Piriformis Syndrome

Piriformis Syndrome.

I talked briefly about Sciatica V Piriformis Syndrome in an earlier post. I hope to give you some help and guidance if you have been diagnosed with Piriformis Syndrome.

You have pain in the low back, buttocks or travelling down your legs and been told you have Piriformis Syndrome, it is a muscular condition and you need to stretch and exercise.

Firstly to help understand what exercises are going to help you and why a little anatomy knowledge is required. (I believe if we understand what is going wrong, why and how to help we are more likely to do the exercises required to recover)

The Piriformis is part of a group of muscles that externally rotate the hip (turn the hip outwards) that originates at the Sacrum (part of your spine that is in your bum)  and attaches to the Femur (thigh bone) it is slightly angled as you can see from Picture.

 The Sciatic nerve originates in the Lumbar and Sacral spine exiting at L4 – S3 where each root join together and can be as big as your thumb at its largest portion. It runs down the buttocks right behind the Piriformis then down the legs and under the foot.

Looking at the proximity of the Piriformis and Sciatic nerve you can see it can be easily irritated if the Piriformis muscle is under tension or shortened.

Symptoms can vary from a dull ache to a sharp shooting pain numbness can be felt or tingling sensations anywhere from the low back down the back of the thigh and in to the calf. It can be constant or intermittent and may be exasperated by Exercise, sitting, standing, twisting, coughing or sneezing.

There are many reasons for developing this painful condition including having to sit for long periods of time, over training, under training, trauma, muscle imbalances, Pelvic imbalance to name just a few.

I help people every week in clinic with this painful condition with great results. Below are a few exercises that can help to relieve the symptoms and get you feeling and moving better.

H. P. Therapy