Piriformis syndrome is a condition where the sciatic nerve is compressed as it passes underneath a muscle in your buttock called the piriformis. This muscle attaches from the sacrum (the lowest part of your spine) and extends across to your hip, helping to rotate your leg outward when it contracts. For most people, the sciatic nerve travels deep beneath the piriformis muscle. However, if the piriformis muscle becomes irritated or goes into spasm, it can cause painful compression of the sciatic nerve. Interestingly, about a quarter of the population is more likely to suffer from piriformis syndrome because their sciatic nerve passes through the muscle rather than underneath it.

Causes of Piriformis Syndrome

Piriformis syndrome can start suddenly due to an injury or develop gradually from repeated irritation. Common causes include:

• Falls onto the buttocks
• Catching oneself from a near fall
• Strains
• Long-distance walking
• Stair climbing
• Sitting on hard surfaces or wallets

In many cases, a specific triggering event cannot be pinpointed. This condition is most common in people aged 40-60 and affects women more often than men.

Symptoms of Piriformis Syndrome

Symptoms of piriformis syndrome include:

• Pain, numbness, or tingling that begins in the buttock and radiates along the sciatic nerve toward the foot.
• Symptoms often increase when sitting or standing in one position for more than 15-20 minutes.
• Changing positions may help alleviate symptoms.
• Increased discomfort when walking, running, climbing stairs, riding in a car, sitting cross-legged, or getting up from a chair.

Effective Treatments for Piriformis Syndrome

Sciatica arising from piriformis syndrome is one of the most treatable forms of sciatica and generally responds well to the type of treatment provided at our office. Here are some effective treatment options:

1. Chiropractic Adjustments

Chiropractors can perform adjustments to help relieve pressure on the sciatic nerve and improve overall spinal alignment, reducing irritation of the piriformis muscle.

2. Massage Therapy

Massage can help relax the piriformis muscle, reduce spasms, and alleviate sciatic nerve compression.

3. Physical Therapy

Physical therapists can guide you through specific exercises to stretch and strengthen the piriformis muscle and surrounding muscles, promoting better muscle balance and reducing pressure on the sciatic nerve.

4. Acupuncture

Acupuncture can help relieve muscle tension and improve blood flow, reducing pain and promoting healing.

5. Home Care and Exercises

Applying an ice pack to your buttock for 15-20 minutes at a time, several times throughout the day, can provide relief. Additionally, home stretching exercises are an important part of your recovery. Here are some stretches you can try:

• Piriformis Stretch: Lie on your back with both knees bent. Cross the affected leg over the other, resting the ankle on the opposite knee. Gently pull the bottom knee toward your chest until you feel a stretch in the buttock.
• Hamstring Stretch: Sit on the ground with your legs extended straight out. Reach toward your toes, keeping your back straight, until you feel a stretch along the back of your thighs.

Conclusion

Piriformis syndrome can be a painful and debilitating condition, but with proper treatment, it is highly manageable. If you suspect you have piriformis syndrome, consult with a healthcare professional for an accurate diagnosis and personalized treatment plan. At River East Chiropractic, we offer comprehensive care, including chiropractic adjustments, acupuncture, massage therapy, occupational therapy, and access to a full gym, to help you find relief from piriformis syndrome and get back to your favorite activities.

Contact us today to schedule an appointment and start your journey toward a pain-free life. Don’t forget to follow us on social media for more health tips and updates!