Before we get into the Kidner Procedure, it's important to give a little background on the foot anatomy itself.
The Basic Anatomy of the Foot
To appreciate the importance of the accessory navicular, let's delve into the basics of foot anatomy.
Our feet are made up of three main types of bones: tarsals at the back, metatarsals in the middle, and phalanges, which are the toe bones. Among the tarsals, there are usually seven bones, including the navicular. This bone sits between the ankle bone and the smaller tarsal bones, forming a crucial part of our foot structure.
Understanding this basic foot anatomy sets the stage for grasping the role of the accessory navicular in our overall foot health.
What's an Accessory Navicular?
The human foot is a complex structure composed of various bones, and anomalies can sometimes occur, leading to discomfort and pain.
One such condition involves the presence of an accessory navicular. The accessory navicular is an additional bone that can be found along the inner center arch of the foot. Approximately 2.5 percent of individuals are born with this extra bone, though it often goes unnoticed during early childhood. While not all accessory navicular bones cause discomfort, as individuals grow and engage in physical activities, the accessory navicular may become more prominent, potentially causing discomfort or other foot-related issues, particularly during activities such as walking or engaging in sports.
In some cases, medical attention may be required to address any symptoms or complications associated with this anatomical variation. In this article, we will delve into the intricacies of the accessory navicular and explore the Kidner Procedure, a surgical solution designed to alleviate the associated discomfort.
Why you can trust us:
We believe in the power of specialization. What that means is that we have multiple orthopaedic ankle and foot specialists who treat foot and ankle orthopaedic injuries daily.
We have Ankle and Foot Physical Therapy - our orthopaedic ankle and foot team sees it every week, so you can trust the care you'll receive at POA.
What Does it Feel Like to Have an Issue With an Accessory Navicular
Having this extra foot bone commonly goes noticed. So how can you tell if your foot pain may be related to an accessory navicular? Below is a list of the symptoms you could be experiencing and a list of at-home treatments you can use to try to reduce your discomfort while you wait to see a foot specialist.
Symptoms That Could Mean You Have an Accessory Navicular
Persistent pain or discomfort along the inner arch of the foot
Swelling or tenderness in the affected area
Difficulty wearing certain types of shoes due to irritation
Pain exacerbated by physical activities or prolonged periods of standing
Visible prominence or bump on the inner side of the foot
Limited range of motion in the affected foot
Redness or warmth around the accessory navicular site
Gradual onset of symptoms, which may become more pronounced over time
Discomfort that may interfere with daily activities and physical pursuits
Potential development of flat feet or changes in foot arch structure
How to Reduce Irritation From an Accessory Navicular
Rest: Give your foot a break and avoid activities that exacerbate the pain.
Ice: Apply ice to the affected area for short periods to help reduce inflammation.
Elevation: Elevate your foot when resting to minimize swelling.
Over-the-Counter Pain Medications: Non-prescription pain relievers like ibuprofen or acetaminophen may help manage pain.
Supportive Footwear/Orthotics: To reduce pressure on the accessory navicular, wear shoes with good arch support and cushioning. Consider over-the-counter or custom orthotic inserts to provide additional support and alleviate discomfort.
Modify Activities: Steer clear of high-impact activities that strain the feet excessively, such as running or jumping. Adjust your daily activities to minimize standing or walking for extended periods until you can consult with a specialist.
Why Does an Extra Foot Bone Cause Pain?
When you have an accessory navicular, it can sometimes cause trouble for a tendon in your foot called the posterior tibial tendon. This tendon helps support your arch and foot movement. But with the extra bone hanging around, it might rub against the tendon, causing irritation and, over time, persistent pain. This kind of discomfort can really mess with your day-to-day activities and make it harder to enjoy physical stuff like walking or playing sports. So, it's not just a small thing – it can genuinely affect how you go about your daily routine and stay active.
What is the Kidner Procedure - A Solution for Pain Relief
If you're dealing with pain because of that extra bone in your foot (the accessory navicular), there's a solution called the Kidner Procedure that can really help. This is a surgical fix that focuses on getting rid of the extra bone, which, in turn, can ease the pain you've been feeling. By taking out that pesky extra bit, the procedure aims to bring relief and let you get back to using your foot the way you're used to. It's like a key to kick that discomfort out and help you regain your normal foot function.
