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Overcoming Piriformis Syndrome with Chiropractic Care 

 August 30, 2023

By  Dr. Brian Long

piriformis syndrome chiropractic carePiriformis syndrome is an often painful condition caused by compression or irritation of the sciatic nerve near the piriformis muscle. The piriformis muscle originates at the lower spine, runs through the buttocks, and connects to the upper femur. When this muscle spasms or tightens up, it can pinch the sciatic nerve, leading to severe pain, numbness, and tingling that runs down the back of the leg.

Symptoms of piriformis syndrome typically include pain in the hip and buttock area that is exacerbated by activities like sitting, running, or climbing stairs. The pain may radiate down the back of the thigh and leg, towards the calf or foot. Patients often have difficulty walking normally and find their symptoms are aggravated by movements that require externally rotating the hip.

While piriformis syndrome shares symptoms with other common causes of sciatica like a herniated disc, an experienced chiropractor can often differentiate the condition through physical examination. And for many patients suffering from piriformis pain and immobility, chiropractic adjustments and other treatments can provide lasting relief.

Chiropractors take a whole-body approach to treating piriformis syndrome that goes beyond just managing symptoms. Keep reading to learn how they diagnose the condition, provide customized treatment plans, and address the root causes like posture, muscle tightness, and spine/hip misalignment to help patients overcome this frustrating source of sciatica.

How Chiropractors Diagnose Piriformis Syndrome

Chiropractors conduct a physical exam and take a full health history to help determine if piriformis syndrome is the cause of your sciatic pain. They look for telltale signs like:

  • Pain when rotating the hip inward or outward
  • Weakness or difficulty moving the leg on the affected side
  • Pain when sitting for long periods
  • Improvement with stretching

They may also order imaging tests like an MRI or x-ray to check for issues like disc bulges or arthritis that could be compressing the nerve. However, most cases of piriformis syndrome can be identified through physical examination.

Chiropractic Adjustments for Piriformis Pain Relief

Chiropractors use spinal adjustments called chiropractic manipulative therapy to both diagnose and treat piriformis syndrome. Gentle pressure is applied to joints in the spine and pelvis to assess range of motion and identify areas of dysfunction. Once problematic joints are identified, a controlled force is applied to help restore normal motion.

Adjustments target misalignments in the spine called subluxations that can cause nerve irritation and inflammation. By removing pressure on the nerves, adjustments can help reduce pain and muscle spasms.

The chiropractor may adjust not only the lower spine, but also the sacroiliac joints and hips to improve mobility in the pelvis. Less tension in the muscles and connective tissues can help take pressure off the trapped sciatic nerve.

Lifestyle Changes Recommended by Chiropractors

In addition to adjustments, your chiropractor may recommend lifestyle changes and home care techniques to provide ongoing relief from piriformis pain. These may include:

  • Stretching and foam rolling: Gentle stretches that target the piriformis muscle and sciatic nerve can help reduce tension. Your chiropractor can show you the best stretches and recommend foam rolling tight muscles.
  • Posture correction: Poor posture causes extra pressure on the nerves and muscles. Your chiropractor can advise you on adjustments to make when sitting, standing, or sleeping.
  • Exercise: Low-impact exercises like walking, swimming, or yoga help improve flexibility and circulation without aggravating the sciatic nerve.
  • Hot/cold therapy: Alternating warm compresses and ice packs can help relax the piriformis muscle.
  • Massage: Massage therapists can provide deep tissue massage to the piriformis muscle and hip area to release adhesions. Just make sure to communicate your discomfort areas.
  • Avoiding aggravating activities: Limit activities that exacerbate your symptoms like running, climbing stairs, or sitting for long periods until the condition improves.

The goal is to reduce compression on the sciatic nerve while also strengthening the core and hip muscles for better support. Your chiropractor can guide you on the right balance of rest, stretching, and exercise.

Nutrition and Supplements

Your chiropractor may also recommend anti-inflammatory foods and supplements to help reduce irritation of the sciatic nerve. These may include:

  • Foods high in omega-3 fatty acids like salmon, chia seeds, walnuts, and flaxseed.
  • Anti-inflammatory spices like turmeric and ginger.
  • Supplements like magnesium, vitamin D, and anti-inflammatory enzymes.
  • Avoiding foods that trigger inflammation like sugar, excess saturated fats, and refined carbohydrates.

Guiding You to Lasting Relief

While chiropractic care won’t always provide instant relief for piriformis syndrome, over time treatments can help break the pain cycle. As the muscle tension decreases, pressure on the sciatic nerve is reduced. This allows the nerve to heal and the inflammation to resolve.

Your chiropractor will work with you to find the unique combination of adjustments, stretches, and lifestyle changes to address the root cause of your piriformis syndrome. Their goal is not just to treat the symptoms, but to help your body function and move properly through what they call “removing subluxations.”

Don’t continue to suffer through the leg pain and immobility of piriformis syndrome. The non-invasive, whole-body approach of chiropractic care can help resolve the source of your sciatic pain. Contact your local chiropractor today to schedule a consultation. An experienced professional can determine if your symptoms stem from piriformis syndrome and develop a treatment plan tailored to your needs. You don’t have to simply live with the pain―start your journey toward lasting relief now.

This article is copyrighted by Blogging Chiropractors for its Doctor of Chiropractic members and may not be copied or duplicated in any manner including printed or electronic media, regardless of whether for a fee or gratis without the prior written permission of Blogging Chiropractors.


For More Information

We would be happy to answer any questions you have about this article, general spinal health or your specific situation. To discuss your symptoms and concerns call (210) 922-0942.

NEED TO SCHEDULE AN APPOINTMENT?

Then call Dr. Brian Long at (210) 922-0942 today!

Barrows Chiropractic & Wellness Clinic
1611 Commercial Avenue
San Antonio, Texas 78221

How We Are Different

Dr. Long is a unique San Antonio chiropractor who specializes in difficult cases that have not responded to other care. All treatment plans are highly individualized based on your specific history, needs and goals.

Areas We Serve

We are located in San Antonio and serve the communities that reside in zip codes 78214, 78223, 78224, 78221, and 78264. However, we see patients from a large radius around Bexar County, Atascosa County, and Medina County because of the unique, customized treatment options we offer.


Dr. Brian Long


Meet Dr. Brian Long, a highly skilled chiropractor based in San Antonio, Texas. With a passion for providing exceptional healthcare, Dr. Long has accumulated a wealth of knowledge and experience over the course of his impressive career. Call (210) 922-0942 to schedule your appointment with him today!

Dr. Brian Long

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Overcoming Sacroiliitis With Chiropractic Care


Sciatica Relief Through Chiropractic Care: A Holistic Approach to Healing

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