11/11/2024
Except in very rare cases, piriformis syndrome and deep gluteal syndrome probably don’t exist in the way that most people think they do. This is extremely important to understand.
True compression of the sciatic nerve by the piriformis would present similar to sitting on the toilet for too long, mainly resulting in numbness, tingling, or burning down your leg along the path of the sciatic nerve and its branches.
What’s actually happening then?
The best analogy I can provide is one that I first heard from Tom Jesson, a leading expert in this area.
If you’ve watched our video about “rhomboid pain”, which happens to be the most watched video on our YouTube channel, you’ll know that pain in this area of the upper back typically stems from irritation of a nerve or structure in your neck.
In most cases, this is actually what’s happening in people who have been diagnosed with piriformis syndrome – there is irritation of a nerve or structure in the lower back contributing to symptoms in your butt, thigh, or down the back of your leg. There are different medical terms for this, such as referred pain, radicular pain, and radiculopathy.
If not the lower back, the second most common culprit would be the hip joint itself. For example, a study by Khan et al in 2004 discovered that although the groin and buttock regions are the most common locations of pain for individuals with hip osteoarthritis, people can report a distribution of symptoms into their thigh, knee, and even shin or calf.
Shown are SOME positions, movements or activities that may help relieve your symptoms.
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