Piriformis Syndrome Treatment

Pain in buttocks

Piriformis Syndrome Treatment


Pain in buttocks Piriformis Syndrome Treatment

What is piriformis syndrome?

The Piriformis muscle is placed deep in your buttock that connects to your thigh bone and sacrum (just above your tail bone). The piriformis has a role in your ability to walk, run, maintain balance, and stabilize the hip.  The Piriformis muscle turns your leg outward at the hip. When the piriformis goes into spasm, you may feel a dull ache pain in the buttock, this is known as piriformis syndrome.

Are your suffering from a pain in the buttocks! Maybe there is something wrong with your piriformis muscle!

Can Piriformis Syndrome cause Sciatica?Piriformis Muscle

The Sciatic nerve is  in close to the piriformis muscle and in approximately a third of the population the sciatic nerve passes either under the piriformis or straight through it.  Therefore, any spasm of the piriformis muscle leads to numbness, pain, and tingling along the back side of your leg into the hamstring, calf, and foot.  You may feel pain after walking up stairs, a prolonged sitting, running, and after an increase of pressure on the buttock. You may also have difficulty rotating your hip and feel very stiff through this muscle. Piriformis syndrome predominantly affects women, but many men will develop piriformis syndrome as well.  Piriformis syndrome is the cause of approximately 10% of all cases of sciatica.

Causes of piriformis syndrome

The causes of piriformis syndrome includes:

  • Trauma
  • Muscle spasm and swelling
  • Long period of inactivity or lack of stretching of hip and lower back muscles
  • Overuse or overstretching
  • Anatomical variations
  • Poor posture

Piriformis Syndrome Treatments

Different approaches are used to treat the piriformis syndrome:

  • Good posture: Avoid postures that put increased pressure on the lower back and hip
  • Ice initially for acute pain and heat for chronic pain or prior to stretching or exercise
  • Medications: NSAIDs (to decrease inflammation), muscle relaxants

Physiotherapy treatments for Piriformis Syndrome may include the following:Piriformis Syndrome Treatment Toronto

  • Muscle strengthening
  • Myofascial release
  • Acupuncture
  • Supervised muscle stretches: Piriformis stretches, hip, and lower back stretches
  • Soft tissue mobilization
  • Deep massage: Improves healing by reducing the muscle spasm
  • Hip joint mobilization
  • Pelvic-trochanter isometric stretching
  • Electrotherapy: TENS, IFC (to block the pain and reduce the muscle spasm)
  • Rehabilitation period exercise
  • Shock wave Therapy
  • Mobilizations/manipulative treatment of the lower back, sacroiliac joint, or hip
  • Trigger point release of the piriformis muscle
  • Spinal Decompression

Stop suffering from painful Piriformis Syndrome!

Our Toronto Physiotherapists are experts in assessing your problem and utilize cutting-edge physical therapy techniques to treat your piriformis syndrome pain.  To book an appointment call our office today at 416-900-6653

About the Author

Brad SaltzBrad is a Registered Physiotherapist at Ace Physio, a highly respected Physiotherapy clinic in downtown Toronto. Ace Physio provides high quality one on one Physiotherapy that combined state-of-art technology such as; Shockwave Therapy, Laser Therapy, and Spinal Decompression with traditional Physiotherapy.View all posts by Brad Saltz