Physical therapy for piriformis syndrome

Piriformis syndrome symptoms

The symptoms of piriformis syndrome often resemble those of sciatica or hip bursitis. Typically, patients with piriformis syndrome will first notice pain, tingling, and numbness in the buttocks. Over time, the pain may extend down the length of the sciatic nerve and grow increasingly severe.

Pain is likely to intensify during activities that cause further compression of the sciatic nerve. For this reason, running, sitting, climbing stairs, or applying pressure to the piriformis muscle can cause greater discomfort.

The most common symptoms of piriformis syndrome include:

• Pain, numbness, and tingling in the buttocks
• Pain that extends along the sciatic nerve
• Increased pain with pressure on the piriformis muscle

Physical therapy for piriformis syndrome

Most patients with piriformis syndrome turn to physical therapy to relieve pain and improve mobility, and surgery is typically unnecessary. A physical therapist will usually begin applying heat to the affected area via heat pack or ultrasound in order to ease muscle spasms and pain prior to starting exercise.

Initially, the PT may use deep-tissue massage and other manual treatments designed to relieve pain. As the patient advances in their PT regimen, they can begin to stretch on their own. Once the patient is comfortable with stretching, they can move into postural training, strengthening, and conditioning exercises.