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Sciatica nerve pain – affecting the deep six muscles, the hip rotators.

Sciatica nerve pain involves compression on the sciatic nerve. Sciatica nerve pain is closely related to chronic low back tightness in the L4, L5, S1 region. When the sciatic nerve is compressed, pain can be experienced anywhere along the pathway of the sciatic nerve. Nerve pain can occur anywhere down the leg to the foot or ankle. The source of sciatica nerve pain is from inflexibility in muscles that lie above the nerve. The primary area of compression comes from the pelvic region. In order to remove sciatic pain, the deep six muscles of the hip-thigh complex must be lengthened. The deep six muscles are also called the hip rotators. Elongating these muscles requires working with a stretching expert in Active Isolated Stretching technique.  A skilled stretching coach can unwind the deep six muscles. These muscles are too deep inside the body to open through self-stretching methods.

Sciatica nerve pain

Sciatica nerve pain causes are muscular inflexibility

Sciatica nerve pain involves numerous muscles being shortened which press on the sciatic nerve. The glutes, hamstrings, calves, ilio-tibial (I.T.) band, quadriceps, and psoas muscles all play a part in creating excessive pressure around the L4, L5, S1 region of the low back. Underneath all these major muscles are the deep six muscles, the hip rotators. The deep six muscles are: quadratus femoris, obturator externus, inferior gemellus, obturator internus, superior gemellus and piriformis muscles. The deep six muscles are located at the  junction of the thigh and hip socket, six small muscles that control rotation of the hip deep within the hip socket.

The deep six

These deep six muscles are deep inside the pelvic region. The deep six muscles surround or lie just above the sciatic nerve. So when the hip rotator muscles become shortened, they press down and cause sciatic nerve pain. What causes these deep six muscles to get shortened? One way: when the larger muscles that lie above the deep six become shortened, they form a cast of tightness around the deep six muscles, forcing them to get tight.

Therefore, the way to unwind the deep six muscles is to first address all the muscles that lie above the hip rotators. I mentioned these muscles earlier: the glutes, hamstrings, I.T. band, psoas, etc. The other problem is that conventional stretching is inadequate at completely lengthening these target muscles. To do the job, we must use Active Isolated Stretching techniques which is fifteen times more effective than conventional stretching. Forget about PNF stretching, it has no way of approaching the deep six.

The goal in solving sciatica nerve pain is releasing all the muscles that impinge on the nerve pathway. The short answer is to release the hip rotators. But this cannot be done until the larger, more superficial (those that lie above) muscles are released first. Because sciatica nerve pain and L4, L5, S1 lumbar disc disease are closely related, releasing the deep six muscles will solve both problems simultaneously.

Sciatica treatment options. So many don’t work!

Sciatica is nerve pain. Nerve pain is caused by impingement. Impingement is caused by inflexibility in a series of muscles pressing down on the nerve. The way to solve sciatica nerve pain is to elongate all the inflexible muscles surrounding the low back. Surgery does not elongate muscles. Injections may reduce inflammation around the deep six muscles, but it doesn’t reduce inflammation around the muscles that surround the deep six. That is why epidural injections rarely provide a lasting solution. Deep tissue massage cannot reach the deep six muscles because they are underneath layers of dense muscles including  gluteus maximus, gluteus medius, and the iliotibial band. Similarly, acupuncture needles cannot reach the deep six muscles because it is too deep. Active Isolated Stretching therapy has a different approach to solving sciatica pain than conventional treatment. AIS is simple in its approach, but detailed in its methodology. If you’ve had sciatica nerve pain for two, five or twenty years, and you’ve tried all the conventional treatments, now is the time to try Active Isolated Stretching treatment because it is an entirely different approach to solving a problem that perplexes other healthcare professionals.

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10 Responses to Sciatica nerve pain – affecting the deep six muscles, the hip rotators.

  1. My sciatica is due to deep six hip rotators. Obturator externus tear, 6 year old injury, w large bursal cyst growing through it. I’ve done so many standard therapies over and over. I can’t accept that no one can relieve this kind of sciatic pain. Yes. It seems impossible to reach it. My USF Tampa orthopedic dr is sending me to a neurosurgeon for sciatic nerve decompression consult and he wonders HoW that surgeon thinks she will get to that obturator rubbing against the sciatic nerve. I did get my 2nd S-1 TF cortisone injection and all it does is make me gain weight.

  2. Hi,
    I live in Germany and I am suffering of both sciatica for many years and had surgery for AC decompression left shoulder in December , also after months and months of trying traditional therapy.
    My hole left arm-shoulder -neck in very tight and painful,taking muscle relaxant, pain killers, massage, manual therapy… Searching on the internet stumbled across your website, sound logical what you are explaining on nerve pain, and not much improvement after “standard” muscle stretching exercices. To the point: how could you help me from thousands kilometers? Is there eventually video material or book that I can order and buy? I am sure my therapist would have an open mind and try something new on me if I ask.