The Surgical Process
What is The Kidner Procedure?
The Kidner Procedure is a surgical procedure that begins by separating the accessory navicular from the posterior tibial tendon. After successfully isolating the extra bone, the surgeon proceeds to remove it from the foot altogether. Once the accessory navicular has been excised, the posterior tibial tendon is reattached to the appropriate navicular bone, restoring the structural integrity of the foot.
How is The Kidner Procedure Done?
To perform this procedure, the surgeon typically makes a small incision on the side of the foot, ensuring precision and minimal disruption. This incision serves as the gateway for the surgical maneuvers. After the entire procedure is completed, the incision is carefully closed with stitches, allowing for proper healing. It's a meticulous process aimed at addressing the root cause of the discomfort and ensuring that the foot can heal and function optimally after the surgery.
Recovery & Rehabilitation
What to Expect After The Kidner Procedure
After the Kidner Procedure, the road to recovery usually takes about six weeks. During this time, it's common for patients to rely on crutches to take the weight off their healing foot.
This initial phase is super important because it gives your foot the time it needs to heal up properly. As the recovery moves along, you should start feeling a lot better, with a noticeable drop in the pain that the accessory navicular was causing.
It's like hitting the reset button on your foot troubles, and by the end of those six weeks, you'll likely be well on your way to walking and moving around more comfortably.
The Kidner Procedure stands as a beacon of hope for individuals grappling with persistent foot pain attributed to the accessory navicular. By understanding the intricacies of this condition and the surgical solution offered by the Kidner Procedure, individuals can make informed decisions about their healthcare, seeking lasting relief and an improved quality of life. If you think you are potentially suffering discomfort from an extra foot bone and want to consult with our specialists, you can send us a message online, call us: (609) 924-8131, or text us: (609) 293-2816; We are here to help you get back on your feet.
Decoding Back Pain and Its Impact on Daily Life
This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.
If you regularly wonder, "Why does my back hurt," you're not alone; it is a prevalent ailment, especially for those 45 and over. Back pain can significantly disrupt daily life, whether in the upper or lower regions. From persistent aches to sharp discomfort, understanding the causes is pivotal. In this comprehensive guide, we explore the common factors at the root of upper and lower back pain, offering practical at-home solutions and emphasizing the importance of targeted stretches.
Why you can trust us:
We have multiple Orthopaedic Spine & Back Specialists who treat spine & back-related injuries every day.
We have the Spine and Back Institute with a team of world-recognized back specialists, orthopaedists, and therapists who have focused solely on back, neck, and spine health issues for over 15 years.
We have a whole-body health approach when it comes to orthopaedic spine, neck, and back health. The health of the entire body is connected to your back.
Understanding why your back hurts is crucial for finding relief. These are some common causes of back pain:
Muscle Strain
Muscle strain is a common cause of back pain, often resulting from overexertion, sudden movements, or improper lifting techniques. When muscles are forced to work beyond their capacity or subjected to awkward positioning during lifting, it can lead to microtears in the muscle fibers, causing pain and discomfort.
This impacts back pain because strained muscles may become inflamed and tender, leading to localized upper or lower back pain. Common symptoms include stiffness, muscle spasms, and difficulty moving the affected area. Proper lifting techniques, adequate warm-up, and muscle-strengthening exercises can help prevent muscle strain.
Poor Posture
Poor posture, such as slouching or sitting in a hunched position for extended periods, can contribute significantly to upper and lower back pain. Incorrect alignment puts excessive pressure on the spine, leading to strain on the supporting muscles and ligaments.
Over time, poor posture can cause structural changes in the spine and contribute to chronic back pain. It often results in imbalances that affect the spine's natural curvature, causing discomfort and stiffness. Ergonomic adjustments and regular breaks to stretch and correct posture are crucial in mitigating this cause of back pain.
Herniated Discs
A herniated disc occurs when the soft inner material of a spinal disc protrudes through the tough outer layer. This can happen due to sudden injury, wear and tear, or aging. The protrusion may irritate nearby nerves, leading to pain, numbness, or weakness in the back and limbs.
