Piriformis Syndrome

Piriformis syndrome is a condition in which the piriformis muscle in the buttock region becomes inflamed or irritated, leading to pain and discomfort in the hip and/or buttock area.

Symptoms of piriformis syndrome may include pain in the buttock or hip region, numbness or tingling in the affected leg, difficulty sitting for extended periods of time, and pain when performing activities that involve hip rotation or extension.

The condition can be caused by a variety of factors, including overuse or repetitive strain, direct trauma to the hip or buttock, muscle imbalances or weakness, or even prolonged sitting or driving.

To help alleviate symptoms of piriformis syndrome, your physiotherapist, chiropractor, or osteopath may recommend a combination of exercises, stretches, and manual therapy. These may include:

1. Piriformis stretch: Sit on the floor with your legs extended in front of you. Cross your affected leg over the opposite knee and gently pull your knee towards your opposite shoulder until you feel a stretch in the buttock region.
2. Hip flexor stretch: Kneel on one knee with the other foot in front of you. Lean forward into the stretch until you feel a stretch in the hip flexor of the back leg.
3. Clamshells: Lie on your side with your knees bent and your feet together. Keeping your feet together, lift your top knee while keeping your heels in contact with each other.
4. Bridge exercise: Lie on your back with your knees bent and feet flat on the ground. Lift your hips up towards the ceiling while squeezing your glutes, then lower back down.
5. External hip rotation with resistance band: Attach a resistance band to a stationary object and wrap the other end around your ankle. Keeping your knee bent, rotate your leg outward against the resistance of the band.

In addition to these exercises, your healthcare provider may also recommend manual therapy techniques such as massage, trigger point therapy, or joint mobilization to help alleviate pain and restore normal function to the affected area.

As with any new exercise program, it is important to consult with a healthcare professional before starting if you have piriformis syndrome or any other health concerns. Your healthcare provider can help you develop a safe and effective exercise plan to address your specific needs and goals.