What is Piriformis Syndrome and How Do I Get Rid of the Pain in my buttcheek?
Hey. What’s up, guys? Dr. Beau here and I’m answering a question that was sent to me via email. The patient is asking, what is what they call piriformis syndrome and what are the symptoms associated with it, and then how do I get rid of it?
What is piriformis syndrome? Let me pull out my handy little spine here. This is the back side of you, this is this front side of you, so let’s spin to the back. There is a muscle right here called your piriformis. It connects to the femur, or your leg, and it goes and it connects to the inside portion of your sacrum here. There is a nerve that runs underneath it here. This is called your sciatic nerve. When this muscle is compressed over the top of it, it presses on the sciatic nerve and pain is felt on the posterior side or the backside of the leg.
Now, is this true definition sciatica?
No, it’s not true definition sciatica. What true definition sciatica is is when the nerve is being dragged along the bone here, not being compressed over the top. So, the symptoms change a little bit. True definition sciatica, any sort of movement at all, lifting the leg, moving, bending forward, extension, anything that’s causing an extreme amount of pain.
However, when we have piriformis syndrome, only when the muscle engage and tightens down is the pain felt on the sciatic nerve with it radiating down the back of the leg. So, standing, usually okay. Any sort of moving, or they use the term external rotation, this muscle actually causes the leg to externally rotate up and out.
Now, how do I get rid of it, right?
Two things. First off, we have to make sure that the pelvis is in perfect alignment. Make sure the pelvis is not subluxated or out of place. How do we that? That’s your chiropractor. Go get checked, make sure that everything is working and moving appropriately. Chiropractors will help to adjust and relieve that pressure.
Second thing that we need to do is we need to apply pressure over the piriformis muscle to get it to relax and to relieve. Once that happens, then the pressure will be taken off of the sciatic nerve and the sciatic symptoms will decrease and dissipate.
Let me show you how we go and we use a foam roller or a grid to help alleviate some of that pressure. All right, so what we’re going to do is we’re going to apply some pressure over the top of that piriformis muscle, and I really want you to really think about what is going on as we apply the pressure using the foam rollers. So, you have to visualize putting the pressure over this exact muscle. Now to do that, we are going to sit on top of the foam roller here, so the foam roller will be here first, and then what you’re going to do is you’re going to pick up your butt and turn it at a 45-degree angle and compress right over the top of that piriformis muscle, and then we’re going to roll back and forth and pin that piriformis muscle. Okay? So, let’s get to it.