Piriformis Syndrome occurs when the sciatic nerve is irritated or compressed by the Piriformis muscle, a small muscle deep in the buttocks. This leads to pain, tingling, or numbness starting in the buttocks and possibly radiating down the leg, mimicking sciatica. While often linked to spinal issues, Piriformis Syndrome accounts for about 5% of sciatica cases and is more common in women. Diagnosis involves a physical exam, with imaging tests like MRI to rule out other nerve compression causes.

The Piriformis muscle is important for hip rotation and pelvic stability, but if it becomes tight or swollen, it can press on the sciatic nerve, causing pain. Causes include overuse from running, cycling, prolonged sitting, especially on hard surfaces or with a wallet in the back pocket, and past buttock injuries.

Most Piriformis Syndrome cases can be managed without surgery. Stretching and physical therapy help relieve sciatic nerve pressure. Hot or cold therapy may reduce inflammation and ease discomfort. In severe cases, injections such as corticosteroids or Botox are options to reduce muscle tension and inflammation. Surgery is rarely needed and considered only if conservative treatments fail.

Untreated, Piriformis Syndrome can cause ongoing pain and muscle weakness, affecting daily activities. Early diagnosis is crucial to begin effective treatment. Besides traditional therapies, regenerative medicine options like platelet rich plasma PRP or biologic treatments may aid muscle healing and reduce inflammation.

If you're experiencing persistent buttock or leg pain, early treatment can prevent worsening symptoms and improve mobility. Talk to our team to find the best treatment plan for you.