PIRIFORMIS SYNDROME SUPPORT GROUP

This is a forum/support group for people who have Piriformis (Deep Gluteal) Syndrome (PS). The piriformis muscle contracts, pinching the sciatic nerve causing "pain in the butt", hip pain, and/or sciatica (referred leg pain). Scar tissue around muscle may press on nerves. Other nerves may be affected i.e., pudendal (PN). Other muscles may be affected i.e., obturator internus (OI).

Symptoms include:

1-Piriformis or OI muscle spasm or tightness,

2-Pain with sitting, increased pain with exercise, daily movements, sexual functioning or elimination,

3-Often distinct points of pain are found, where the Piriformis/OI muscle attaches to the sacrum, hip, sit bones (ischial spine), or perineum area.

4-(Pseudo) Sciatica/referred leg pain (usually down the back of the leg). This symptom isn't always present.

5-Bladder pain, IC

SI Joint Dysfunction (Sacroiliac) may be associated PS.

Pain is made worse by sitting, climbing stairs, squatting, long drives, walks or runs.

PS can be caused by many different things including: OVERUSE (i.e.,running, dancing), TRAUMA (e.g. falling on the butt), PELVIC MISALIGNMENT, (either natural occurring or L5-S1 fusion induced), PREGNANCY, or faulty FOOT MECHANICS, etc. Atypical anatomy of the sciatic nerve running through the muscle may also predispose one to developing PS.

PS can be difficult to diagnose as it has many of the same symptoms as disk and hip joint problems. Orthopedic doctors are most familiar w/PS. They diagnose it through manual exams of stretching & resistance. New technology (MR neurography, 3T MRIs) make DX easier.

Runners often improve w/PT. Difficult cases may require other treatments, which range from soft tissue bodywork to surgery.

If you suspect PS, ask a doctor, chiro, or PT if your Piriformis is contracted. IF THE PIRIFORMIS MUSCLE IS NOT IN SPASM, you do NOT have PS.