Piriformis Muscle, Sciatica, and Neuropathic Pain

Manual Therapy Tutorial: Jonathan Kuttner PT presents an overview of the piriformis muscle anatomy as it relates to trigger points, sciatica, sciatic type neuropathic pain.

Piriformis syndrome occurs when the sciatic nerve is compressed by the piriformis muscle. It is a neuromuscular disorder which is relatively uncommon.

It is usually characterised by pain, numbness or tingling in the buttocks region. There may be a dull ache or tenderness too. In some cases the pain can be extreme and refer down the length of the sciatic nerve and into the leg (also known as sciatica). Pain can be triggered when climbing the stairs, lifting heavy objects, sitting for long periods of time or even running.

There is no single test for this condition. It is often the case that there has been a history of trauma, perhaps from vigorous and repetitive activities such a long distance running. In order to diagnose piriformis syndrome, a physical exam would be necessary alongside the patient's description of the symptoms. In some cases it may be necessary to get an MRI to rule out other conditions such as a herniated disc.

It is usually recommended to avoid the positions or movements that cause or trigger the pain. It is important to use the correct equipment when doing physical activities or sports. Symptoms can be relieved with the help of rest, ice and heat alongside exercise and stretches to relieve the compression on the sciatic nerve. It is also important to make sure your posture is correct and you sit upright and not slumped.

For details of the NAT online course - Deep Tissue Therapy for Sciatica - please click on the link below:

https://nielasher.com/products/deep-tissue-massage-for-sciatica-nat-diploma-course

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