Herniated discs can cause localized pain in the affected area of the back and may result in radiating pain, tingling, or numbness along the nerve pathway. Activities that involve bending, lifting, or sitting for prolonged periods can exacerbate symptoms. Treatment may include rest, physical therapy, and, in some cases, surgical intervention.
Arthritis
Various forms of arthritis, including osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis, can affect the spine. Rheumatoid arthritis is an autoimmune condition causing inflammation. Osteoarthritis, in particular, involves the gradual degeneration of cartilage in the joints.
Arthritis can lead to stiffness, pain, and reduced flexibility in the affected joints, impacting the spine's range of motion. Chronic inflammation may contribute to the development of bone spurs and joint deformities, intensifying back pain. Arthritis management often involves a combination of medication, physical therapy, and lifestyle modifications.
Structural Issues
Structural issues in the spine, such as scoliosis (abnormal curvature), kyphosis (excessive rounding of the upper back), or lordosis (exaggerated inward curve of the lower back), can result from congenital factors, developmental issues, or degenerative changes.
Irregularities in the spine's structure can lead to persistent back pain and discomfort. Depending on the nature and severity of the structural issue, individuals may experience varying degrees of pain, muscle imbalances, and difficulties with posture. Treatment may involve physical therapy, bracing, or, in severe cases, surgical intervention to correct the spinal alignment into common culprits for both upper and lower back pain.
Identifying habits and activities that worsen back pain is crucial for overall relief. Explore these contributors for both upper and lower regions:
Poor Sleeping Positions:
Finding the best sleeping position is crucial for alleviating upper and lower back pain and promoting spinal alignment.
The best sleeping positions for back pain are:
Sleeping on your back with a pillow supporting your neck and another beneath your knees can help maintain the natural curve of your spine.
Alternatively, side sleeping, with a pillow between your knees, can also reduce strain. Avoiding stomach sleeping is recommended, as it can lead to neck and back strain.
Sedentary Lifestyle:
A sedentary lifestyle contributes significantly to both upper and lower back pain. Here's why:
Lack of physical activity weakens the muscles that support the spine, leading to increased stress on the back.
Regular exercise, especially activities focusing on core strengthening, can help improve posture and reduce the risk of back pain.
Simple exercises like walking, swimming, or specific back-strengthening routines can make a significant difference.
Heavy Lifting:
Improper lifting techniques can strain the back muscles immensely, leading to injuries and pain. When lifting heavy objects, it's essential to use proper body mechanics.
Bend at the knees, not the waist.
Lift with your legs.
Keep the object close to your body.
Avoid twisting while lifting.
Don't attempt to lift objects that are too heavy. Instead, ask for assistance or use mechanical aids. Understanding and implementing correct lifting techniques can prevent unnecessary strain on the back muscles.
Stress:
Emotional stress can manifest physically and intensify both upper and lower back pain.
Stress triggers the body's "fight or flight" response, leading to muscle tension and increased sensitivity to pain.
Chronic stress can contribute to long-term back issues.
Managing stress through relaxation techniques is a great way to help alleviate both the emotional and physical components of stress-related back pain. Deep breathing, meditation, and yoga can all help decrease stress as can participating in activities that bring you joy and relaxation. This can subsequently help to alleviate back pain.
Actions You Can Take at Home to Reduce Back Pain
Practical steps to manage back pain at home involve adopting healthy habits and making mindful choices. Explore these solutions applicable to both upper and lower back regions.
Ergonomic Workspace
Creating an ergonomic workspace is essential for reducing back strain. Start with a chair that supports the natural curve of your spine, allows you to sit back fully and have your legs bend, and allows your feet to rest flat on the ground or foot rest. Position your computer screen at eye level to help prevent neck strain. Use a keyboard and mouse that enable relaxed arm positions. Taking breaks to stretch and change positions throughout the day further promotes good posture and reduces the risk of back discomfort associated with prolonged sitting.
