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This makes total sense. I’m an OT with new dx of L4/L5 11 mm disc herniation. Going to start PT Friday which is covered by insurance. I’m a little nervous because I want someone who is specialized. I do know a specialized PT but it’s out of pocket. I’m afraid to go in and it making it worse doing the wrong things. What’s your advice? I’m a mom of three also so I don’t have time to have a lapse in care lol

What should do if both sides hurt ?

Dr. Charlie, thank you so much for this video! I am having so many problems since having L5-S1 ALIF w posterior spinal fusion surgery. Had surgery on 9/19/22, never regained feeling in lower back or thighs. Started having electric shock feelings in my lower back and both back side of legs. Having lots of tingling, burning up around my bra strap and higher to my neck. Please help!!! Sincerely, Kathy

I have a period of sciotic pain twinges. i heard they’re called “flare ups”? These flare ups normally last about a week to 10 days. Anyway for starters i can NOT get out of bed in the morning without painful twinges. nor can i sit for and hour and get up without a twinge. Sometimes a twinge can happen when i do nothing when i lay down on my back on a heating pad. I hear a lot of walking does good. what are your thoughts?

This a great, although long winded, explanation of a negative feedback loop. He’s not saying the McGill big 3 are bad. He’s saying anything can be bad if, in reality, it reinforces fear and avoidance for you personally.

This a great, although long winded, explanation of a negative feedback loop. He’s not saying the McGill big 3 are bad. He’s saying anything can be bad if, in reality, it reinforces fear and avoidance for you personally.

Excellent explanation of sciatica compression.

That belt was way too high. It should be under the butt, across your side pockets in your pants. It is to keep your legs together so they don’t splay out and sheer the si joint and ligaments.

I mean no disrespect at all as you obviously know your stuff but allow me to say that the orthopedic clinic I go to is very good, they do the work for national football teams and more. I had a ct and an xray and yes sciatica and it’s in the hip and especially the calf. In fact it’s non stop pain in the calf. My rehab person does great work along the nerve and always feels better afterwards. I know it’s temporary but it’s releasing the nerve as you know. My point of this story is that I was told today to do the hip stretch (no 2 you showed) and you are saying don’t. So it’s very hard to accept. I know what you are saying but you can’t speak for everyone when you say don’t do this or that as each condition is different. Am I wrong?

thanks its nice to hear another perspective

Thank god for people like you , I’m struggling with nerve pain

Could crossing your legs have effects on peroneal nerve and numbness in feet and weak calfs?

YES YES YES I had sciatica issues in 2021 and I totally believe the Dr and his shots, Chiropractor and his twisting methods made it inflame worse and took a lot longer to heal. Now I am dealing with the other side and doing walking and minimal stretching and to be honest it still aches however with my first round, I was screaming in pain, this time I am just grumbling. Thank you for this video.

hi Dr Charlie bit of a description writing out but hope you read this, first off though was a great testimony happy the lady got her problem sorted you are a rare breed in the industry I'm coming to realize, so my problem for over 2 years my L5 L4 disc's slip out of alignment and need continuously resetting, pushing my fists into lumbar spine while bending back until get the crack, does the trick giving much needed relieve but unfortunately within half hour sometimes less need to do it all over again, finally had enough went to doctor got an xray, shows S1 l5 L4 have shortened (ONLY MODERATE FROM WHAT MY DR THINKS), dr said physical therapy will fix it but I've been very motivated with exercises targeting the QL muscle core conditioning blah blah but still have to re set my disc's back into place DOESN'T MATTER WHAT i DO, I'm really unsure what to do apart from booking into a spine specialist getting mri scan etc dr basically laughed at me when said I think it's quite serious and might need mri maybe would need disc fusion operation, so my question, is that an alarming lumbar spine issue? have you dealt with this back issue before? manually resetting at least 10 times a day sometimes more depends, it's exhausting I'm mostly fine when can reset them back into place but when not I'm a sneeze away from herniated disc's which use to happen quite often, can't seem to find much online information for what my back does, I'm talking loud cracks that sound like 2 bowling balls making contact, you seem very passionate and have empathy for back problems in people don't expect a reply just interested to see what you think of this back problem, from what I have researched this might be a disc fusion operation but again the dr said that's very unlikely, I really can't fathom a weak back can make the disc's slip out to the degree I have, I'm also fit healthy flexible- strong core all that jazz just have 3 disc's that don't wanna stay in anyway cheers if you answer

Why you talk to us like 5 years old😅

Bending back or mckenzie hurts. Everyone says mckenzie but it hurts. I have herniated disc. I too scared to bend forward it used to hurt

So glad to find you. You are a God send.

For chronic back pain, sciatica and muscle tightness, search for anyone who has a very good review doing myofascial release. My MRI showed pinched nerve, degenerative bone disease etc etc but myofascial release was the only thing that took the pain away. Not even epidural pain injections.

Thanks 🙏🏼 this helped me perfectly....

Physio gave me some of those. Minor sciatica pain became so severe I could only stand or sit for a couple of minutes and barely walk. Stopping them and using inversion table saved me.

Does sciatica due to disc bulge ever go away? Im in severe depression (im a runner)

Great video thank you!

Walking, and going up stairs, sitting, applied the logic, the belt helps. I can’t do that bridge to put the best on while laying down. Bridges cause pain. 18 weeks p.o. L4-L5 fusion. Surgeon says SI joints can cause pain after a fusion and usually get resolved in about a year.

I have cervical stenosis, thoracic outlet syndrome, sciatica, and lower lumbar issues... I feel like whenever I try to stretch one area. I'm straining another any tips for someone in my position

So how do we get relief aside from paying you to tell us?

