Physical Therapy for Piriformis Syndrome
There are a number of treatments for Piriformis Syndrome depending on the severity of your pain.
- Physical Therapy
In most cases, sufferers of piriformis syndrome should first try simple stretches and exercises to treat piriformis syndrome. The reason that this is prescribed is because the most common cause of piriformis syndrome is muscle imbalances that have built up over time. Corrective exercises and stretches that focus on the weak and strong muscle groups can offer permanent relief from piriformis syndrome.Because physical therapy is natural, low-cost, less risky, and effective, most physicians recommend starting with this treatment. - Massage Therapy
Getting a deep tissue massage that focuses on the piriformis muscle is another great, natural treatment alternative. Remember, the key is to loosen the piriformis muscle, not aggrevate it.
Piriformis Pain
- Avoid Contributory Causes
If you notice pain after a run, bike, or any specific activity, then stop doing that activity until you are able to treat your piriformis syndrome. - Ice & Heat
Ice can be helpful when the pain starts, or immediately after an activity that causes pain. This may be simply an ice pack, or ice massage. Heat can be a helpful treatment to loosen the piriformis muscle. Alternating heat and ice is also helpful. For a deeper heat experience, you can try an ultrasound massage. - Orthotics
Because piriformis syndrome is sometimes caused by overpronation or an unusual stride, custom orthodics may be able to treat the root cause of your piriformis syndrome. - Over-the-Counter Painkillers
Although for the sake of your stomach you want to avoid painkillers, sometimes they may provide temporary relief with severe pain. It’s best to go with something like acetaminophen (Tylenol) or ibuprofen (Motrin IB). Keep in mind that painkillers are only temporary relief and will not permanently treat your piriformis syndrome. - Prescription Painkillers
Prescription treatments should be avoided unless piriformis pain is too intense to try any other options. Local anisthetics, cortizone injections, or Botox are a few options. - Surgery
Surgery is rarely recommended due to the high risks and costs involved. Minimally invasive techniques would be the best surgical option.