Need of advice

[dave]

You have a tight piriformis? That is impinging a nerve? Does it cause butt pain and slight lower back pain. Shooting/stabbing sharp pain when it flares up?
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[buncey]

i play soccer right, and the end of last season i started geting pains all across my lower back, i sit here today with a pain across my back.

running gives me pain in my back, sitting in different positions gives me pain.

 

[ChewOnALiveAnimal]

You have a tight piriformis? That is impinging a nerve? Does it cause butt pain and slight lower back pain. Shooting/stabbing sharp pain when it flares up?
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You thinking Sciatica too? Common injury at my work.

 

[buncey]

mate i have no idea what it is hey, just a thing i live around til today

 

[dave]

I'm thinking piformis syndrome either impinging the sciatica (if the pain runs down the back of his leg) or the superior gluteal nerve (which would be ass pain and radiating up into the lower back just above the pelvis).

Which one is it buncey?
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[ChewOnALiveAnimal]

i play soccer right, and the end of last season i started geting pains all across my lower back, i sit here today with a pain across my back.

running gives me pain in my back, sitting in different positions gives me pain.

Loosely similiar to my issue with my SI joints. I rarely got the shooting pains which discounted Sciatica. In the end Physio worked great (dispite my complete belief it would not). If you have lower back pain you really should get it sorted out. Back pain is hell and affects every aspect of your life if you don't sort it out. Dispite all my weight training and fighting training it turned out I had neglected some small things that ended up magnified. Plus all the weight I have to carry at work over certain areas of my body.

 

[buncey]

Superior nerve

 

[buncey]

i just want someone to set me a good program, daily workout, good increase in mass gain. if someone would like?

 

[ChewOnALiveAnimal]

Have you seen a Dr or some medical expert? You have not made that clear.

 

[Kyle Aaron]

i just want someone to set me a good program, daily workout, good increase in mass gain. if someone would like?

Already been done for you, mate.

I like that last bit. Keeps you in the clear either way.

I don't care about being in the clear, I am indifferent to the law, I am interested only in the welfare of the client. Medical professionals know more than me, clients should listen to them. However, each medical professional comes with their own background. For example, it's very common for doctors to advise, "stop doing this thing that hurts you, just do nothing."

Doing nothing does indeed prevent harm today, they are absolutely right. But it doesn't improve function. So then the person can go to a sports physio, they'll give them exercises and stretches to improve function.

Both are right and should be listened to, but each has their own focus. Both will look after the welfare of clients as best they can.

The process goes like this.

1. "It hurts."
2. "Is it pain or discomfort? It can take a while to get used to this particular exercise."
3. If discomfort, "Suck it up, princess."
4. If pain, "Let's look at your technique, then."
5. If technique is bad, fix technique. Usually, pain disappears now.
6. If technique is good and pain remains, we stop the exercise that hurts them, and "See a doctor."
7. Client says, "okay," and sees a doctor. We follow doctor's advice.
8. Client says, "I don't need to," I say, "If it's not serious enough to see a doctor about, then suck it up, princess, keep lifting." If client now changes their mind, see previous point.

Though I don't care about the law, this is pretty much what the law requires, a reasonable duty of care while being aware of my own standard of care (or scope of practice as the Seppos call it).

 

[ChewOnALiveAnimal]

i just want someone to set me a good program, daily workout, good increase in mass gain. if someone would like?

Fadi has given you the perfect workout, but only after you have your medical issues sorted. If you go ahead without sorting them out, you can get yourself into trouble.

 

[ChewOnALiveAnimal]

I don't care about being in the clear, I am indifferent to the law, I am interested only in the welfare of the client.

I was talking about the ethics and morals of providing advice, not the law. Clear, as in clear on the conscious front.

Sorry I must be tired 'cause I feel like your taking my posts the wrong way each time?

 

[dave]

Superior nerve

Hey welcome to the club mate. Lucky for you I am about qualified to treat this, and have it myself so I have put a lot of research into it. I will put up some info for you soon. How long have you had it though?

 

[buncey]

bout 12 months mate

 

[dave]

Is the pain always there or does it come and go?
Do you get flare ups where it is really painful?
Have you had soft tissue work by a therapist?
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[buncey]

the pain comes and go depends what im doing

 

[dave]

Well the good news is I have found lifting does not increase my pain, though when it flares up I can not lift. I have actually found I get minimal flare ups when lifting and I mostly squat, deadlift, power clean etc etc.

Have you worked out what can make it hurt?

Also keep away from lunges which can stress your glutes while putting you in an unstable situation, if you lose balance you can damage your piriformis (I did the initial injury this way doing weighted lunges). So stick to two feet side by side for lifts so squats are better.

Also you should look into a good massage therapist who knows the condition so they can work on your piriformis. Or if your physio is doing deep tissue work that would be good. A substitute for poor people (read me) is a hard rubber ball and some anatomy knowledge (just read up on the next and you should have a good idea) and ten second presses of the ball while sitting on it in the tender spots. Do this after applying some warmth and then stretch your piriformis. If you go the ball route you can do it 3x a week, but you should stretch after a shower (or warming up) every day.

Now hopefully your physio has talked to you about this but piriformis injuries can(not always) be caused by having tight hip flexors and weak glutes. This commonly makes a arched back, more curve in your lower back than normal. I can not see you so I can not tell you if you have too much of a curve but you can ask your physio about it.

 

[buncey]

thanks alot mate, took it all in!