Regular Exercise
Frequent exercise is important for maintaining the strength and flexibility of both core and back muscles. Incorporate exercises that focus on these areas, such as gentle stretches, yoga, or Pilates. Strengthening the core provides stability to the spine, reducing the risk of back pain. Additionally, aerobic exercises like walking or swimming improve overall fitness and can contribute to a healthy back.
Proper Lifting Techniques
Understanding and implementing proper lifting techniques is paramount in preventing back strain and injuries. When lifting objects, use your legs to bear the weight instead of relying on your back. Bend at the knees, keep the object close to your body, and avoid twisting while lifting. This technique minimizes stress on the spine and reduces the risk of muscle strain. Regularly practicing and reinforcing these proper lifting habits can significantly contribute to maintaining a healthy back.
Supportive Sleep Environment
Investing in a supportive mattress and finding the best sleeping position are crucial for back pain relief. A mattress that aligns with the natural curvature of your spine provides adequate support. Back sleepers can benefit from having a medium-firm mattress, while side sleepers can find comfort with a slightly softer mattress and a pillow between their knees. You can experiment with different pillow placements and sleeping positions until you discover what works best for you. Ensuring a supportive sleep environment is essential for waking up with reduced upper and lower back pain.
Hydration and Nutrition
Staying hydrated and maintaining a balanced diet are fundamental elements of supporting overall health, including back health. Proper hydration ensures that spinal discs have sufficient fluid for shock absorption and flexibility. A balanced diet that includes nutrients like vitamin D and calcium contributes to bone health. Also important is maintaining a healthy weight through proper nutrition; this reduces the load on the spine and can reduce the risk of back pain. Aim for a well-rounded diet and stay hydrated.
Stretches For Back Pain
Incorporating stretches into your routine is key for managing both upper and lower back pain. Here are some upper back stretches that may help alleviate pain:
Stretches for Upper Back Pain
Neck Tilt:
Tilt your head to one side, bringing your ear toward your shoulder. Hold for 15-30 seconds and switch sides.
Neck Rotation:
Slowly turn your head to one side, holding for a few seconds, then switch to the other side.
Cross-Body Arm Stretch:
Bring your right arm across your chest. Use your left hand to gently pull the right arm closer to your chest. Hold for 15-30 seconds and switch sides. This stretches in the area of your shoulder blades.
Cat-Cow Stretch:
Start on your hands and knees. Arch your back upward (like a cat), then drop your belly and lift your head (like a cow). Repeat for 1-2 minutes.
Seated Thoracic Extension:
Sit tall and clasp your hands behind your head. Arch backward, emphasizing the stretch in your upper back. Hold for 15-30 seconds.
Pec Stretch in a Doorway:
Stand in a doorway with your arms bent at a 90-degree angle. Place your forearms on the doorframe and lean forward slightly, feeling the stretch in your chest and upper back.
Stretches for Lower Back Pain
Child's Pose:
Kneel on the floor, sit back on your heels, and reach your arms forward. Hold for 30 seconds to 1 minute, feeling the stretch in your lower back and hips.
Cat-Cow Stretch:
From hands and knees, arch your back up (like a cat), then drop your belly and lift your head (like a cow). Repeat for 1-2 minutes, promoting flexibility and relieving tension.
Pelvic Tilt:
Lie on your back with your knees bent. Tighten your abdominal muscles, pressing your lower back into the floor. Hold for a few seconds, then release. Repeat 10-15 times.
Seated Forward Bend:
Sit with your legs extended in front. Hinge at your hips, reaching toward your toes. Hold for 30 seconds, feeling the stretch in your lower back and hamstrings.
Knee-to-Chest Stretch:
Lie on your back, bring one knee to your chest, and hold for 15-30 seconds. Switch legs. For a deeper stretch, bring both knees to your chest simultaneously.
Piriformis Stretch:
Cross one leg over the other while seated and gently pull the knee toward your chest. Hold for 15-30 seconds and switch sides to target the piriformis muscle in the buttocks.
Always consult a healthcare professional before starting a new stretching routine, especially if you have pre-existing health conditions or concerns about back pain. Stretching should be done gently and within a comfortable range of motion to avoid exacerbating any existing issues.
