Piriformis Syndrome Condition

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.