Hello Somatic Yoga Friends, I'm Megan MacCarthy! This practice explains the difference between sciatica symptoms (also called radiculopathy) and piriformis syndrome, or Deep Gluteal Syndrome. You will learn a number of different ways to release the piriformis muscle and other small muscles in the back of the pelvic region. By releasing these small muscles in and under the buttocks, it can help to stop compression on the sciatic nerve that causes pain in the back and down the leg. You will want a few different sized and textures of balls for the myofacial release at the end, a blanket and perhaps a chair to sit in for part of the practice.
The sciatic nerves go from your lumbar spine all the way to the foot and are about the size of your little finger. Sciatic pain can be caused by the piriformis muscle (piriformis syndrome) or injury to the lumbar spine. These often painful conditions are confused because they share the same symptoms. But "true" sciatic symptoms generally involve an impingement in the lumbar spine like a disc herniation. There are limitations when working with sciatic symptoms that come from the lumbar spine - for instance, folding forward is not recommended because it puts additional compression on the discs of the spine. Piriformis syndrome is more treatable, particularly with somatic movement, as the gentle pandicuation can re-educate muscles that are chronically contracted (like when a tight piriformis compresses the sciatic nerve). Myofacial release with a ball on the buttocks can also help to relieve a sciatic nerve that is impinged by the piriformis muscle.
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