Sciatica/Piriformis syndrome

Piriformis syndrome is a very common condition caused by the piriformis muscle compressing on the sciatic nerve like when we are sitting or running. With the current covid 19 situation, we probably spend more time sitting than usual. Sitting causes the piriformis muscle to compress on the Sciatic nerve and at first causes a tingling or numb sensation in the buttocks. Pain can be severe and extend down the length of the sciatic nerve (known as Sciatica)

 Your Biokineticist will do a complete assessment to determine the severity of your condition and to determine the cause of your sciatic pain. Other causes include herniated disks, bone spurs on the spine or narrowing of the spine that compresses the nerve. For this article we will look specifically at piriformis syndrome and how you can alleviate the pain

After assessment, your Biokineticist will develop a rehab program for you to alleviate your pain and to prevent it from returning in the future. The most common thing to see is a tight piriformis muscle, however your Biokineticist will do other tests to determine why this is happening. Weak core or glut muscles can also affect this and lead to overuse of the piriformis muscle. Runners are susceptible to this condition due to overuse of the piriformis muscle, causing inflammation of the muscle and compression of the sciatic nerve. Symptoms are again tingling or numbness in the buttocks or down the leg and even in the foot

Stages of rehab:

  • Your Biokineticist will do mobility and stretching exercises to relieve tension in the piriformis muscle to alleviate any pain or numbness. Home stretching programs are given to speed up the process. Activity modification will also be looked at. Whether that is less sitting, or changing your running routine to help with the healing process.
  • Exercises will be done to focus on correcting muscle imbalances and strengthening identified weak areas (usually core and glut muscles)
  • Your Biokineticist could also refer you to a Chiropractor to help with any alignment issues should there be any
  • When you are pain free, exercises will be more sport specific or to prevent the condition from coming back

Consult your Biokineticist if you experience any of these symptoms as early treatment is key. Severe conditions might need surgical intervention, prolonging your recovery time

Related Posts