Icing or Heating Back Pain When to Use Each
Icing and heating can both be helpful when it comes to back pain, but it is important to know when to ice and when to heat, as well as for how long and how often.
When to Ice for Back Pain:
Immediate Injury or Acute Pain:
Use ice within the first 48 hours of an injury or the onset of acute pain to reduce inflammation and numb the area.
Swelling and Inflammation:
Ice is effective for reducing swelling and inflammation associated with injuries or conditions causing acute back pain.
After Intense Physical Activity:
Apply ice after intense physical activity to alleviate any strain or microtrauma to the back muscles.
How to Apply Ice:
Ice Pack:
Use a commercially available ice pack or a bag of frozen peas wrapped in a thin cloth.
Apply the ice pack to the affected area for 15-20 minutes.
Ice Massage:
Freeze water in a paper cup, then peel away the top to expose the ice.
Massage the affected area in a circular motion for 5-10 minutes.
Cold Compress:
Soak a cloth in ice water, wring it out, and place it on the back.
Keep the compress in place for 15-20 minutes.
Important notes for applying ice: Apply ice for 15-20 minutes at a time and repeat every 2-3 hours. Allow the skin to return to normal temperature before reapplying.
When to Use Heat for Back Pain:
Chronic Pain or Stiffness:
Heat is beneficial for chronic back pain or stiffness, as it helps relax muscles and improve flexibility.
Muscle Spasms:
Heat can be applied to relieve muscle spasms and promote blood flow to the affected area.
Before Physical Activity:
Use heat before engaging in physical activities to warm up the muscles and prevent strain.
How to Apply Heat:
Hot Compress:
Use a hot water bottle, heating pad, or commercially available hot compress.
Apply to the back for 15-20 minutes.
Warm Bath:
Soak in a warm bath with Epsom salts to relax muscles.
Limit bath time to 20 minutes.
Warm Towel:
Wet a towel with warm water, wring it out, and apply it to the back.
Leave in place for 15-20 minutes.
Important notes for applying heat: Apply heat for 15-20 minutes as needed. Always allow the skin to cool down before reapplying, and avoid prolonged or continuous application to prevent burns and skin irritation.
Always consult with a healthcare professional to determine the most suitable approach for your specific back pain condition. Individual responses to ice and heat can vary, and certain medical conditions may require specific considerations.
Chronic Back Pain: A Sign of a Serious Issue?
In conclusion, decoding why your back hurts empowers you to take control of your well-being. Adopting healthy habits, incorporating stretches, and knowing when to seek professional help can pave the way to a life with less upper and lower back pain. Remember that while lifestyle changes can alleviate back pain, chronic pain may indicate a more serious issue. If back pain persists or worsens, we highly recommend a consultation with a POA spine specialist for a thorough evaluation.
Meet our Spine & Back Experts
What is Turf Toe?
Turf toe, a prevalent injury plaguing athletes engaged in dynamic sports like football, soccer, and basketball, arises from the hyperextension of ligaments around the big toe joint, particularly on unforgiving surfaces such as artificial turf or hard grounds. This comprehensive guide navigates through the intricacies of turf toe, elucidating its causes, symptoms, diagnosis, treatment options, and preventive measures. As we unravel the nuances of this common athletic ailment, athletes and sports enthusiasts will gain valuable insights into understanding, managing, and, importantly, preventing turf toe for an uninterrupted and active sporting lifestyle. We will guide you through the intricacies of turf toe, covering its causes, symptoms, diagnosis, treatment options, and preventive measures.
Why you can trust us:
We believe in the power of specialization. What that means is that we have multiple orthopaedic ankle and foot specialists who treat foot and ankle orthopaedic injuries daily.
We have Ankle and Foot Physical Therapy- our orthopaedic ankle and foot team sees it every week, so you can trust the care you'll receive at POA.
Turf toe transpires when the big toe joint undergoes forceful hyperextension, causing ligaments to stretch or tear.
Athletes engaging in sports featuring sudden movements, stops, and turns are especially prone to this injury, impacting the plantar plate beneath the big toe.
Symptoms include pain, swelling, bruising, and instability at the base of the big toe, making walking and bending challenging.
