Piriformis Syndrome might be the most glorified treatment of massage therapy that exists. You seem to hear about it being the culprit for all butt pain and if treated with massage, your days of suffering will be gone forever. I do agree with the fact that massage therapy is an effective tool for combating sciatic pain. However, before we go anointing massage as the absolute cure for sciatica, we should know what it is, and how it comes to be such a pain in the butt…pun intended (my sense of humor is nosediving).
The first fact that we need to establish is “sciatica” and piriformis syndrome are not the same thing. Piriformis syndrome can cause “sciatica” like symptoms, but it is not what causes the medical definition of sciatica…which isn’t a thing. The actual medical term for sciatica is a lumbar radiculopathy which is itself only a symptom of any sort of nerve compression in the lumbar spine. In other words, a nerve compression in the lumbar spine causes a radiculopathy (nerve pain) when some sort of disc or spinal condition causes nerve pressure. This causes symptoms like pain, tingling, and numbness in the gluteal, posterior leg and foot. These symptoms are commonly referred to as sciatica.
Piriformis syndrome is an actual condition involving the interaction of the piriformis muscle and the sciatic nerve. It is defined by some as a “peripheral neuritis” which is a fancy way of saying that the piriformis muscle causes irritation to the sciatic nerve. Per its definition, it has no relation to any sort of spinal condition and should be distinguished as so.
This is an important fact to know because it completely changes how we apply treatment to a client. Continue reading “Piriformis Syndrome…A Pain In The Butt!”