A Pain In The Butt – Piriformis Syndrome


How many times have you heard the word “piriformis”? In average, at least ones in your lifetime. Quite often, when you have a deep hip pain , the health practitioners you go to would refer to the symptoms as sciatica ; some more insightful practitioners would perform certain tests to corroborate the diagnosis – piriformis syndrome.


Piriformis Syndrome is a condition in which the Piriformis muscle becomes hypertonic and either compresses the sciatic nerve, pulls at its attachments ( grater trochanter of femur and sacrum), or both. In as much as 50% of the population, the sciatic nerve either travels underneath the piriformis muscles, through the piriformis muscle, passes over the piriformis muscle, or passes around the piriformis muscle. When the sciatic nerve is irritated , compressed, or pinched, it causes deep pain in the buttock muscles and pain, numbness, tingling down the leg. Quite often the contributing factors are biomechanical and physical, resulting in fascial adhesions or tendinitis. Bending, lifting, sports, and driving can aggravate piriformis. The major contributing factor for most people is prolonged sitting. Foot problems such as extra high arches are the huge contributors to piriformis syndrome. Another common reason piriformis gets and remains tight is the compression of the second through fourth sacral vertebrae, which are the piriformis’ origin. That creates hypertonicity in the muscle.


Most doctors would suggest the symptoms covering solutions such as painkillers, muscle relaxants, cortisone shots, anti-inflammatory drugs. Some doctors would tell you that there are no drugs to treat the issue, and surgery is your only option. Frequently, the pain would go away with a chiropractic adjustment, but the results are not sustainable and last for just a few days at the most.


As we know, a repetitive injury leads to a formation of the scar tissue, which in its origin is a normal tissue that has been disrupted from its organized structure. This scar tissue is microscopic and is not in the muscle, but in the fascia, thin-to-thick, very tough connective tissue that covers and holds together each muscle in the body. Fascial adhesions cause pain and dysfunction. Breaking such adhesions means liberating a client from chronic pain. And this is where A.R.T. can help in a very few treatment sessions, starting with identifying the involved structures and releasing them in no time.





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