Treatment of Piriformis Syndrome

I got an email from a reader about the treatment of piriformis syndrome.


I saw you on the FB post, I think it was; and just have a question about Piriformis syndrome…

I injured myself somehow working out at the gym; and the orthopedic diagnosed it as piriformis syndrome.

It’s been almost a year now; he prescribed anti-inflammatory and physical therapy which did help. After PT they released me and told me it was ok to go back to working out; running etc. even though I told them I still had pain.

When I tried to start running, it flared up again. I ended up doing more PT and they recommended Pilates which I am still doing and I want to stay as fit as possible even if I have this injury; and I am just asking a lot of advice on what I can do.

The dr told me a couple of wks ago that he can do injections. But I am a little leery and I am still considering it but I guess I want to see if there’s any thing else I can do first.

I have tried massage and acupuncture which have helped, and of course do stretching every day. Done some light training at the gym and I seem to be fine as long as I don’t over do it. I was just wondering if you have any ideas about this injury and what I can do to stay fit. Thank you for any ideas you might have.


Teresa S.

I really appreciate all the email questions and read them all.  I do my best to reply back but to be honest, it is tough to reply to everyone.

Now back to the question.

I have a soft spot for piriformis syndrome as I suffered from it for 6 months in 2005 when I was training for a 1/2 marathon.  It was very frustrating.  I had also gone to physical therapy which helped but most of the recovery was up to me and the exercises that I did on my own at home.

I go through what I would suggest to Teresa in this video:

Treatment of Piriformis Syndrome

I am sorry about the poor sound on the video.  I thought it would be nice to go outside but I forgot to put on the wind setting.

Rick Kaselj, MS

P.S. – Here are some other posts and videos that may be helpful:

Foam Rolling for the Treatment of Piriformis Syndrome

Activation Before Strength for Piriformis Syndrome

Core Stability of the Hip is Important for Piriformis Syndrome

Hip Rotator Stretch For Hip Injuries like Piriformis Syndrome

That is it.

Make sure to leave a comment and let me know what you think!

Piriformis Syndrome Solved