Piriformis Syndrome

Introduction

Piriformis syndrome occurs when your piriformis muscle compresses your sciatic nerve and results in inflammation. It can cause pain or numbness in your buttock and down the back of your leg. It can happen on one side of your body or both. Piriformis muscle located deep in the buttock , causes buttock pain .

Symptoms of Piriformis syndrome :

• Swelling in the Piriformis or the tissues around it .
• Muscle spasms
• Scarring in the muscles
• Aching
• Numbness
• Pain

Causes of Piriformis syndrome :

• Sitting for long period of time
• Having tight muscles from lack of physical activity
• Climbing stairs , walking or running without strong Piriformis
• Performing repetitive motions
• Lifting something improperly

 Physiotherapy management:

•  Manual therapy :

Hand on techniques like myofascial release , can help to release muscle trigger points and release tension in Piriformis muscle .

• Electrotherapy :

Modalities such as IFT , TENS , Ultrasonic and Laser therapy , shock wave therapy will help to reduce pain and inflammation .

• Stretching exercises:

Specific stretches targeting the piriformis muscle and surrounding muscles can help release tightness and improve flexibility. These may include the Piriformis stretch.

• Strengthening Exercises:

Strengthening the muscles surrounding the hip and pelvis can help improve stability and support for the piriformis muscle. Exercises may include hip abduction, clamshells, and bridges.

• Dry Needling :

Dry needling can be helpful to release trigger points and release Piriformis muscle .

• Postural correction :

Any postural imbalances or dysfunctions that may be contributing to Piriformis syndrome can help prevent recurrence. This may involve ergonomic assessments and corrective exercises.

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