5 doctors weighed in:

What is a therapeutic treatment for piriformis muscle syndrome?

5 doctors weighed in
Dr. Jay Rosenfeld
Physical & Rehabilitation Medicine
2 doctors agree

In brief: Many things

First of all it is important to get a good physical examination to confirm the diagnosis of piriformis syndrome.
A physiatrist is probably best for this. If it is piriformis syndrome, specific stretching exercises are helpful and then sometimes we will inject the piriformis muscle directly with local anesthetic and cortisone. Sometimes it needs to be done more than once.

In brief: Many things

First of all it is important to get a good physical examination to confirm the diagnosis of piriformis syndrome.
A physiatrist is probably best for this. If it is piriformis syndrome, specific stretching exercises are helpful and then sometimes we will inject the piriformis muscle directly with local anesthetic and cortisone. Sometimes it needs to be done more than once.
Dr. Jay Rosenfeld
Dr. Jay Rosenfeld
Thank
Dr. Andrew Germanovich
Pain Management

In brief: Find a cause

By treating an underlying cause of postural abnormality.
Piriformis pain is an effect of pelvic imbalance either due to short leg syndrome or unequal muscle tone in the spine or pelvis. This can be done with heel lifts. You need a good thorough physical exam by someone who understands postural biomechanics. You need osteopathic doctor who actively uses manual skills to diagnose and treat disease.

In brief: Find a cause

By treating an underlying cause of postural abnormality.
Piriformis pain is an effect of pelvic imbalance either due to short leg syndrome or unequal muscle tone in the spine or pelvis. This can be done with heel lifts. You need a good thorough physical exam by someone who understands postural biomechanics. You need osteopathic doctor who actively uses manual skills to diagnose and treat disease.
Dr. Andrew Germanovich
Dr. Andrew Germanovich
Thank
Dr. Albert Pizzo
Family Medicine

In brief: Piriformis

Heat and/or ice applications.
Specific exercises given you by the therapist. Avoid lifting and activity that irritates the pain. A therapist can use ultrasound, or electrical stimulation (tens) or light therapy.

In brief: Piriformis

Heat and/or ice applications.
Specific exercises given you by the therapist. Avoid lifting and activity that irritates the pain. A therapist can use ultrasound, or electrical stimulation (tens) or light therapy.
Dr. Albert Pizzo
Dr. Albert Pizzo
Thank
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