Causes of Turf Toe
Understanding what causes turf toe is crucial for athletes.
It results from intense, abrupt motions, such as forceful upward heel movement beyond designed limits during activities like quick turns, stops, and running.
The toes and ankles endure immense pressure, leading to overstretching or tearing of the plantar plate.
Symptoms of Turf Toe
Recognizing turf toe symptoms aids in timely intervention. Common signs encompass:
Pain on hard surfaces
Swelling
Bruising
Instability at the big toe's base
Decreased toe movement
Difficulty bearing weight on the affected foot.
Diagnosis of Turf Toe
Accurate diagnosis ensures effective treatment. Our physicians conduct a detailed consultation, which may include the following:
A physical examination
Order imaging tests, including X-rays or MRIs, to assess the injury's severity
A personalized and comprehensive treatment plan for your condition and goals
Meet Our Specialists
This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.
Turf Toe Treatment
Effective turf toe treatment involves a multi-faceted approach
Rest and Ice Therapy: Resting the foot and applying ice to alleviate inflammation.
Compression and Elevation: Using compression bandages for swelling and elevating the foot.
Pain Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) provide pain relief.
Footwear and Orthotic Inserts: Wearing stiff-soled shoes with orthotic inserts reduces strain.
Surgery (in severe cases): Surgical intervention may be considered for significant injuries.
Preventing Turf Toe
While prevention can be challenging, athletes can minimize risks by:
Turf toe, a common injury with roots in forceful athletic movements, demands prompt attention. Employing rest, ice therapy, compression, and elevation can mitigate symptoms. Additionally, wearing appropriate footwear and engaging in muscle-strengthening activities are crucial for prevention. If you suspect turf toe, consult with the experts at Princeton Orthopaedic Associates for precise diagnosis and tailored treatment plans. Discover relief and regain your active lifestyle with our dedicated team.
“We are active members in the community, so it is not uncommon for us to see our patients at the grocery store, at school meetings, or in the gym. We take pride in serving them, because when we do, we know we’re doing our part to take care of our community.” - Dr. Jon Ark
What Is The Piriformis Muscle?
The human body is an intricate network of muscles, each with its unique role in facilitating daily movements. While some muscles garner widespread recognition, others operate discreetly yet wield substantial influence over our well-being. The piriformis muscle is an inconspicuous yet pivotal player, nestled deep within the buttock region. This article aims to unravel the enigma surrounding the piriformis, shedding light on its anatomy, function, and profound implications for conditions such as sciatica. Additionally, we delve into a comprehensive array of stretches designed to alleviate pain associated with the piriformis, recognizing the importance of addressing symptoms and the root cause.
Where Is The Piriformis?
The piriformis muscle, often overlooked in the grand tapestry of human anatomy, assumes a crucial role in our musculoskeletal system. The piriformis extends from the sacrum, the triangular bone just below the lumbar vertebrae at the base of the spine just above the tailbone, to the greater trochanter of the femur, the bony prominence at the hip joint. With its unique oblique orientation, this muscle enables pivotal movements—facilitating the outward rotation of the hip joint, abduction of the thigh, and, crucially, covering the sciatic nerve.
What Does The Piriformis Do?
The primary function of the piriformis is to contribute to the rotation of the thigh at the hip joint. This seemingly modest action plays a profound role in the execution of daily activities, from walking to more complex movements like climbing stairs or pivoting during sports. Beyond its role in the hip rotation, the piriformis stands guard over the sciatic nerve, serving as a protective shield for this extensive nerve pathway.
Piriformis and Sciatica: Unraveling the Connection
The intricate interplay between the piriformis muscle and the sciatic nerve introduces a potential source of discomfort and pain—sciatica. Sciatica manifests when the sciatic nerve, the longest nerve in the body, becomes compressed or irritated. While various factors can contribute to sciatica, the piriformis is notable in this narrative.
Sciatica The Agony of Nerve Compression
When the piriformis muscle tightens or spasms, it can exert pressure on the sciatic nerve, creating sciatica's distinctive pain and discomfort. This compression typically manifests as pain radiating from the lower back through the buttocks and down the back of the leg. The intensity of the pain can vary, ranging from a dull ache to sharp, debilitating sensations.
