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Piriformis Syndrome

Piriformis Syndrome

 

 

Piriformis Syndrome

Piriformis syndrome occurs when the sciatic nerve is compressed by the piriformis muscle.  It is a neuromuscular disorder which is relatively uncommon.

It is usually characterised by pain, numbness or tingling in the buttocks region. There may be a dull ache or tenderness too. In some cases the pain can be extreme and refer down the length of the sciatic nerve and into the leg (also known as sciatica).  Pain can be triggered when climbing the stairs, lifting heavy objects, sitting for long periods of time or even running.

There is no single test for this condition.  It is often the case that there has been a history of trauma, perhaps from vigorous and repetitive activities such a long distance running.  In order to diagnose piriformis syndrome, a physical exam would be necessary alongside the patient's description of the symptoms.  In some cases it may be necessary to get an MRI to rule out other conditions such as a herniated disc.

 

Treating Piriformis Syndrome and Sciatic Pain

 

Treating the Trigger Points in the Piriformis with Dry Needling - Paul Townley

 

 

It is usually recommended to avoid the positions or movements that cause or trigger the pain.  It is important to use the correct equipment when doing physical activities or sports. Symptoms can be relieved with the help of rest, ice and heat alongside exercise and stretches to relieve the compression on the sciatic nerve. It is also important to make sure your posture is correct and you sit upright and not slumped.

Disclaimer

The information in this article is intended for educational purposes within the context of continuing education for massage therapists, continuing education for athletic trainers, continuing education for physical therapists, continuing education for chiropractors, and continuing education for rehabilitation professionals. It is not a substitute for medical advice, diagnosis, or treatment. Although every effort has been made to ensure accuracy and reflect current understanding at the time of publication, practitioners must always work within the legal scope of their professional practice and follow all regional regulatory guidelines.

Hands-on techniques and clinical applications described in this material should only be performed by appropriately trained and licensed professionals. Individuals experiencing pain or symptoms should be referred to a qualified healthcare provider for assessment. Niel Asher Education is not responsible for any injury, loss, or damage resulting from the use or misuse of the information provided in this content.

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