Piriformis Syndrome

Piriformis Syndrome: A Common Cause of Sciatica and Nerve Pain

You want to stay active, but nagging pain in your buttock or down your leg is slowing you down. Sitting for long periods, climbing stairs, or even just getting out of your car feels uncomfortable. You’ve heard of sciatica, but is that what’s really causing your pain? At Frederick Chiropractic Wellness Center, we help people just like you get to the root of their pain so they can move better, heal better, and feel better.

What Is Piriformis Syndrome?

Piriformis syndrome happens when the piriformis muscle—a small but important muscle deep in the buttock—irritates the sciatic nerve. The sciatic nerve travels just underneath (or in some people, through) the piriformis muscle.  This can lead to pain, numbness, or tingling that travels down the leg, mimicking sciatica. Unlike true sciatica, which originates from the spine, piriformis syndrome is caused by muscle tension and irritation in the hip and gluteal muscles.

Signs You May Have Piriformis Syndrome:

  • Deep buttock pain, especially when sitting
  • Sciatica-like symptoms (pain, tingling, or numbness down the leg)
  • Pain with prolonged sitting, stair climbing, or uphill walking
  • Difficulty getting in and out of a car

Sciatica vs. Piriformis Syndrome: How to Tell the Difference

Many people assume that all leg pain comes from a pinched nerve in the lower back. However, piriformis syndrome and true sciatica have different causes and require different treatments.

True Sciatica (Lumbar Radiculopathy)

  • Comes from nerve compression in the lower spine (like a herniated disc, spinal stenosis)
  • Often involves lower back pain and muscle spasms along with leg pain
  • May cause muscle weakness in the leg

Piriformis Syndrome

  • Caused by the piriformis muscle irritating the sciatic nerve
  • Usually doesn’t invlove lower back pain—pain is focused in the hip or buttock and down the leg
  • Often triggered by prolonged sitting or muscle tightness

A thorough exam can pinpoint the real cause of your pain and guide the right treatment plan.

What Causes Piriformis Syndrome?

  • Overuse from repetitive movements (running, cycling, prolonged sitting)
  • Poor posture and muscle imbalances
  • Previous injuries to the hip, lower back, or pelvis
  • Sedentary lifestyle

How to Prevent Piriformis Syndrome

  • Stretch regularly – Keep hips, glutes, and lower back flexible.
  • Strengthen key muscles – Focus on core, glutes, and hip stabilizers.
  • Move frequently – Avoid prolonged sitting and poor posture.

Why Choose Frederick Chiropractic Wellness Center?

Our practice focuses on a whole-person approach to wellness. We don’t just treat symptoms—we help you understand the root cause of your pain and provide strategies to keep you moving and feeling your best. Whether you’re dealing with piriformis syndrome, sciatica, or other neuromusculoskeletal conditions, our team is here to support you every step of the way.

If piriformis syndrome is keeping you from feeling your best, we can help. At Frederick Chiropractic Wellness Center, we take a personalized, natural, and proactive approach to pain relief and wellness.

Schedule your appointment today and start moving better, healing better, and feeling better.

Why Piriformis Syndrome Is Common During Pregnancy

Pregnancy changes posture, weight distribution, and muscle tension, which can all contribute to piriformis syndrome. As the body adapts, the piriformis muscle can become tight or overworked, leading to sciatic nerve irritation.

At Frederick Chiropractic Wellness Center, we offer gentle, effective chiropractic care for pregnancy-related piriformis syndrome, including the Webster technique, which helps optimize pelvic alignment and reduce muscle tension.

How We Diagnose Piriformis Syndrome

We take a whole-person approach to diagnosing your pain, including:

  1. Listening to Your Story – Understanding your symptoms, activities, and lifestyle.
  2. Nerve and Muscle Examination – Identifying whether your pain is from a spinal issue or muscle irritation.

Movement & Posture Assessment – Finding movement restrictions or patterns that contribute to your pain.

How We Treat Piriformis Syndrome

The best treatment for piriformis syndrome relieves muscle tension, improves mobility, and corrects imbalances. Our approach includes:

Chiropractic Adjustments

Improves pelvic and spinal mobility, reducing muscle strain and irritation on the sciatic nerve.

Soft Tissue Therapy & Myofascial Release

Hands-on techniques, cupping, and vibration therapy help relax tight muscles and restore mobility.

Frequency Specific Microcurrent (FSM) Therapy

Uses gentle electrical currents to reduce pain and inflammation at the cellular level.

Low-Level Laser Therapy (LLLT)

Avant laser therapy speeds up healing, decreases pain, and reduces muscle tightness.

Mobility and Strength Training

Customized exercises to strengthen hip and core muscles, improving movement and reducing strain on the piriformis muscle.

Our Clients Are Great! The Best!