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The 10 Best Ways to Treat Piriformis Syndrome

10 Best Ways to Treat Piriformis Syndrome

Piriformis syndrome is a condition characterized by pain and discomfort in the buttocks, often caused by the irritation or compression of the sciatic nerve by the piriformis muscle. While treatment may vary depending on individual circumstances, here are ten effective ways to treat piriformis syndrome:

1. Physiotherapy: A physiotherapist can design a tailored exercise program to strengthen and stretch the muscles surrounding the piriformis, relieving pressure on the sciatic nerve. This may include targeted stretches and strengthening exercises.

2. Chiropractic care: Chiropractors can use various techniques, such as spinal adjustments, to improve the alignment and function of the spine and pelvis. This can help alleviate piriformis syndrome symptoms.

3. Massage: Deep tissue massage or trigger point treatment can help relax the piriformis muscle and reduce tension in the surrounding muscles. Massage may also promote blood circulation and alleviate pain.

4. Stretching exercises: Specific stretches that target the piriformis muscle, such as the supine piriformis stretch, seated piriformis stretch, or pigeon pose, can help relieve tightness and reduce compression on the sciatic nerve.

5. Heat and cold: Applying a heat pack or warm towel to the affected area can help relax muscles and increase blood flow. Alternatively, cold using ice packs or cold compresses can reduce inflammation and numb pain.

6. Nonsteroidal anti-inflammatory drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen sodium can provide temporary pain relief and help reduce inflammation associated with piriformis syndrome. However, long-term use should be done under medical supervision.

7. Physical modifications: Avoiding activities that exacerbate symptoms, such as prolonged sitting, running on uneven surfaces, or climbing stairs, can help prevent further irritation. Using cushioned seats and maintaining good posture while sitting can also be beneficial.

8. Steroid injections: In severe cases, a healthcare professional may recommend a corticosteroid injection directly into the piriformis muscle. This can help reduce inflammation and alleviate pain.

9. Acupuncture: This traditional Chinese therapy involves the insertion of thin needles into specific points on the body. Acupuncture may help relieve muscle tension, promote healing, and reduce pain associated with piriformis syndrome.

10. Exercise and activity modification: Engaging in low-impact activities, such as swimming or cycling, can help maintain overall fitness while minimizing stress on the piriformis muscle. Gradually increasing activity levels and avoiding overexertion are important to prevent aggravating symptoms.
It’s important to consult with a healthcare professional, such as a physiotherapist or chiropractor, for an accurate diagnosis and personalized treatment plan for piriformis syndrome. They can assess your condition and provide appropriate guidance tailored to your specific needs.

If you’re dealing with the discomfort associated with Piriformis syndrome, know that you have several treatment options available. Physiotherapy, massage, medications, corticosteroid injections, and surgery can all provide relief, depending on the severity of your symptoms. Remember, early diagnosis and treatment are essential in addressing Piriformis syndrome effectively. Don’t suffer in silence – talk to your healthcare professional about the best course of action for your individual needs. By doing so, you can regain your mobility, reduce your pain, and enjoy a better quality of life.

If you have any questions or would like to explore further, please book a free, no-charge online appointment with either myself, Sam Heslip, RMT, or another Kitchener Registered massage therapist (RMT) at CARESPACE. We are happy to listen and are here to help!

Picture of Sam Heslip, BSc (Hons), RMT

Sam Heslip, BSc (Hons), RMT

Massage Therapist
Sam completed an Honours Bachelor of Science Degree in Human Kinetics from the University of Guelph before furthering his knowledge of the human body at Mohawk College where he graduated from the Massage program. Sam is trained in a variety of massage techniques including general Swedish massage, joint mobilizations, and myofascial release. Sam strives to help people reach their health goals. Whether you are recovering from injury, dealing with stress, pain or discomfort, Sam will get you back to feeling your best.

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