Impact of Daily Life on Sciatic Nerve Compression
Day-to-day movements and activities can exacerbate the compression the piriformis muscle causes to the sciatic nerve. Prolonged periods of sitting, abrupt changes in position, or activities involving repetitive hip joint movements may contribute to increased pressure on the sciatic nerve. The result is often numbness, tingling, and acute pain that can persist for varying durations, making routine activities such as sitting or changing positions anywhere from uncomfortable to a formidable challenge.
Recognizing the pivotal role of the piriformis in sciatic nerve compression, addressing the associated discomfort requires a targeted and holistic approach. Stretching exercises tailored to the piriformis can be valuable in alleviating pain, promoting flexibility, and preventing recurrence. Below, we present a comprehensive guide to ten powerful piriformis stretches, each designed to target specific aspects of the muscle and provide relief from sciatica.
Simple Seated Stretch:
Sit in a chair and cross the sore leg over the knee of the other leg.
Maintain a straight spine and gently bend forward.
Hold the position for approximately 30 seconds.
Repeat the stretch with the other leg.
Standing Piriformis Stretch:
Stand with the back against a wall for additional support if needed.
Place the leg causing pain over the knee of the other leg, forming a "4" shape.
Lower the hips at a 45-degree angle while bending forward.
Reach arms down to the ground, keeping the spine straight.
After holding the stretch for 30-60 seconds, switch legs.
Supine Piriformis Stretch:
Lie down and bend the knees upwards.
Cross the affected leg over the opposite leg, bending it toward the chest.
Grab the knee with your hands, pulling the bent leg across the body.
Hold the stretch for 30 -60 seconds, then release.
Outer Hip Piriformis Stretch:
Lie on your back, bending the sore leg upward with the foot close to the back of the other knee.
Tuck the foot behind that knee and twist the leg to the opposite side.
Place the hand on the opposite knee and raise the opposite arm.
Hold for 20 seconds and switch legs.
Follow up with a recovery stretch by lying on your back, bending both knees together, and gently pulling them toward your chest.
Hip Extension:
Get on all fours, ensuring your hands align with your shoulders.
Bend your knee and raise the affected leg upward toward the ceiling.
Slowly lower your leg until it's almost touching the ground.
Repeat this motion 15 times.
Supine Piriformis Side Stretch:
Lie on the ground with legs flat and back straight.
Bend the knees so the feet are rested flat.
Use both hands to pull the affected leg up, crossing your ankle over the opposite knee.
Slowly pull the knee up and across toward your opposite armpit.
Maintain the position for 30 seconds, return to the starting position, and switch legs.
Repeat the process 2-3 times.
Glute Stretch:
Get on all fours, bring the affected leg underneath, and stretch the non-affected leg.
Hold for 30 seconds, and return slowly. Repeat 2-3 times.
Short Adductor Stretch:
Sit on the ground with the bottoms of your feet together in front of you
Hold your ankles with the opposite hands and gently push downward with your knees, making sure to stop before any pain occurs.
Hold for 30 seconds, release and relax, and then flutter your legs in that position for 30 seconds.
To achieve a deeper stretch, you can bend your torso forward or push your knees down with your elbows, maintaining a straight back.
Side Lying Clam:
Lie on a comfortable and stable surface on the side of your body opposite the pain.
Keeping your feet one over the other, bend your legs back to create an "L" shape.
Keep your feet together, and lift the top knee while maintaining the original position.
Slowly bring your knee back to the initial position.
Repeat this sequence 15 times.
Long Adductor Stretch:
Sit on the floor, legs stretched straight out and spread as far apart as possible.
Place hands on the floor, angling the torso forward.
Lean forward and rest your elbows on the ground.
Hold the position for 10-20 seconds.
While home remedies can alleviate pain, they may not address the root cause. A comprehensive orthopedic exam can identify the source of pain, provide symptom relief, and establish a personalized treatment plan for lasting results. Our highly-trained orthopaedic surgeons look forward to helping you get back to the things you love. Call us today to schedule with one of our specialists.
