low back pain, si problems, stenosis, sciatica or superior cluneal nerve entrapment?
ANOTHER STUDY TOUTS ENTRAPMENT OF THE SUPERIOR CLUNEAL NERVE AS CAUSE OF BACK & LEG PAIN I’ve written extensively about the thoracolumbar model of pain, which many experts argue constitutes as great as 7 in 10 cases of low back pain (HERE, HERE, HERE, HERE, HERE, or HERE). Why is this important to grasp? Largely […]
another cause of hip, buttock, or low back pain: the sacroiliac joint
I’ve heard it about a million times in my twenty-five plus years of treating patients. “My sackariliyack is killin me doc! Can ya fix it?” If any of you have ever experienced a sacroiliac problem, you know all too well just how miserable it can be. And yes, contrary to what you may have experienced […]
piriformis syndrome or something else? a case study
PIRIFORMIS SYNDROME OR SOMETHING ELSE? A CASE STUDY Sometimes I take emails I get and turn them into blog posts that I call “CASE STUDIES“. This email is from an individual somewhere in the upper Midwest, where they are having it much colder than even our brutal Arctic blast. I’ll call this person ‘Dave’. Dear […]
chronic neck pain & chronic hip / buttock pain: solved in one visit
SOLVING CHRONIC NECK AND HIP PAIN QUICKLY AND EFFECTIVELY! Lyrae is getting ready to go to the Caribbean on vacation and wanted to make sure she was in tip top shape before heading out (yeah, I’ll admit that I’m kind of jealous). After moving to the OZARKS from (you guess where after listening to her […]
another video testimonial: chronic hip flexor pain and fascial adhesion
CHRONIC HIP FLEXOR PAIN AND FASCIAL ADHESION IN A MIDDLE AGED WOMAN CHRONIC PAIN. It’s a bummer. The kicker is that some experts say that almost one third of Americans — 100,000,000 people — are dealing with some sort of chronic pain. Chronic pain comes in all shapes and sizes. There’s pain due to AUTOIMMUNE […]
chronic pain: where should i start?
STRUGGLING TO COPE WITH CHRONIC PAIN? WHERE’S THE BEST STARTING POINT FOR RELIEF? “I just wanted to add that I wish I had come here first, because if I had I known about Doctor Schierling, it would have saved me two cat scans, a cat scan with dye, two MRI’s, a diagnosis of possible liver […]
why does pain not always show up immediately after injury?
WHY CAN PAIN TAKE TIME TO SHOW UP AFTER AN INJURY? Sometimes I get emails that beg to be answered via a posted article so that everyone can learn something (HERE’S ANOTHER ONE). The question below was sent to me by an individual who will remain anonymous. Understand that what she is going through is […]
hey doc; can you help my piriformis syndrome?
PIRIFORMIS SYNDROME: CAN YOU HELP ME? Dr. Russ, Matt and I had identical issues and I came to see you about seven months ago. You were absolutely awesome, but like Matt, the pain came back. I just finished my two surgeries from the same physician Matt used in Milwaukee. I’m still recovering but the pain […]
chronic hip flexor tightness & hip flexor strains including the illiotibial band
TIGHTNESS, STRAINS, TENDINOSIS AND ADHESIONSOF THE FASCIA OF THE HIP FLEXOR MUSCLESA POST IN PICTURES Problems with the Hip Flexor muscles are one of the most commonly undiagnosed / misdiagnosed entities that I see in my clinic. Hip Flexion describes the action of drawing the front of your thigh up towards your abdomen. Although it […]
clinical handout checklist for schierling chiropractic, llc
Handout Checklist for Schierling Chiropractic, LLC Note from Dr Schierling: This post was originally published a decade ago. Given the changing landscape of medical information and previous efforts to restrict this content via shadow-banning and outright censorship, I have updated and republished it for accuracy and relevance as of 1/15/2026. Greetings. I’m Dr. Russell Schierling, […]
case history: piriformis syndrome caused by liposuction
A CASE OF PIRIFORMIS SYNDROMECAUSED BY LIPOSUCTION Paravis The picture on the left (from Wikimedia) carried the caption, “Power-assisted liposuction is the technique being performed in this image. The cannula is inserted to about 80% of its full length.” From the picture on the right you you get a better idea of the length of […]
15 year hip-flexor problem solved in one treatment
CHRONIC HIP FLEXOR PAINSOLVED IN A SINGLE TREATMENT Since early in high school — half a lifetime ago — Rodney Michler has been fighting CHRONIC HIP FLEXOR PAIN (a mix of Tendinosis and FASCIAL ADHESION). Rather than me tell you about it, I’ll let Rodney take a moment to tell you himself. The cool thing […]
can the piriformis muscle be overstretched?
