Piriformis Syndrome

Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain.

The piriformis muscle can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain)


The piriformis muscle is a small muscle located deep in the buttock (behind the gluteus maximus). Starts at the lower spine and connects to the upper surface of each femur.

Functions to assist in rotating the hip and turning the leg and foot outwardRuns diagonally, with the sciatic nerve running vertically directly beneath it (although in some people the nerve can run through the muscle).

Symptoms & Causes

  • A dull ache in the buttock
  • Pain down the back of the thigh, calf and foot
  • Pain when walking up stairs or inclines
  • Increased pain after prolonged sitting
  • Reduced range of motion of the hip joint

The piriformis gets a workout every day. You use it when you walk or turn your lower body. You even use it just from shifting your weight from one side to the other. The muscle can become injured or irritated from long periods of inactivity or too much exercise.

Some common causes of piriformis syndrome include;

  • Overuse from excessive exercise running and other repetitive activities involving the legs
  • Sitting for extended periods
  • Lifting heavy objects
  • Extensive stair climbing.


Piriformis syndrome often doesn’t need any treatment. Rest and avoiding activities that trigger your symptoms are usually the first approaches to take. Stretches and manual therapy can ease symptoms

Hip Flexor Stretch

Qlute Stretch

Hamstring Stretch


Even though exercise can sometimes cause piriformis syndrome, regular exercise can help reduce your risk. Muscles need exercise to stay strong and healthy.


Prone Hip Extension

Side Plank 

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