Piriformis Syndrome

Piriformis syndrome is a condition in which piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle can also irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain)

Piriformis syndrome symptoms may include

A dull ache in the buttock, tenderness at buttock

Pain down the back of the thigh, calf and foot (sciatica)

Pain when walking up stairs or inclines

Increased pain after prolonged sitting

Reduced range of motion of the hip joint

The most common presenting symptoms with piriformis syndrome are a deep, aching buttock pain that is often associated with a limp and sitting intolerance on the affected side.

Squatting, climbing stairs, walking, and prolonged sitting (especially on hard surfaces) typically worsen the pain.

The two most consistent physical exam findings are tenderness to palpation in the greater sciatic notch and reproduction of pain with maximum flexion, adduction, and internal rotation of the hip.

Treatment options

Pharmacology
Piriformis injection