Piriformis Syndrome: Causes, Symptoms and Treatment

Piriformis muscle is a flat and band like muscle that is located in buttocks near the top of the hip joint. This muscle helps in the movement of the lower body as it makes the hip joint stable and as well lifts and rotates the thigh. What do we mean by Piriformis Syndrome? Piriformis Syndrome is an uncommon neuromuscular pathology which occurs when the sciatic nerve is compressed by the piriformis muscle. This compression causes pain, tingling and numbness in the buttocks and along the sciatic nerve path going down the thigh into the leg. What are the potential signs and symptoms of Piriformis Syndrome? Pain in lower back or buttocksrnPainful to sit on the affected buttockrnPain or tingling sensation down the back of legsrnPain down the back of calf & footrnPain while mounting and inclining stairsrnPain increases with prolonged sittingrnReduced range of motion of the hip jointrnWhat are causes of Piriformis Syndrome? Piriformis Syndrome usually develops in the athletes who are engaged in forward-moving activities like runners or bicyclists. This syndrome generally occurs due to: combination of weak abductors with the tight abductorsrnStiffness or hypo-mobility of the sacroiliac jointsrnOverporonation of the footrnOverworking of Piriformis musclernDysfunctioning of the adjacent SIJ or hip jointsrnWork hip stability musclesrnWhat are the Physical Therapy treatments suggested to cure Piriformis Syndrome? Depending upon the severity of condition, pain and other symptoms, number of physical therapy treatments may be suggested: Stretching exercises are prescribed to relieve sciatic nerve irritation.rnHeat treatment is suggested to relax the piriformis muscle.rnUltrasound treatment is advised for the deep heating in buttock area.rnHands-on treatment like deep-tissue massage or soft-tissue mobilization is administered to relax nerve signals to the piriformis.rnStrengthening of abductors and abductor muscles may be suggested.rnMyofascial release and thrust techniques may be suggested to address the somatic dysfunction in the patients.rnOsteopathic manipulative treatment (OMT) may be advised to restore patients’ normal range of motion.rnPelvic and spine re-alignment techniques are suggested.rnFoot orthotics or exercises are advised to restore foot and lower extremity alignment.rnContact Alliance Physical Therapy for the state-of-art and efficient treatment of any of your neuromusculoskeletal problems or deformities. We use patient proven methods and techniques to get you back to your daily routine as soon as possible and make you as sturdy and healthy as before.