Piriformis Syndrome


What is piriformis syndrome?

Piriformis syndrome is a condition involving nerves and muscles which can cause pain at the back of the hip, deep buttock pain and shooting pain down the back of the leg.

The piriformis is a muscle located posteriorly which functions to rotate the hip. The piriformis muscle is located just superficial to the sciatic nerve, which runs down the back of the leg. Inflammation of the piriformis can compress the sciatic nerve and cause pain shooting down the back of the leg, as well as numbness and tingling, and deep buttock pain.

Piriformis Syndrome is commonly misdiagnosed.

how is piriformis syndrome treated?

Piriformis Syndrome can be treated with conservative measures include activity modification, physiotherapy, antiinflammatories and local ultrasound guided injections.

Often it is necessary to make sure the pain is not referred pain from the lumbar spine, and a spine specialist is frequently required at some point during management of this condition.

In the rare case that a patients piriformis syndrome is not improved with conservative measures, hip arthroscopy to release the piriformis may be indicated.