one side, you always want to check the other side because a lot of times what happens is it’s the weakness on the one side, the muscle that is not functioning well that is actually the side of the problem, where the other side is going to spasm to try and balance the sacrum from left to right. So she might have a lot of pain, say standing, and doing that hip rotation, or leg rotation on side to side, she might do worse on the right, but the problem could actually be on the left hand side.
Now with the glute max, a simple test you can do on your own is to elevate each leg. Lift this leg up as high as you can, Lara. You can see she can lift about to right here on this right side, and then switch to the left. She’s about there, about the same on the other side. They’re not going to be maybe exactly symmetrical, but if this leg, say, only came up to here and then she raised this leg and it went way up, then that would be obviously something typically going wrong on that, the right side, if there was a constriction or a weakness, some muscular inhibition on that glute max. We’re going to look for trigger points in that area to see where we can alleviate some of the imbalance of that muscle. Again recognizing that that glute maxes all the way down and intertwines and forms that iliotibial band, so what someone might perceive as hamstring pain could actually be glute max pain. You can stand back up.
I would say I see a lot more glute max issues because it’s such a powerful muscle and such a powerful mobilizer with the hip rather than hamstring issues, even though someone thinks that they’re having hamstring issue problem. Another major action of the glute max muscle is squatting and climbing stairs, so many people that have knee pain or hip pain while you’re climbing stairs or squatting down, think more your glute max, even though a lot of people like to think of their thighs. That’s what we’re going to do to start to stabilize the pelvis there and look for imbalances in the piriformis and the glute max.
One other thing to mention quickly is the role of vitamin E in the pelvic stabilizer muscles, the piriformis and the glute max. That doesn’t mean go out and buy vitamin E right away. But some people, especially women, have vitamin E imbalances and they’re lacking the vitamin of the natural vitamin E found in wheat germ oil, found in nuts like hazelnuts and almonds, and that helps basically balance hormones in your body. Hormone imbalances will cause pelvic imbalance problems in women as well as guys, too.
There’s a link between the prostate and vitamin E imbalances, and prostate and hip problems. With women, uterine and ovarian problems, and hip problems. That’s why a lot of women who have PMS or hormonal issues also have hip pain. It could be a direct muscular imbalance. It could also be a vitamin E problem. Sometimes taking the natural oils of wheat germ oil, unrefined andanic, can do wonders for you as well as taking a little vitamin E. I typically don’t use too high of a dose but around 50 to 100 IU’s of natural mixed tocopherols. That’s the natural tocopherols and the tocotrienols that can help with your pelvic imbalances.
Two other things we’re going to talk about real quick to help with stabilizing the lower back, and therefore piriformis issues and the pelvic issues as well as what one might perceive as sciatic type pain are the psoas muscles which do this, bring your leg up and out and flex it, and again on the left. This would give you more pain doing that from left to right, or just bending forward as if you were touching your toes. A lot of times if someone’s feeling, even though you might feel back pain as you go and do that, it’s actuallying from the front.
Now we’re going to talk about a couple things that actually cause you to get back pain even though they’re actually front problems. So you can lie on your back again. If you ever feel pain while you’re lying on your back, supine, or especially as you sit up go ahead. If she was to experience pain in her lower back right now that’s usually going to be from the abdominal muscles, including the abdominal obliques, or the psoas muscles which help to hold her leg like that. If you can’t hold your leg up like that then you most likely have a psoas imbalance, that would be the same on either side.
The psoas muscles are your powerful hip flexors as you can see, and they actually originate mostly from the front of your lumbar spine. That’s the front. They’re very hard to get to. Then theye down and they wrap around and attach to the inside of the leg, allowing someone to flex the hip.
A couple things we’re going to do for this is to have her touch and put a little bit of deep pressure, even though she can’t get directly on top of her lumbar spine, to put pressure on one side, if she was to have lower back pain right now, to put pressure on that psoas muscle, and then she would sit up again. And lie back down. Obviously this is assuming that she could sit up because sometimes someone’s lower back pain is so bad that they can’t sit up at all. If she was able to sit up easier by doing that, we would look for corresponding trigger points in that area and then again would switch and check out the right side too, the opposite side. We’re always checking both sides.
We’re going about an inch over, and a couple inches up and down on the side of the naval on either side, so like here, here and here, and that would look like that. If that didn’t help she could go a little bit lower and then check a couple on the opposite side, and she would sit up each time. Or if she had someone like me doing that with her, or a friend, I could hold this and you would sit up, and if it felt any better to her lower back, then we would look for areas to treat in there.
Again, just rubbing slight pressure. Got to be careful in here. There’s obviously digestiveans, there’s an abdominal aorta in there, so you have to be careful and don’t just be poking away. Usually it’s pretty tender if someone’s lower back is hurting from a psoas problem. Obviously, the other muscles here are your abdominals, your rectus abdominis and your obliques, and sometimes you’ll have trigger points or sore spots on the side here, right where they start to attach on the top of your ilium. One thing she could do there is put her hands here on the side of the pelvis, see if there’s any tender spots, or I could do that for her, and she could sit up again and see if there’s any pain in there.
One thing you’ll notice too is if someone has pain while they’re sitting up, usually they’ll twist from one side to the other, indicating that there’s imbalance on one side. You don’t always know that that’s the side of the problem it’s on because you could be twisting away from the pain, or you could be twisting towards the pain depending on what’s going on in that area. A weakness in that psoas muscle or imbalance of the psoas muscles from left to right as well as the abdominal muscles will obviously put a lot of stress on the lower back. It’s one of the reasons why people get sway back.
You think of like a pregnant woman or a person with a belly. Then they put a lot of pressure on their lower back, causing a lot of disc degenerations, causing a lot of arthritis and lower back problems which then in turn can cause sciatic type pain and influence that sciatic nerve and cause pain all the way into the foot, numbness pain or similar issues. Even though it’sing from way up here, an imbalance of those hip flexors, an imbalance of the abdominal muscles, or the glute max, or obviously the piriformis. Those are the four muscles that we’re going to think about for lower back issues, or any disc displacements, or what might be perceived as sciatic type pain.
In terms of exercise and therapies for these sorts of things after you’re working out the trigger point, if they continue toe back, it’s the same thing that I’ve always said. No orthotics because you’re trying to work the muscles to their fullest by being barefoot and feeling the ground and using the muscles the way they’re intended to be, not by some false supportive device. So you’re going barefoot and not wearing any orthotics or trying to wean yourself off those orthotics and wearing minimalist type shoes whenever you can.
Of course, you’re not stretching these things because whenever you stretch a muscle that’s been injured or strained, you’re further elongating those muscles and you’re not going to feel it. We don’t stretch our psoas muscles, we definitely don’t stretch our piriformis muscles like a lot of people like to do, like bring these over and trying to stretch the hip.
It’s just going to further irritate that muscle and if you have a sciatic issue, especially if you’re one of those people whose sciatic nerve goes through your piriformis, it’s just going to cause more problems over time. By walking, running, dancing for her, or doing your normal daily activities, that will help to rehab those muscles once they’re actually functioning normal. Consider vitamin E, and especially fatty acids too, that help fight inflammation like fish oils and others, nuts, seeds, flax oil, that sort of thing in those beneficial categories.