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piriformis-syndromeWelcome to Queen and West Physiotherapy, your trusted source for understanding and managing piriformis syndrome. Piriformis syndrome is a common condition characterized by pain, numbness, or tingling in the buttocks and down the leg due to compression or irritation of the piriformis muscle. Our team is dedicated to providing you with effective solutions to alleviate your symptoms and improve your quality of life.

Understanding Piriformis Syndrome:
Piriformis syndrome occurs when the piriformis muscle, located in the buttocks region, becomes tight, inflamed, or irritated, resulting in compression of the nearby sciatic nerve. This compression can lead to pain, tingling, or numbness that radiates down the back of the leg, mimicking the symptoms of sciatica. Piriformis syndrome can be caused by various factors, including muscle imbalances, overuse injuries, prolonged sitting, or trauma to the buttocks region.

Causes and Risk Factors:
Several factors can contribute to the development of piriformis syndrome, including repetitive activities that involve the hip and buttocks muscles, such as running or cycling, sitting for prolonged periods, muscle imbalances or weakness in the hip and pelvic region, and trauma or injury to the piriformis muscle. Certain risk factors, such as anatomical variations in the piriformis muscle or underlying conditions like arthritis or sacroiliac joint dysfunction, can increase the likelihood of developing piriformis syndrome. Understanding these factors can help individuals take proactive steps to prevent or manage piriformis syndrome effectively.

Recognizing the Symptoms:
Piriformis syndrome typically presents with pain, numbness, or tingling in the buttocks region that may radiate down the back of the leg, following the path of the sciatic nerve. Symptoms may worsen with activities that involve hip movement, prolonged sitting, or pressure on the affected buttock. Individuals with piriformis syndrome may also experience difficulty sitting or walking, muscle tightness or stiffness in the buttocks or hip region, and weakness or decreased range of motion in the hip joint. Recognizing these symptoms early on is crucial for seeking appropriate treatment and preventing further complications.

Treatment Options:
Treatment for piriformis syndrome aims to alleviate pain, reduce inflammation, and improve mobility and function. Depending on the underlying cause and severity of symptoms, treatment may include a combination of therapies such as manual therapy, exercise, stretching, modalities, and lifestyle modifications. Manual therapy techniques such as massage, trigger point release, and myofascial release can help relieve muscle tension, reduce trigger point activity, and improve blood flow to the affected area. Specific exercises and stretches targeting the piriformis muscle and surrounding hip muscles can help improve flexibility, strength, and stability, reducing the risk of recurrence and promoting long-term recovery.

Preventing Piriformis Syndrome:
Preventing piriformis syndrome involves adopting healthy lifestyle habits and ergonomic practices to reduce strain on the hip and buttocks muscles. Maintaining good posture while sitting, standing, and walking can help alleviate pressure on the piriformis muscle and sciatic nerve. Taking frequent breaks to stretch and move throughout the day can prevent muscle tightness and tension in the hip and buttocks region. Using proper body mechanics and technique during physical activities and exercises can help reduce the risk of overuse injuries and muscle imbalances. It’s essential to listen to your body, avoid pushing through pain, and seek timely medical attention if you experience symptoms of piriformis syndrome or related conditions.

Living Well with Piriformis Syndrome:
Living well with piriformis syndrome involves adopting self-care strategies and proactive management techniques to minimize symptoms and improve quality of life. This may include practicing relaxation techniques such as deep breathing exercises or progressive muscle relaxation to reduce stress and muscle tension. Incorporating regular exercise, such as swimming, yoga, or Pilates, can help strengthen the muscles that support the hip and pelvis and improve overall hip function. It’s essential to work closely with healthcare providers to develop a personalized treatment plan that addresses your unique needs and goals.

Thank you for choosing Queen and West Physiotherapy as your partner in piriformis syndrome relief. We hope this guide has provided you with valuable insights and practical tips for managing your symptoms effectively. Remember, early intervention and proactive management are key to alleviating piriformis syndrome and improving your overall well-being. If you have any questions or concerns about piriformis syndrome or would like to explore treatment options further, please don’t hesitate to reach out to our team. Here’s to living well with piriformis syndrome and enjoying a life of comfort and vitality!


1. Cleveland health. (2022, July 13). Piriformis Syndrome: Symptoms, Causes and Treatment. Cleveland Clinic. Retrieved April 4, 2024, from

2. National Library of medicine. (2021). The clinical features of the piriformis syndrome: a systematic review. NCBI. Retrieved April 4, 2024, from

3. Kirschner, J.S., Foye, P.M. and Cole, J.L. (2009), Piriformis syndrome, diagnosis and treatment. Muscle Nerve, 40: 10-18.

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