Piriformis Syndrome Condition

Treatment for piriformis syndrome includes osteopathic manipulation, stretches, exercises, and other therapies that can reduce spasms, relieve pressure on the sciatic nerves, and address pain and related symptoms.


Piriformis Syndrome Treatment in New York City

Piriformis syndrome treatment can include osteopathic manipulation, exercises, and stretching routines to relieve sciatic nerve pressure, reduce muscle spasms, and mitigate pain and other symptoms.

What is Piriformis Syndrome?

Piriformis Syndrome is a relatively uncommon neuromuscular condition that is often misdiagnosed as a herniated disc or sciatica. The condition is most commonly seen in athletes such as marathon runners and involves compression of the sciatic nerve resulting in pain, numbness, and tingling in the buttocks. Because its symptoms closely resemble those of other conditions, patients may not always get the prompt treatment they need to avoid prolonged, chronic pain.

What Causes this condition?

This neuromuscular disorder is caused by the piriformis muscle compressing the sciatic nerve. This typically occurs when the piriformis muscle spasms against the sciatic nerve while running or sitting. The piriformis muscle is a flat muscle in the buttocks at the top of the hips. This muscle is located very close to the sciatic nerve and serves a vital role in hip stabilization and movement throughout the lower body. One of its functions is to provide protection for the sciatic nerve, but any spasms in the muscle can irritate and compress that nerve.

The syndrome can be caused by:

  • Overuse of the piriformis muscle, strains, and other injuries
  • Strained muscles in the buttocks
  • Weakness in the hips

What Are the Symptoms of Piriformis Syndrome?

Unfortunately, this compression can create a tremendous amount of irritation and discomfort. And while many cases are improperly diagnosed, there are some common symptoms that can help to better identify the problem. You should learn to recognize these symptoms, since your medical provider will need to rely on your account to ensure a proper diagnosis. Symptoms can include:

  • Dull, aching, or even severe pain in the buttock region. Typically, pain occurs in just one buttock.
  • Noticeable increase in pain during periods of prolonged sitting, walking, or other hip movements
  • Change in your gait. Specifically, when one foot is turned outward as you walk, due to a shortened piriformis muscle.
  • Sharp, radiating pain extending down the back side of your upper leg.
  • An inability to sit comfortably on the affected buttock muscle.
  • Numbness or tingling in the buttock muscles.

Standard imaging diagnostics are not always definitive in diagnosing this condition, so track your symptoms and report them to your care provider. Those reports, along with in-person manipulation of the muscles, can ensure that a proper diagnosis is made.

How We Can Help

Osteopathic care can provide a number of key benefits to aid your recovery from this neuromuscular disorder. Useful techniques can include manual manipulation, osteopathic manipulation stretching exercises, and other safe, gentle techniques designed to address the cause of your discomfort. With an effective course of osteopathic treatment, most patients can enjoy the pain relief, restored mobility and function, and improved quality of life they deserve.


Back and Spine Conditions

Back and spine conditions can be degenerative, disease-related, or caused by overuse or injury. Symptoms can include pain, impaired mobility, numbness, weakness, and more.

Back Muscle SpasmFacet Joint SyndromeFailed Back Surgery SyndromeHerniated DiscsLow Back PainLumbar RadiculopathyMid Back PainMyofascial Pain SyndromeNerve Compression SyndromePiriformis SyndromePost Laminectomy SyndromeSacroiliac Joint DysfunctionScoliosisSpinal Stenosis

Contact Us Today

If you are experiencing any of the symptoms of piriformis syndrome, it is important to seek treatment at your earliest opportunity. Leonid Tafler, D.O. has the experience and expertise you need to successfully resolve piriformis compression of the sciatica nerve, and similar painful disorders. Give us a call today to learn more and to schedule your appointment.

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Piriformis Syndrome Reviews

Margaret Sowa
Margaret Sowa
Hotel General Manager Brooklyn, NY

Through the years, every one treated by Dr. Tafler has had very positive and lasting results. I can't thank him enough for myself, my mom and for every dear person to my heart I sent to him. 🙂 Thank you Doctor! Words can't express what you've done and how many lives have changed. God bless you.

Boris Talis
Boris Talis
Four-time champion of the world in Sambo Combat. Black belt 6th Degree

I am a whole hardheartedly grateful to Dr.Tafler for this timely help in recovering the moving function of my shoulder joint. This helped me a win a gold medal and become the Champion of the world in Sambo combat in Greece 2012. I always tell my collegues and student to turn to the excellent and kind Dr. Leonid Tafler in case of any accident or injury.


Dr. Tafler started working with me though acupuncture, back adjustments and immediately I saw the progress and my pain was less and less with every visit to the doctor. I avoided a surgery thanks to Dr Tafler. I started to enjoy my life again. I am so thankful to the doctor, and have been recommending Dr Tafler to all my friends and coworkers who have back problems and other pains.

Thomas Rayder

Dr. Tafler recommended the OMT under anesthesia procedure. The procedure was performed and alleviated my pain immediately. I avoided surgery and have not had problems with my neck in 7 years now! I am so thankful to Dr. Tafler, the OMT under anesthesia procedure helped me so much!

Elizabeth Blend

Dr. Tafler took me in for a weekend to receive manipulation under anesthesia. Two weeks later I was able to walk without pain. I have been pain free since that moment until today, many years after initial treatment. Without his treatment I do not know if I would have been able to walk at all.

Hugo Barriga

Doctor Tafler, was my savior and there is not doubt he give me my back life; this OMT under anesthesia definitely recommend to everyone, this improve my back and relief a chronic pain. Try this before any aggressive treatment, this was over 5 years ago and I feel splendidly.


Two weeks ago I came to his office. He is a very nice and very pleasant man. I told him about a terrible pain in my back. He gave me two injections and I was able to walk a lot better. I felt myself at my twenties. When I went for the second treatment under anesthesia, I was running up the stairs at my church. All my friends got very happy for me. So, I believe, this man is a hero! If not him, I would not be able to walk!