What is Piriformis Syndrome?
Piriformis Syndrome occurs when the piriformis muscle, located deep in the buttock, irritates or compresses the sciatic nerve. This can cause pain, tingling, or numbness in the buttock and may radiate down the leg — often mimicking sciatica. The condition is estimated to affect 5–6% of people with sciatic-type symptoms (Fishman et al., 2002).
Common Causes
• Prolonged sitting or sedentary lifestyle.
• Overuse from running, cycling, or repetitive hip movements.
• Poor posture or pelvic misalignment.
• Direct trauma or strain to the buttock or hip area.
• Muscle imbalances or weak gluteal stabilisers.
Treatment Options
WCCC management may include:
• Gentle chiropractic adjustments to restore pelvic and lower back alignment.
• Soft tissue therapy to release tension in the piriformis and surrounding muscles.
• Specific stretching and strengthening exercises for the piriformis, gluteal, and core muscles.
• Postural and ergonomic advice to reduce stress on the piriformis during daily activities.
• Collaboration with medical professionals if further assessment or imaging is required.
References:
• Fishman LM, et al. Piriformis syndrome: diagnosis, treatment, and outcomes—a 10-year study. Arch Phys Med Rehabil. 2002;83(3):295–301.
• Hopayian K, et al. The clinical features of the piriformis syndrome: a systematic review. Eur Spine J. 2010;19(12):2095–2109.
