Question
QUESTION: Hello: I fell, and pushed my right hip inwards, causing streching of my sacrotuberous ligament. I took a direct hit on
my periformis, and the muscle above it.  I believe the periformis was pulling at my sacrum, causing everything to move inwards. My physio realigned my hip joint, and now my periformis is really(really) sore.  I think the muscle is in a knot, and is pulling really hard on both ends where it attaches.  I have nerve
issues also, which I am guessing is my pundendal nerve.  The normal streches for piraformis are not working.  If I do a slight strech of the periformis, I feel heavy pain where it attaches on my outer hip area. I am hoping the nerve is not stuck between my sacrotuberous, and the other ligment next to it.
I had some of my symptoms go away right away when she aligned my hip. This is causing my hip to lock up. What can be done for this 53 yr old male. The attachment point for the piraformis onto my sacrum is really sore. What can be done for this? another question: how do they find out if the sacrotuberous, and sacrospinous ligaments are compressing this nerve?

ANSWER: Hello Barrie,

Sorry to hear about your pain issues.  Sounds like there is a lot of compensation going on in your pelvis, but I think there is a good chance you can fix it yourself.

I'm going to recommend that you go to my Pelvic Girdle Pain Relief page on my free website here,
http://www.do-it-yourself-joint-pain-relief.com/pelvic-girdle-pain-relief.html   and follow along with the
videos to free all the tight tissue that could be causing your issues.

Also, technique D in Video 1 of my Hip Pain Relief page shows you how to release your Obturator Internus
which might play a role in your symptoms, so I wanted to mention it here,
http://www.do-it-yourself-joint-pain-relief.com/hip-pain-relief.html#Video1

I know I say it in my videos but I want to emphasize here that you want to make sure and work on BOTH
sides of your pelvis for all the techniques I show you, as the opposite side often plays an important causative
roll in your condition.   

I do hope this proves beneficial.

All the best,
Gary Crowley

---------- FOLLOW-UP ----------

QUESTION: Hello again.  It turns out that I have trauma to everything that attaches to my sacrum on the right side where my piraformis, cocogeus, and sacrotuberous ligament, and sacraspineous ligament.  I believe the muscles are really knoted badly, and super thin where they attach to my sacrum.  Something has a hold of my pundendal nerve, which is making me very nervous, because I am hoping it's not permanent. It could be my sacrotuberous ligament, and I read that this would need to be surgically fixed.  This would not be a option, where I live.  It took me 10 years just to find someone to help me, and she is a physiotheripist that works on pelvic floor muscles. I am numb in the saddle area. My piraformis is really sore also. When I do the exercises it really hurts, do you think the muscles, or ligaments will let go of my pundendal nerve? My physio thinks that they are in some type of spasm, and the muscles are pulling on my sacrum, which is making see stars.

Answer
Hello Barrie,

The fact that the muscles hurt so much when you press on them is because they are very tight.  When you release them with the techniques I demo in my videos, there will more space and freedom for your pudendal nerve.  You need to work on those tight painful muscles at the level you can relax into.

I do think my techniques will help you, but you've got to be persistent and patient, and work at the level you are able to handle.

Best,
Gary Crowley