Effective Piriformis Syndrome Treatment Options

Effective Piriformis Syndrome Treatment Options

This painful condition is characterized by back, hip, and buttocks pain radiating down the leg. It can result from injury to the muscle or compression to the nerve through a muscle spasm or contracture. Additionally, pressure on the sciatic nerve can cause this condition if there is irritation to the piriformis muscle, which runs alongside it. As such, its symptoms are similar to those of sciatica. The condition has no medical treatment but may go away independently with rest and home remedies while being treated with exercise and stretching. Still, in some cases, medication is required to remedy it so you can have a whole and active life! Read more below for specific details about piriformis syndrome treatment.


One of the first treatments for piriformis syndrome is rest and avoiding the activities that trigger pain. Resting can be one of the most complex treatments but is necessary to allow your muscle to relax and let the irritation in the nerve subside. Some people find that sitting for long periods causes their piriformis to ache, so while rest is a necessary treatment, keep moving just more slowly.

Heat & Cold therapy

Heat and Cold are excellent treatment options for managing the symptoms of piriformis syndrome.

Cold Therapy

At the first sign of an attack, cold therapy by a Cold therapy pack application can help numb the area; using a cold pack in the form of ice is indeed one way of alleviating pain. The process works by interrupting the signal sent through the neural pathways. Apply Cold packs for 10-15 minutes every day.

Heat Therapy

Heat therapy can also be helpful when starting to treat your piriformis syndrome. Using a Everywhere Versatile Herbal heating pad on the affected area at least three times a week while working with stretches is a natural way to relieve some of that pain and soothe the inflamed tissue surrounding your piriformis muscle. Heat therapy encourages blood flow to the area, promoting healing, allowing the heated tissues to relax muscles, and improving mobility. Of course, you should always remember not to fall asleep with heat near your hip, as heat burns can occur without notice, making things much worse for you!

Alternating Hot & Cold Therapy

Alternating hot and cold therapy, also known as contrast treatment, takes advantage of using heat and cold with The Original Sacksy - Microwavable Aromatherapy Hot/Cold Pack to relieve your pain - you can alternate between them for maximum relief. Use an ice pack for one minute and heat for three to four minutes. Alternating between the two temperatures can reduce irritation of the sciatic nerve reducing your piriformis syndrome symptoms.

Stretches & Exercises

Stretching and exercise are primary treatments for many sufferers of piriformis syndrome. Stretching will loosen tense muscles and help you maintain your range of motion. Exercise will work to strengthen the piriformis and surrounding muscles. These movements can be done in the comfort of your home or in a physical therapy office to help you get on track with better health!

Avoid Certain Exercises

It would be best to avoid specific exercises to prevent further injury irritation when you have piriformis syndrome. Sitting for prolonged periods and exercises where pain occurs near the gluteal area should be avoided. During therapy, you should avoid movements where you lift both legs while lying on your back or side-to-side leg rotations. If any sessions cause pain or aggravation, let your physical therapists know immediately so they can modify your routine accordingly.

Massage Relief

A massage can be an excellent option for those suffering from piriformis syndrome. Piriformis syndrome is pain and inflammation, specifically in the buttock region. Massage helps relax tight muscles, creating more space for the sciatic nerve to work correctly. One can massage their glute, hip, lower back, and upper leg muscles using high-quality oil or cream and massaging tools. Start slowly, increasing pressure if you are comfortable but maintaining care so that you don't cause undue pain or discomfort yourself. Another option is using a TENS unit. 

Compression Therapy

Chronic pain from piriformis syndrome can make you feel uneasy about being physically active, especially if it is near your hip or leg. You may wear support garments like a compression garment or an elastic bandage that puts pressure on the affected area for two reasons. One that it eases some pain, and two that wearing a specific support garment in your case gives you a sense of stability and security.

Sleeping Posture

When people develop what's known as piriformis syndrome, they inevitably tend to search online for tips and tricks to relieve their pain. The best position to sleep in with piriformis syndrome is on your back with your legs supported by a pillow or folded towel while keeping your pelvis elevated slightly. This position places the least stress on your sciatic nerve and reduces stretching and stress in the surrounding muscles, which often grow tighter in different positions like on your side or stomach.


Many consumer products are available over-the-counter that may help reduce pain and inflammation when used correctly. One example would be anti-inflammatory medications, which use a nonsteroidal anti-inflammatory drug to alleviate pain by targeting the inflammatory response. Ibuprofen and naproxen (also known as Aleve) fall into this category of medications. Both have similar properties of reducing pain and swelling within the body but have slightly different side effects. You should always consult with your doctor or pharmacist before taking an NSAID or any other medication to ensure you don't have any adverse reactions to it.


Two types of injections can be used for piriformis syndrome. The first and most common type is a corticosteroid injection. This injection allows the doctor to directly inject the painful muscle with anesthetic and anti-inflammatory substances to quickly decrease pain and inflammation caused by the irritated sciatic nerve above it. While this type of shot will help take care of your symptoms initially and make you feel better, it does come with some serious risks you need to consider before giving your doctor your consent.

Another type of injection is Botox. This medication relieves the sciatic nerve by relaxing the muscle that causes it to place pressure on the sciatic nerve, which causes pain. After either injection, you should work with a physical therapist to continue stretching and exercising to decrease pain.

Relieve Piriformis Pain

Sciatica is a condition where the sciatic nerve is compressed or irritated and causes pain in the back, buttock, and upper leg. Sufferers often find relief with rest, ice, heat, stretching, and exercise. Medical injections may be necessary if those treatments don't alleviate the pain. Always talk to your doctor before you begin treatment to ensure you are on the right path to recovery.

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