Piriformis Syndrome

At London Interventional Clinic, we understand the discomfort that comes with Piriformis Syndrome. It’s a condition caused by the piriformis muscle, a small muscle located deep in the buttock, irritating the sciatic nerve. This results in pain, tingling, or numbness in the buttocks and along the path of the sciatic nerve going down the back of the leg.

What is Piriformis Syndrome?

Piriformis syndrome is caused by spasm of the piriformis muscle, which compresses or irritates the sciatic nerve. The piriformis muscle runs through each buttock diagonally and is important for rotation of the hips and maintaining stability during walking. Injury to the piriformis itself as well as poor biomechanics and/or overuse can result in piriformis syndrome. The symptoms of piriformis syndrome include a dull ache in the buttock and often pain travelling down the back of the leg, it may be worse after prolonged sitting or running and may be associated with stiffness of the hip.

Piriformis syndrome may be diagnosed using a combination of physical examination, medical history and in some cases, imaging to rule out other causes of pain in the same area. Pain with certain movements of the hip and localised tenderness of the buttock is characteristic of the condition.

Symptoms of Piriformis Syndrome

Piriformis Syndrome is a complex condition with diverse causes that can vary significantly from individual to individual. It arises when the piriformis muscle, situated in the buttock region, irritates or compresses the sciatic nerve. This can result from various factors, often relating to lifestyle, physical activity, and individual biomechanics. Below is a list of the most common causes of Piriformis Syndrome, providing a better understanding of how this condition may develop.

Piriformis Syndrome Treatments

Effective treatment of Piriformis Syndrome is usually multifaceted and tailored to the individual’s specific symptoms and needs. Non-surgical interventions are typically the first line of treatment. This might involve physical therapy, where a trained physiotherapist guides patients through exercises designed to stretch the piriformis muscle and improve its flexibility and strength.

Another component of treatment is pain management, which can include over-the-counter or prescription medications to reduce inflammation and alleviate pain. If these conservative methods are not sufficient, interventional procedures may be considered. These could include anaesthetics, steroids, or even Botox injections to relax the piriformis muscle and relieve nerve compression. Surgical intervention may be considered in rare cases where other treatment options fail to provide relief.

Patient education about the condition and its management is crucial throughout the treatment process. Lifestyle changes such as incorporating regular exercise, modifying daily activities, improving posture, and maintaining a healthy weight can also play a significant role in managing and preventing the recurrence of Piriformis Syndrome.

At Home Piriformis Syndrome Exercises

In many cases, especially among professional athletes, physical therapy from health professionals is necessary. However, there are also home remedies that can help alleviate the symptoms of piriformis syndrome. Our doctors suggest incorporating stretches and exercises at home as part of your basic rehabilitation program.

  • Lying in bed and rolling from side to side with the knees flexed and then extended
  • Rotating from side to side while standing
  • Lying flat on the back and pedalling with the legs
  • Taking warm baths to immerse the full body
  • Applying cold packs to reduce inflammation
  • Massaging the muscle to reduce tension
  • Practicing yoga

Start your journey to relief; book your appointment today!

Prevention of Piriformis Syndrome

While not all cases of Piriformis Syndrome are preventable, specific measures can reduce the risk. These include maintaining good posture, incorporating regular stretching and strength exercises into daily routine, and avoiding prolonged sitting. Ensuring ergonomic setups at workstations and taking frequent breaks to move and stretch can also be beneficial.

Living with Piriformis Syndrome

While Piriformis Syndrome can be painful and disruptive, it is usually manageable with appropriate treatment and lifestyle modifications. Regular exercise, physical therapy, and a healthy lifestyle are crucial in managing the condition. Additionally, ongoing communication with healthcare professionals can ensure that treatment plans are effective and are adjusted as needed.

Your Journey to Recovery Starts Here, Book Now

At London Interventional Clinic, we understand that living with Piriformis Syndrome can be challenging, but you don’t have to navigate it alone. Our experienced and caring team is here to guide you through every step of the journey, from diagnosis to treatment and beyond.

With personalised care plans and the latest treatment options, we aim to provide the best possible care and help you return to your everyday activities without discomfort. Don’t let Piriformis Syndrome hold you back.

Book an appointment with us today and take the first step towards a pain-free life.

Hear from our clients


Piriformis Syndrome is when the piriformis muscle irritates or compresses the sciatic nerve, causing pain, numbness, or tingling in the buttock and down the back of the leg.

Symptoms typically include pain in the buttock that can extend down the back of the leg, difficulty moving the hip or leg, and discomfort when walking uphill or on uneven surfaces. Symptoms can vary from person to person, some experiencing mild discomfort and others severe pain.

It can be caused by many factors, including muscle spasms, an enlarged or inflamed piriformis muscle, prolonged sitting, an inactive lifestyle, direct trauma to the buttock area, biomechanical issues, and certain repetitive activities like running or biking.

Treatment options are tailored to the individual, including physical therapy, pain management techniques, medications, and interventional procedures. Lifestyle modifications like regular exercise, improving posture, and maintaining a healthy weight also play a crucial role.

Yes, many people find relief from symptoms through treatment and lifestyle modifications. However, continuing with the recommended therapies and lifestyle changes is essential even after symptoms improve to prevent recurrence.