Shooting oain in glute during lockouts

[Al2020]

I've been dealing with shooting pain in what feels like my right glute during squat and deadlift lockouts since last Wednesday. it just randomly appeared not anything acute
Currently on a 4 day Texas method type split , At first it was mostly during the deadlifts so Intensity squat on Friday felt fine but Volume pull aggravated it
Did my intensity deadlift yesterday which was not comfortable but I did it anyway. Today was Volume day for squat but when I was doing my warmups
the pain was so bad I couldn't even do 1 work set and it was pretty bad even with the empty bar. it just hurts really bad right before I complete the lockout. It dosen't hurt when I extend my hip or abduct it standing. I'm 23, 5'8 155.

how should I go about this? How long will it probably take to rehab this ?

Any help is much appreciated

[Mark Rippetoe]

No ideas, except that you need to gain 30 pounds immediately. It has the amazing effect of healing up little injuries. Really.

[JFord]

I've been dealing with shooting pain in what feels like my right glute during squat and deadlift lockouts since last Wednesday. it just randomly appeared not anything acute

I’ve come to love the diagnosis of piriformis syndrome for butt pain. The reason is that there’s a type of stretch that seems to work very well for it and it can’t hurt to try.

There’s a muscle called the piriformis that runs across the lower aspect of your butt that lies over the sciatic nerve. If it gets tight or inflamed it can push on it causing butt pain which sometimes even runs down the back of your thigh. These stretches seem to create some slack in the muscle/tendon that takes pressure off the nerve.

Supposedly, piriformis syndrome is kind of rare. So perhaps these stretches are fixing something else but I don’t care because they seem to work.

Go onto YouTube and search for it. If it sounds like it could be you, there are plenty of videos demonstrating the primary stretch. I like this one:

Piriformis Stretch You only need to do it on the affected side unlike in the video. You’ll know pretty quickly if the stretches give you relief.

If the pain doesn’t get relieved by the stretches then it might be due to something called ischial tuberosity bursitis. This is probably more likely if applying hard, direct pressure with your hand on your ischial tuberosity (AKA your “sit” bone) reproduces the pain. I like that diagnosis too because it’s easily treated with a steroid injection (which I can easily do in the office).

You won’t like it as much as me because that WILL require a trip to the doctor. A doctor is a person who Mark will strongly recommend you not see for any reason other than having a big knife handle sticking out of your chest; and even then, I believe Mark is kind of a DIY’er.

[Al2020]

I don't think the stretches will help because they've never helped me with any sort of injury but I'll give them a try.

Considering the amount of times medical professionals give wrong diagnoses and very bad advice like "Just stop lifting" or "Rest it so it heals" It's hard not to agree with Mark on that.

Hopefully we can get Will Morris's take on this matter and see what he thinks

Update: Tried the stretch before and after today's workout , besides hurting a bit it didn't provide any relief whatsoever

Also tried to squat again today and after 2 sets with the empty bar and 1 set with 90 lbs I could feel it getting reaggravated so I shut things down.

[Mark Rippetoe]

I cut my arm one time, and I thought, "Doctors tell me to stretch an injury, so I'll give that a try." I didn't seem to help.

[Will Morris]

I've been dealing with shooting pain in what feels like my right glute during squat and deadlift lockouts since last Wednesday. it just randomly appeared not anything acute
Currently on a 4 day Texas method type split , At first it was mostly during the deadlifts so Intensity squat on Friday felt fine but Volume pull aggravated it
Did my intensity deadlift yesterday which was not comfortable but I did it anyway. Today was Volume day for squat but when I was doing my warmups
the pain was so bad I couldn't even do 1 work set and it was pretty bad even with the empty bar. it just hurts really bad right before I complete the lockout. It dosen't hurt when I extend my hip or abduct it standing. I'm 23, 5'8 155.

how should I go about this? How long will it probably take to rehab this ?

Any help is much appreciated

Hard to see your deadlift lockout from here.

[Al2020]

Sorry I should have posted a video earlier

Here is a heavy deadlift from Sunday, approximately 4 days after after the pain started and a day before the pain got bad enough that I could not squat or pull anymore

300 lbs deadlift for 3 27/08/23 - YouTube

[Mark Rippetoe]

Did this set hurt?

[Al2020]

Yeah it was pretty painful right from the warm up

[JFord]

I cut my arm one time, and I thought, "Doctors tell me to stretch an injury, so I'll give that a try." I didn't seem to help.

To the OP, I’m sorry my suggestion didn’t work for you. I probably misdiagnosed you. I only hope my suggestion didn’t make it worse.

Many years ago, I thought I’d misdiagnosed something but it later turned out I was wrong. But I guess there’s a first time for everything!

There are only two clinical conditions I can think of for which I recommend stretches:

1) Plantar fasciitis
2) Piriformis syndrome

Both of them have specific stretches that work “same day”. That’s why I love those two Dx’s. Stretches are quick, easy to prescribe, and they seem to work well for both conditions.

For just about everything else I agree with you Mark. And specifically, stretching is tremendously overrated in the treatment of acute stab wounds.

Will, if you’re reading this, perhaps you can opine. I may be wrong but I think you and I have actually talked about PS. No?