    I will realy apreciate your answer,


    Iolanda McKinney

  3. 12-23-12 I’m female, age 44, left pelvis obturator/hamstring injury
    I have tight deep 6 muscles. Oburator Externus torn with bursal cyst growing through
    my hip rotators. The bursal cysts is in front of the ischuim, where I had a bursitis where
    my hamstring partially popped off of the ischium. I have tendinopathy in that hamstring
    area. The obturator area problems are inoperable. Can’t be reached by scalpel or needle b/c of network of small/large blood vessels and nerve bundles. I’ve been in constant pain for 6-1/2 years.
    I live in Florida. Can AIS help me? This problem has caused terrible, chronic, left
    leg sciatica, terrible buttock pain, ischium pain, my left psoas is horribly tight per
    physical therapist. Cortisone injections/epidurals at S-1, and groin area cortisone injections
    don’t help. I had a hamstring sheath cortisone shot and that made me have a pain of
    10 of 10 on the pain scale for 42 hours on the 3rd day after that injection. Regular
    and robotic physical therapy doesn’t help, I’ve exercised and strengthened my core;
    yoga, mat pilates, aerobics, dance makes it worse, but I was just told it was a pulled
    muscle until I demanded an MRI this year and all orthopaedic drs, rheumatologists,
    neurologists, etc said it was inoperable, and no one could help me. I just couldn’t exercise anymore, I kept getting worse. My pain mgmt dr is trying to handle the nerves around the area, such as pudendal nerve radiofrequency, and just recently the S1 cortisone epidural. He is a worldwide known pain mgmt dr, but even he knows that this is inoperable and has me on Butrans long-term pain patch and
    pain meds/muscle relaxer (Klonopin.) I also had medical massage therapy for straight 3 years with a masseuer that was 250 lbs and could really put all her weight into it and get her elbow into that hip/leg attachment area and THAT hurt, but somehow helped. Now, I realize, she was possibly
    getting to the deep muscles?
    With all the above, am I a candidate for AIS? Like I advised, I am in Florida. Is there anyone closer than California for me to try? Thanks.

    • Hi LBC0006,

      There’s no definitive answer on clients that have a muscle tear. Sometimes AIS treatment is very helpful in promoting rehabilitation.
      And sometimes it causes a painful reaction which can imply that its not the right time for AIS treatment.

      What part of Florida do you reside?

  4. I am dealing with bad Sciatica pain – buldging L4 & L5 with stenosis – long story short – chiro adjustments have helped; stretching the piriformis muscle more consistently has helped; massage therapy has helped, but problem still present daily. Current recommendation is, of course, surgery on L4 to “route out” the facet.


    • Anthony Ohm wrote:

      Hi Scott,

      When you try Active Isolated Stretching treatment, you’ll get the results you are seeking. Sciatica pain can be completely solved through AIS treatment. Skilled AIS practitioners deal with spinal stenosis on a routine basis and get superior results.
      The other methods are helpful, as you state. But not thorough enough.
      AIS treatment has its own unique process of stretching out the piriformis muscle. Another form of stretching the piriformis is not equal to the AIS procedure of stretching out the piriformis muscle.

    • Anthony Ohm wrote:

      Dear Leon,

      I’m glad that you enjoyed reading my website.
      The AIS method is under recognized and has high value for people suffering from sciatic nerve pain, also known as sciatica.
      AIS is a very simple method, prior to its development, no one else bothered to look at addressing pain issues by improving the methodology of stretching the body.
      Why don’t other health professionals recommend it? I’ve had numerous clients that have gone to the renowned Mayo clinic only to receive unsuccessful treatment. One of these people recently called the Mayo clinic and told them that they needed to learn more about AIS treatment because it helped her after the Mayo clinic said “learn to live with it.”
      When is the Mayo clinic going to adopt AIS practices? Sorry to break the news, but the Mayo clinic wants their answers to include the work of pharmaceutical & surgical companies. That’s the way they see the world. And its up to the individual to ascertain that the Mayo clinic view is only one view.

    • Hi rti,
      There are physical therapists, physicians, and chiropractors that have studied Active Isolated Stretching.
      However, they do not tend to be the best AIS practitioners. These health professionals usually bill insurance companies for their services. And AIS is not accepted as traditional medical service, therefore these type of professionals are in a bind as to how to be compensated. One of the best indicators of competency for AIS practitioners is the number of hours of direct study that person has had with the developer, Aaron Mattes.
      Someone that has studied 200 hours should be in consideration. 500 hours is very good. And 1000 hours or more is in the expert category.
      Having said that, you contacted me on my sciatica article page. If you need therapy for sciatica, then the treatment for sciatica could be relatively straightforward. Someone with 200 hours of study should know their stuff for treating sciatic nerve pain. Even a practitioner with less study time could be effective for sciatica treatment. If you have a herniated disc in addition to sciatica, it could make things a little more complicated.
      Hope that helps.

      Anthony Ohm

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Anthony Ohm is a pain specialist and a sports therapist. The technique is called Active Isolated Stretching and Strengthening(AIS). Treatment is available in Honolulu, Hawaii and Los Angeles, California The AIS method is highly beneficial for: disc issues, chronic physical pain, pain related to aging, arthritis, bursitis, sciatica, neuropathy, Parkinson's disease, and much much more... However you are presenting, whether you are crippled or a professional athlete, AIS treatment will put you in better physical condition than your current state.