July 2021

Piriformis Syndrome


Piriformis syndrome is a condition that describes the entrapment and irritation of the sciatic nerve from the piriformis muscle.  Repetitive movements and chronic, prolonged sitting can cause the piriformis muscle to become fibrotic and shortened resulting in the compression of the sciatic nerve.  Piriformis syndrome is most commonly found in runners and cyclists.


·      Foot pronation

·      Excessive running volume

·      Tight hip flexors

·      Weak glutes

·      Improper/worn shoes


·      Glute/hip pain

o   Increased pain with prolonged sitting

·      Radiating pain down leg into foot

o   Burning, numbness, tingling into lower extremity



·      Acute - General

o   Rest, Ice, NSAIDs

·      Chronic - Professional

o   ART® to soft-tissues

o   Deep tissue sports massage

o   Custom orthotics, if needed

·      Chronic - Self

o   Foam rolling, The Stick of soft-tissues



·      Piriformis stretch – perform daily for 2-3 sets of 10-30 seconds

·      Hip flexor stretch – same as above

·      Glute bridges – 3 sets of 15-20 reps


Piriformis Stretch



Hip Flexor Stretch



Glute Bridge



  • Regular soft-tissue maintenance
  • Vary running surfaces
  • Periodize training program
  • Regular strength, flexibility, and mobility
  • Replace running shoes when worn 
Active Performance Chiropractic focuses on the diagnosis, treatment, and rehabilitation of athletic-related injuries. Treatment is a unique blend of Active Release Techniques, traditional chiropractic therapy, and physical rehabilitation designed to match each patient’s goals and lifestyle.