August 2016

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.
 
 

Causes:

·      Foot pronation

·      Excessive running volume

·      Tight hip flexors

·      Weak glutes

·      Improper/worn shoes

 
Symptoms:

·      Glute/hip pain

o   Increased pain with prolonged sitting

·      Radiating pain down leg into foot

o   Burning, numbness, tingling into lower extremity

 

Treatment:

·      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

 

Rehabilitation:

·      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

 


Prevention:

  • 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.