Reading and Tilehurst's Physiotherapy, Spinal and Sports Specialists

"Treating the cause to help you move pain free and perform better"

Tilehurst Clinic 4 Chapel Hill, RG31 5DG
Reading Clinic Sports Park, University of Reading, RG6 6UR

  

Booking Line: 0118 9310053 

 

 

Have a Question? Email 

 

 

Piriformis Syndrome

Piriformis syndrome is a condition affecting the piriformis muscle and is familier to the physiotherapists at Core Body Clinic.  Adrian has researched this syndrome using ultrasound and knows what a tricky condition it can be to diagnose and treat.  It describes pain emanating from either the left or right buttock and may cause pain to be referred into the posterior thigh, calf and/or pins and needles in the leg or foot. 

 It is common in runners, latter stages of pregnancy, may be due to weak core muscles and can in occur persons suffering from sciatica or sacroiliac pain (SIJ).  The piriformis muscle sits deep within in the pelvis emerging from the front of the sacrum (inside the pelvis) and extending to the Greater Trochanter (knobbly bit of bone on the side of the upper thigh).  It is a very deep muscle.

The diagnosis is very popular but must be differentiated from other causes of buttock pain.  It is often associated with neural irritation of the sciatic nerve or a disc prolapse.  It can also occur with irritation or dysfunction of the Sacro-iliac joint.  To find it place a finger on the Greater Trochater and then another finger on the the opposite little dimple just on the lower back, then finding the mid point you will come to the depression in front of the Greater sciatic notch. Here will be the belly of the piriformis. It is 'deep' - and covered by the Gluteal muscles.  We know this to be a reliable test - We invented it!

With the right treatment, advice and excercise it is a condition that benefits from physiotherapy!

Symptoms

We suggest if there has been repeated treatments with little change then one should question the diagnosis.

Pain in the buttock

deep and aching

compression of the sciatic nerve cuases pain down the leg

possible pins and needles or numbness

pain on compression; pain on sitting

alleviated when reducing weight through buttock

weakness of buttock muscles

worse with running

prolonged sitting

stretching

Stretching with palpation of the muscle often causes symptoms.

Causes

Weakness of the core muscles; poor conditioning around the pelvis; inflexibility of the lower back; irritation of the sciatic nerve; trauma; poor training habits for runners; prolonged postural alteration; disc prolapse.

Treatment

Acupuncture/dry needling is useful for symptom control and muscle spasm reduction

Manual trigger release

spinal manipulation of the lumbar spine and/or pelvis

Correction and pacing of activity

Correction of sport and exercise habits

Strengthening of pelvic and 'core' muscles

Recovery can be swift once seen by a physiotherapist

 

Unsure if physiotherapy is for you? Get in touch and ask the experts!