What is Piriformis Syndrome?
Many of our clients have come to see us to help alleviate pain or a dull ache in the Glute region (more commonly known as your backside). This is a common site for pain and massage can definitely help. The Piriformis muscle is located deep to the Gluteus Maximus muscle and is attached to the sacrum and head of the femur. It’s action is to aid external or lateral
rotation of the thigh. The Piriformis is the
horizontal muscle in the middle of the diagram
that run across the Sciatic nerve (in yellow).
Here in lies the problem; when the
Piriformis muscle gets tight or spasms it
can irritate the Sciatic nerve which can even
lead to pain down the leg.
So what causes the muscle to shorten or get tight?
According to The Stretching Institute there are two main areas: Overload (training errors) or Biomechanical Inefficiencies.
Overload
Exercising on hard surface (ie: concrete)
Exercising on uneven ground
Beginning an exercise program after a long rest period or increasing intensity too soon
Exercising in worn out or ill fitting shoes
Sitting for long periods of time
Biomechanical Inefficiencies
Poor running or walking habits (including your toes pointing out)
Poor seated posture
Tight and stiff muscles of the lumbar, hips and buttocks
Other causes can include herniated disc and spinal stenosis issues
Treatment and Prevention
Treatment can include Rest and Ice in early onset of pain and then soft tissue therapy including massage, acupuncture, heat and stretching can all assist your recovery. Massage assists the muscle to return to normal resting length which should then stop the irritation of the Sciatic nerve. Massage can also relieve Trigger Points that may have formed in the area due to poor biomechanics.
Prevention includes rest and recovery to prevent a reoccurrence, then ease back into training sessions while concentrating on strength and conditioning of core muscles, hip and lower back. Flexibility and suppleness of surrounding muscles as well as Piriformis are crucial.
Piriformis Stretch : sit with one leg straight out front
and pull other leg by ankle toward your chest.
Alternatively you can do this seated with the
ankle on the opposite knee.
For more info got to www.thestretchinghandbook.com |