Piriformis Syndrome : Sciatic Pain

Piriformis syndrome is a condition of sciatic nerve entrapment in Piriformis muscle at the greater sciatic notch which leads to pain in buttock region, numbness and tingling along the back of the leg (sciatic pain). Abnormal condition of the Piriformis muscle such as hypertrophy/spasm, inflammation, or anatomic variations (SIJ dysfunction) may lead to this condition.

Piriformis syndrome is often misdiagnosed cause of cause of low back pain as it may mimic with various other conditions such as lumbar canal stenosis, disc inflammation, or pelvis causes. Piriformis syndrome occurs most frequently during the fourth and fifth decades of life and affects individuals of all occupations and activity levels. It is more common in women than men. 

Anatomy Of The Piriformis Muscle and The Sciatic Nerve

Common Symptoms :

  • – Dull ache in the buttock
  • – Pain down the back of the thigh, usually stopping above knee
  • – Increase pain after prolonged sitting and standing or lying longer than 15 to 20 minutes
  • – Pain when rising from seated or squatting position
  • – Change of position does not relieve pain completely
  • Treatment :

Early conservative treatment is the most effective treatment which include :

  • – Stretching and strengthening
  • – Ice/heat pack
  • – Electrotherapy such as TENS, IFC, Therapeutic Ultrasound etc.
  • – Spinal adjustment (Pelvic alignment)
  • – Anti-inflammatory and muscle relaxant


Try This Out At Home !

  1. Stretch up your Piriformis muscles
  2. Place your legs in figure 4 position and bring both legs towards your chest 
  3. Hold there for 30 seconds then switch sides.


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