If you have PAIN in your GLUTEUS, and someone has told you that it could be FALSE SCIATICA, in this video we will see the reason why PIRIFORMIS SYNDROME does not heal completely and how to treat it through OSTEOPATHY Follow us on our website https://www.mdmfisioterapia.it or call 0668808629 I'm sorry, you know, because I understand the frustration you can feel, the discomfort of doing useless therapies, and not finding a lasting benefit, maybe you feel better for 1 day and after a while you are back to square one. Well, let's start with the affected muscle, the piriformis, a very important external rotator muscle of the hip that has the sole fault of being in close contact with the sciatic nerve. Anatomically, it happens that the sciatic nerve passes close to it, or in some cases passes right inside it and therefore its contracture can irritate the nerve and generate a sciatica syndrome that is sometimes very strong and disabling. a bit like a water pipe that is constricted and reduces its ability to carry water downstream from the constriction. We are talking about nerves and not blood vessels, but I hope the concept is still valid.. Well, if we stop at a simplistic approach to the problem, it is clear that it would be enough to dissolve the contracture of the piriformis and we will have solved the problem.. unfortunately you have found that it is not enough.. and this muscle does not dissolve, or rather, it improves temporarily, but often returns to the starting point after a short while.. Why does this happen? In my way of understanding Physiotherapy and Osteopathy, a muscle is treated starting from the Origin, insertion and innervation.. it is the basis from which to start. So it is necessary to treat, and manipulate the sacrum from which it originates, and it is necessary to manipulate the femur, because it is inserted on the greater trochanter. Well, at this point after having manipulated the two districts, which are often in dysfunction, through manual techniques and osteopathic trusts, we must treat the innervation, which gives the current to the muscle, and which often maintains the spasm... which causes the symptom. Well, it is likely that by evaluating the column we can find a posteriority, or a district that has a blocked rotation and inclination at the level of the l5, s1 and s2 vertebrae, which are part of the sacral plexus. At this point in theory we have treated the possible bridles that are keeping the muscle blocked, and we can treat it manually to dissolve the contracture, through massage (using the elbow), stretching exercises, and also Machines such as Tecar or hyperthermia... trying to treat the tissue, the fascia... and providing a local hyperemia that gives relief. The problem, however, is that we are not made of a single district, and the piriformis is connected to other structures that can in turn lead to the pelvic girdle or femur working badly, causing the spasm again after a short while. This is probably the situation you are in. You treat the muscle and it seems to be better, but then the problem comes back and you don't understand why. They simply treated the tip of the iceberg, without completing the treatment. Starting from the bottom, a knee problem, an ankle problem, or an old sprain can generate an ascending lesion chain that impacts the femur and sacrum and can lead to a malfunction of the piriformis. Looking at the problem from above.. it is possible that there is a problem with the diaphragm, which is innervated at the cervical level, which can lead to incorrect movement of the respiratory muscle, and determine reflux problems, and problems with the thoracolumbar junction which leads to the psoas muscle and the first lumbar vertebrae working badly which can cause the vertebrae responsible for the innervation of the piriformis to malfunction… So a local problem must be treated globally, with a broad vision, to solve it definitively… Well then I hope I have clarified, and shown the reasons for so many failures in a simple and clear way… Follow us on our website https://www.mdmfisioterapia.it or call 0668808629 My equipment: Camera: https://amzn.to/3Gr0wmg Lens: https://amzn.to/3Grgixm Lights: https://amzn.to/3Vqpczq Microphone: https://amzn.to/3WLkQUs Prime Membership: http://www.amazon.it/provaprime?tag=m... 00:00 Where is Gluteal Pain or False Sciatica Located 00:37 Useless Therapies for FALSE SCIATICA 01:55 What is the Piriformis Muscle 02:41 Sciatic Nerve and Piriformis Muscle 03:55 Why Releasing Piriformis Contracture is Not Enough 05:00 How to Treat the Piriformis Muscle 06:08 Gluteal Massage 06:25 Why Posture Should Be Considered in the Treatment of Piriformis 07:29 Old Traumas or Pathologies That Do Not Allow You to Heal Completely 08:07 The Diaphragm as the Engine of False Sciatica 08:35 The Psoas Muscle 09:29 Make an Appointment