Yoga everyday

Im thinking i have a herniated disc possibly l2 or 3. I re-injured myself today and my pain is the worst its ever been. Hilariously i hurt myself while relaxing laying in bed with my feet up i could feel my back stretching in a weird way and didnt correct it, that was 3 days ago, i woke up ok this morning and went to work where i bend, lift, kneel and stoop a bunch. By lunch i couldnt sit, my leg started spasming right above my knee on my right side (it did this the rest of the painful evening). On my fortunately very short drive home i was trying to lay down flat bc sitting is so painful. The pain is on my outter hip wraps over my front thigh. My back hurts from laying down so much but it hurts to stand too. Thank you for having videos explain what is causing these syptoms.

It seems like anything you do at all is wrong and potentially causing compression or tension 🤷🏻‍♂️

I’ve never gotten good results from flossing the sciatic nerves. It just seems to get the nerve barking. Since I have arthritic stenosis I imagine I’m stretching a cord with someone standing on the middle of the cord - not flossing it, but tugging on a cord that has no slack

Thank you for sharing, Dawn. Your experience was inspiring and gave me more hope that there's a light at the end of the tunnel. Thank you, doc.😊

Would it be reasonable to conclude that passive hanging and/or doing pull ups would tension the sciatic nerve?

Does piriformis cause discomfort in calf? How do you relieve the calf discomfort? I’ve been icing it.

Wow you just named all the stretching exercises I perform. Ive been in Xtreme pain crippled over since 2015. All due from super ill facia and numerous muscle tears in the pelvic, thigh, groin, adductors (inner thigh) glute calf knee. All these tears are from dehydration experiencing Charlie horses to the point of muscles rupturing then laying in bed for close to two years in a bent knee position muscle healing in that position. I had to stretch or re-tear the muscles with tacky facia. The pain was beyond horrific unimaginable pain my body would shake uncontrollably when I tried to strengthen my leg. Today after working with a teeter for three years my left leg will straight only to go back into a bent position. It’s much much better and my posture has improved significantly however, I continue to need these stretching exercises and my left foot points in a abduction-away from my right foot while the right foot naturally tilts addduction (towards the left foot). I have sever pain in my left tfl inner thigh at the origin area, under my left glute, hamstring and both sides of my left calf muscle. It’s been challenging and my recovery takes two or three days lying in bed. Otherwise, I can’t lift my leg to walk. I can only do 2 to 4 hours a day then lay in bed for the remainder of the day. I’ve been to physical therapist and they never seen anything like it. It’s been torture beyond. I couldn’t bend my leg or straighten it now I can but it took 7 years. Isn’t the reason why doctors are called a practice is because we need to try this or that to find the corrective measures? I use a message gun thumb tools Myofascia release balls and rollers all different kinds of gadgets. But watch this if I lay in bed for 3 days and do mild stretches just rest do not use the Thera gun message tools, I can walk for about 40 minutes then I go right back into regression. It’s like my wounds open back up. Yeah I know crazy but it’s true. I’d give anything to be able to walk run jump and jog again. Do you have any advice? Thank you 🙏

What is a reverse lumbar stretch?

Watching this helped me figure out what is causing the pain in ny rear. I have a nasty habit of sitting on my right leg while working 9 hrs per day. My right leg definitely rotates out looking like a duck foot. Now the break the habit and do these exercises! Thank you sir!

Could I ask what a ‘pelvic drop in’ is Not sure if I heard this right? Thanks if you can answer.

Does not work

Thank you very much. My own lower back pain is often very severe (I'm very early in my recovery), and your instructions and her demonstrations are extremely helpful.

Informative video. I can tell you care about your patients.

I spinal forminal Stenosis what should I do?

Same thing here I was told arthritis and then radiopathy too. Also went to PT and it made it worse

I've had bilateral hip replacement 8 yrs ago ,I'm now 59yrs old,,very confused,not sure if I have sciatica,,or herniated disc, have pain in the middle of my back ,going to liwer back ,and feel weakness in my hips ,also find it difficult to stand after sitting for a long time,,don't which one is it please advise Thanks

Can you do this with SI joint pain?

I have found that many doctors are encouraged not to order more than a few MRIs for people over 70 because of Medicare. The assumption is that your back is too far gone to fix anything. Glad that you are showing people that are making improvement. It takes time, it can be done. All the best.

Charlie what about people who lift weights and do Zumba etc? I want to continue to do the things that make me happy, strong etc and so many movements that are considered proper form for increasing leg strength... those are going to be deep squats, leg press etc and will be acute trunk angles... and in Zumba the hips are moving side to side and purposely letting the other hip drop and one jutting out.. also in strengthening the glute medius there see may exercises where you drop that hip and then push into the opposite side to work that muscle and grow it. I don't have sciatica pain but at times my pirifornis gets cranky. My issue is the SI joint from all of your diagnostic tools and also from the one PT that I used to work with that I trusted.

What do you do if you have these issues but your back is fused from scoliosis surgery. From T2 to l1 with hardware?? My orthopedic surgeon is of little help besides just telling me I have a deformity. Any suggestions?

Good video Charlie! Im having trouble sleeping (ache/weird sensations in both legs right side more than left) because I'm a side sleeper and I tend to bring my knees up at 90 degrees. Ive tried to sleep on my back but I don't feel comfortable. Any idea on how to get more comfortable at night? Thanks

Massage is good then for muscles. But not sciatic nerves?

Makes perfect sense

Very interesting and seems logical. Can you also treat butt pain due to diseases like avn or autoimmune conditions such as arthritis or ankylosing spondylitis?