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Piriformis Syndrome

Compression of the sciatic nerve by the piriformis muscle in the hip region.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Piriformis Syndrome?

Piriformis syndrome develops when the piriformis muscle compresses the underlying sciatic nerve due to muscle contraction, spasm, or anatomical variation. It is also called 'pseudo-sciatica' because it mimics classical sciatic findings.

Patients complain of deep hip pain, discomfort that worsens with sitting, and sciatica-like symptoms radiating down the back of the leg. Long driving sessions, repetitive running, and trauma may trigger it.

Diagnosis is made by clinical examination, provocation tests, and imaging; differential diagnosis from lumbar disc disease is important. Physical therapy is the cornerstone of treatment.

Symptoms

Deep pain in the hip
Pain radiating to the back of the leg
Discomfort that worsens with prolonged sitting
Worsening with stair climbing and bending
Numbness and tingling in the leg
Pain that becomes more pronounced when driving
Tender spot in the hip

Risk Factors

Prolonged sitting
Repetitive running and athletic activities
Hip trauma
Poor sleep position
Leg length discrepancy
Pelvic muscle imbalance
Incorrect exercise technique

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If hip and leg pain has been prolonged
  • If there is pain that markedly worsens with sitting
  • If differential diagnosis with herniated disc is required
  • If response to conservative treatment is inadequate
  • If weakness or numbness in the leg is progressing

Treatment Methods

01
Stretching and relaxation exercises
02
Physical therapy and manual therapy
03
Non-steroidal anti-inflammatory drugs
04
Muscle relaxants
05
Trigger point and botulinum toxin injection
06
Activity modification and ergonomic measures

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.