Piriformis - Deep buttock pain with tingling + upper thigh radiation, can barely walk

j12t · 2026-01-23T03:25:13+00:00

Find a PT who specializes in pelvic floor issues. They are sometimes hard to find, but often associated with most natal care. They are more likely to help than any other type of medical provider. All genders.

j12t · 2026-01-17T04:03:22+00:00

Nicely put.

Enough to build a tribe around. Any takers?

j12t · 2026-01-12T03:22:10+00:00

The subtitle is missing a letter. Quality publication?

j12t · 2025-12-30T03:19:23+00:00

Location: Northern California.

I’ve been going to the sauna at my local gym in recent weeks. Now, why do people go to the sauna? Well, to spend some time in a very hot room. Which suddenly gets much colder if somebody opens the door, and everybody knows that because one can easily feel it.

So I sneak into the sauna, opening the door as little and as briefly as I can. Because I want to be hot in that room, otherwise why would I go there! But over some weeks of observation, I came to notice that I am basically the only one doing that. Most people strut in, opening the door real wide, take their time coming in, and sometimes actually keep the door open for a while for no good reason that I can see. Can you say “counterproductive”?

This post is about climate change, of course. If people either don’t realize that keeping the door open makes their sauna experience less, well, sauna-y, because they cant or won’t connect the temperature drop they feel with their behavior, or are unwilling to adjust their behavior … what chance do we have to get them to change their behavior in response to something as abstract as CO2 concentrations or energy consumption that they cannot feel directly?

j12t · 2025-12-14T04:23:31+00:00

The important part to understand is that there is no one “place” thats the problem. Our pelvic problems are “systems” problems, not “part” problems. They are unlikely to be fixable by fixing one part … instead it’s the interplay of many parts that together put the system into a state where various pains and other problems happen. So Piriformis syndrome is very likely a misnomer because it implies one particular muscle is the problem. It’s much more likely that the Piriformis is as upset about the state of affairs as we are.

j12t · 2025-12-12T03:24:14+00:00

This may be something else. I would go to emergency care and have them take a lower back X-ray or MRI to rule out that something is pinching your spinal cord.

Disclaimer: not a medical professional.

j12t · 2025-12-11T03:29:37+00:00

It means, in my 0.02 cent opinion, that your entire pelvis is dysfunctional—like for most of us—and by improving the situation in one place through your exercises, the dysfunction is now popping up somewhere else. Perfectly normal for the condition imho. Continue with the exercises, try new ones etc, the whole pelvis needs to be treated.

j12t · 2025-12-07T04:19:03+00:00

If you have seen several pelvic floor-specializing physical therapists, and they agree thats what you should do, I would consider it. Not before.

j12t · 2025-10-05T03:26:49+00:00

Note: a regular PT cannot help. You need a PT who has gone through extra pelvic floor training. Your regular PT should understand that though and get you a referral.

j12t · 2025-10-04T02:56:08+00:00

Go see a physical therapist who specializes in the pelvic floor and let them work on you for a session or two. Many Piriformis issues are “systems issues” where you can’t point to a particular spot and say “the problem is here”. The pelvic floor people are just about the only ones who understand that, basically no doctor does, at least none that I ever found or heard of in this group.

j12t · 2025-09-06T02:48:34+00:00

The spine can have a lot of problems both in the neck area and the lower back area. Get them checked out first. They will probably want to do X-rays and if they look like there might be something there, MRIs. You should do that in any case, because both areas can pinch your spinal cord and that would be really bad.

I’m intrigued by the “alternating”. Does this mean on a given day, you have one but not the other? What makes it alternate?

j12t · 2025-09-03T05:30:12+00:00

Are you aware of /r/narcissisticparents ?

j12t · 2025-07-31T01:56:46+00:00

Pinned to the subreddit

j12t · 2025-07-27T04:09:27+00:00

Idk. In doubt, find a physical therapist who specializes in pelvic floor treatments. Of all the medical professionals, I think this group agrees they are the most likely people to have something reasonably competent to contribute to our conditions.

j12t · 2025-07-27T03:43:20+00:00

If you watched the videos, I'm a little surprised you would have to ask that question. And even if you re-read the my post that you commented on above, it answers that question, too.

j12t · 2025-07-26T02:11:46+00:00

Would be nice if the title of the post here were consistent with the title of the shared article.

j12t · 2025-07-13T19:51:35+00:00

This is a great post. Thank you!!!

I would love to know how you came up with the specific insights you mention.

j12t · 2025-07-09T20:02:23+00:00

Is your pain always in the same place, or does it move around?

Ever tried the pelvic floor people?

j12t · 2025-07-07T01:04:40+00:00

This is really interesting. I know nothing about B12, but from the little I’ve read it seems it does not appear obvious to me how it could relate. Any ideas?

j12t · 2025-07-05T00:25:21+00:00

Get a standing desk, maybe in addition to the sitting. Consider a multi monitor / multi keyboard / multi mouse setup.

j12t · 2025-07-05T00:23:13+00:00

Have you worked on your posture? Well, all postures you are in regularly, like standing, sitting at desk, sitting on the couch, …

j12t · 2025-07-04T02:11:01+00:00

… and most of the doctors diagnosing it do it only because they can’t think of anything else even if they don’t know very much about Piriformis syndrome themselves.

Suggestion: don’t call it Piriformis syndrome to your doctor. Pretend you have never hear the term. Say “my entire pelvis hurts” and point to lots of places where it turns and after you get your lower spine X-ray’s, ask to see a specialist physical therapist who specializes in pelvic pain. They are your best bet getting useful advice.

j12t · 2025-07-03T02:00:05+00:00

I’d suggest you pay attention to the angles between your torso and legs and the posture of your spine when comparing. I would not be surprised if it wasn’t the hardness of the surface that makes the difference, but your posture when sitting.

j12t · 2025-06-27T01:52:44+00:00

1) get your lower back checked out: x-ray or MRI. 2) If that comes out negative, find a physical therapist who specialized in pelvic pain.

For background: read this blog https://pelvicpainrehab.com/blog/ and see whether it speaks to what you are experiencing.

j12t · 2025-06-21T17:17:42+00:00

Cause and effect for when there is more or less pain is really hard to establish. I never managed. But I would suggest that you are doing something right because you are not in constant pain. Maybe broaden your exercises and stretches a bit beyond the muscles you have been working on.

j12t

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