A POST-TREATMENT CAUTIONARY TALE “Cold packs…. are applied after exercise or manual therapy. Cold modalities help to decrease pain and inflammation that may have been further triggered by stretching or massage. Remember to stress to patients the importance of light and gradual stretching techniques for the piriformis muscle to avoid overstretching and possible further irritation […]
a piriformis syndrome / thoracolumbar adhesion testimonial
SOLVING A CASE OF SCIATICAA COMBINATION OF PIRIFORMIS SYNDROME & THORACOLUMBAR FASCIA ISSUES Sasha I saw Marlene a few months ago for what she believed to be PIRIFORMIS SYNDROME. Although she had some fairly intense FASCIAL ADHESIONS in her hip / buttock region, that was just for starters. She had the same stuff in her […]
hip arthritis linked to a huge percentage of american deaths
THE LINK BETWEEN HIP ARTHRITIS AND DEATHIN THE FEMALE GERIATRIC POPULATION A recent CDC study found that 1 in 4 people may develop symptomatic hip osteoarthritis by age 85. This report, published in the November 2010 issue of Osteoarthritis and Cartilage, is the first to present lifetime risk estimates for symptomatic hip osteoarthritis. Hip osteoarthritis […]
ten-year case of piriformis syndrome: solved!
A DECADE OF BUTT PAIN /SCIATICA/ PIRIFORMIS SYNDROMESOLVED! Zara J Tammy came to see me several years ago as a last resort. She had been dealing with over a decade of hip / BUTTOCK PAIN and SCIATICA — the hallmarks of something known as PIRIFORMIS SYNDROME, and was frankly tired of riding the MEDICAL MERRY-GO-ROUND […]
self help and self treatment for piriformis syndrome
PIRIFORMIS SYNDROME SELF HELP AND SELF TREATMENT “Prevalence of piriformis syndrome [in patients with Sciatica] was 6.25%. Piriformis syndrome is one of the differential diagnoses of low back/buttock pain with Sciatica. Individuals of all activity levels can be affected. Females are more affected than males. Causes are overuse, prolonged sitting, trauma, and vigorous massage. Diagnosis […]
helping solve chronic butt pain in two time xterra world champion, lesley paterson
MEETING AND TREATING TWO TIME (SCRATCH THAT) THREE TIME XTERRA OFF-ROAD TRIATHLON WORLD CHAMPION LESLEY PATERSON “After winning a few races, I found that I had a different approach to the sport. I genuinely enjoyed training, I genuinely enjoyed racing and what’s more, my body felt different. It felt more mature and I guess I had […]
chronic hip / buttock pain testimonial: piriformis syndrome
VIDEO TESTIMONIAL OVER A DOZEN YEARS OF CHRONIC HIP AND BUTTOCK PAIN SOLVED IN ONE VISITPIRIFORMIS SYNDROME & SCIATICA Michelle started having chronic hip and buttock pain with sciatica (PIRIFORMIS SYNDROME) almost immediately after the birth of her second child — over 13 years ago. By the time I saw Michelle for the first time seven […]
long-term post-surgical pain and piriformis syndrome
SCAR TISSUE REMODELING FOR PIRIFORMIS SYNDROME AND POST-SURGICAL PAIN Ginny is a real sweetheart who recently moved to this area from Nebraska. After suffering for years, finally being diagnosed with a rare genetic disease, having a liver / kidney transplant, and living on the MEDICAL MERRY-GO-ROUND, Ginny came to me looking for some sort of […]