13 doctors weighed in:
What are the most effective treatments for piriformis syndrome?
13 doctors weighed in

David Miller
Family Medicine
7 doctors agree
In brief: OMM
Piriformis syndrome is caused by a spasm in a muscle called piriformis.
This puts pressure on the sciatic nerve, causing the symptoms. Osteopathic manipuation, in skilled hands, can correct the problem causing the spasm and provide great relief for this common complaint.

In brief: OMM
Piriformis syndrome is caused by a spasm in a muscle called piriformis.
This puts pressure on the sciatic nerve, causing the symptoms. Osteopathic manipuation, in skilled hands, can correct the problem causing the spasm and provide great relief for this common complaint.
David Miller
David Miller
Answer assisted by David Miller, Medical Student
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2 comments
Dr. Louis Grenzer
If you really have piriformis syndrome, there are some exercises which are very helpful. They can easily be found on line. Try looking on youtube.
Dr. James Leiber
An osteopathic manipulation technique called counterstrain when done properly can be very effective. Sometimes an ultrasound guided injection into the piriformis or around the sciatic nerve is necessary and can be very helpful. Sometimes, what looks like Piriformis syndrome can be something else (Sacroilitis or a pinched nerve or a problem with a different tendon at the back of the hip, etc)
Dr. James Leiber
Sports Medicine
5 doctors agree
In brief: The key is diagnosis
Piriformis syndrome can often be relieved with counterstrain techniques (osteopathic manipulation) or by ultrasound guided injection.
Sometimes pain in this region is from tendon problems (e.g. Obturator internus) or from sacrum malalignment or from nerve impingement up higher -- in the lumbar spine. An accurate diagnosis is key.

In brief: The key is diagnosis
Piriformis syndrome can often be relieved with counterstrain techniques (osteopathic manipulation) or by ultrasound guided injection.
Sometimes pain in this region is from tendon problems (e.g. Obturator internus) or from sacrum malalignment or from nerve impingement up higher -- in the lumbar spine. An accurate diagnosis is key.
Dr. James Leiber
Dr. James Leiber
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Dr. Mark Weston
Orthopedic Surgery - Spine
1 doctor agrees
In brief: Strteching deeptis
Deeptissue madsage triggerpoint injection stop offending activity.

In brief: Strteching deeptis
Deeptissue madsage triggerpoint injection stop offending activity.
Dr. Mark Weston
Dr. Mark Weston
Thank
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