Piriformis Syndrome | Charlotte | Chiropractic/Rehab

Piriformis syndrome is a neuromuscular disorder that occurs when the piriformis muscle, which is located in the buttocks near the top of the hip joint, compresses or irritates the sciatic nerve.

This compression or irritation can cause pain, numbness, and tingling in the buttock area and along the path of the sciatic nerve descending down to the lower leg and foot.

Additionally, those with piriformis syndrome may experience hip, gluteal, and/or nerve pain. Certain activities such as running and cycling may increase tension in the area, resulting in compression of the sciatic nerve.

Other contributing factors to this condition include anatomical abnormalities such as tightness in muscles located around the hip joint and weak abdominal muscles.

Although there is no definitive diagnosis for piriformis syndrome, physical examination, and imaging tests can be useful in ruling out other conditions that may have similar symptoms such as herniated discs or spinal stenosis.

With appropriate diagnosis and treatment options available, it is possible for individuals affected by piriformis syndrome to live without debilitating symptoms.

Symptoms often mimic other conditions or do not appear to be connected at all. But one thing is for sure: it causes intense discomfort, usually in the form of butt pain. The signs and symptoms of piriformis syndrome include:

• Pain when sitting or standing for long periods of time
• Tenderness around the sciatic nerve area
• Muscle spasms in the buttocks
• Pain when climbing stairs or running

These symptoms can range from mild to severe and may develop gradually or suddenly. In some cases, an individual may also experience numbness or tingling in their lower extremities.

The severity of these symptoms varies from person to person, but if left untreated they can cause severe mobility issues and even chronic pain. Proper rehabilitation exercises are essential for reducing pain and restoring full function, making it possible to live life without constant pain and discomfort.

• Joint Manipulation 

• Dynamic Neuromuscular Rehabilitation 

• Fascial Manipulation 

• Dry Needling 

Piriformis syndrome rehabilitation exercises aim to reduce pain, improve flexibility and strengthen the muscles in the hip area. Stretching the piriformis muscle is a common exercise for relieving symptoms associated with this condition.

At Denner Chiropractic & Performance in Charlotte, North Carolina we use DNS Rehabilitation to teach our patients ideal movement and stabilization patterns. This results in a decrease in tension and tone of the surrounding musculature.

Patients often report the sensation of feeling their muscles are relaxed and loose for a longer period of time versus conventional soft tissue manipulation. When our bodies move in the ideal patterns larger compensatory muscles can "turn off" allowing for a decrease in pain and symptoms. 

What Is The Prognosis For Piriformis Syndrome?

The prognosis for this condition is generally good. Most patients experience symptom relief with sports chiropractic care such as rehabilitation exercises, manual therapy, and lifestyle modifications. Sports chiropractic care helps to maintain flexibility in the affected area and reduce pain associated with the syndrome. Overall, with proper treatment and management, most patients can find relief from their symptoms within several weeks to a month.

Are There Any Self-Care Measures I Can Take To Prevent Piriformis Syndrome?

Self-care measures that may help to prevent Piriformis Syndrome include stretching exercises and maintaining good posture. Stretching, specifically of the hip muscles, can be beneficial in helping to reduce strain on the piriformis muscle. Additionally, sitting for prolonged periods of time should be avoided whenever possible, and low impact aerobic exercise can help to improve circulation and overall body strength. It is also important to practice good posture when standing or sitting, as this can help to reduce tension in the piriformis muscle.

Is There A Connection Between Piriformis Syndrome And Other Medical Conditions?

Recent studies have suggested a link between Piriformis Syndrome and other medical conditions, such as sciatica, lumbar disc herniation, and lower back pain. This relationship is based on the fact that the piriformis muscle is located close to the sciatic nerve. When the piriformis muscle becomes tight or spasms, it can compress the sciatic nerve resulting in pain and discomfort. 

How Long Does It Typically Take To Recover From Piriformis Syndrome?

Recovery time from piriformis syndrome is variable and can depend on the severity of the condition. Treatment options, such as sports chiropractic and rehabilitation exercise, can speed up recovery times. Generally, it is suggested that individuals with mild symptoms may take up to two to three weeks to recover whereas those with more severe cases may need up to 1-2 months for complete recovery.