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This page was published on Feb 22, 2018, edited on Mar 24, 2018 by Dr. Melepura (Pain Management Doctor) of Sports Injury & Pain Management Clinic of New York

Piriformis syndrome is a medical condition that brings about sciatica-like symptoms because it impinges on your sciatic nerve. Try at-home piriformis syndrome treatments first to see if they ease your pain. If not, visit your Manhattan pain specialist for treatment for piriformis syndrome that may include physical therapy, medication or medicated injections. Come to our sports injury clinic to get your hip pain evaluated. Meet our hip doctor Febin Melepura M.D. who is among the best sports pain management specialists and hip doctors in NYC.

Piriformis Syndrome Treatment Doctor in NYC, Hip SpecialistOne of the causes of sciatica, piriformis syndrome is the medical term for the painful condition that occurs when the piriformis muscle in your buttocks squeezes against your sciatic nerve.

The piriformis muscle plays an important role in the flexibility in your pelvis, but if it gets inflamed, it irritates the sciatic nerve. The result is pain in your back and numbness down one leg.

More frequently, the symptoms of sciatica are caused by a herniated disc in your lower spine.

In fact, the symptoms for sciatica are similar no matter what caused it, so before treatment for piriformis syndrome can be performed, your doctor has to determine that it’s the correct diagnosis. See a Midtown Manhattan pain specialist if your symptoms persist.

Sciatica Symptoms from Piriformis Syndrome

Sciatica often presents itself as lower back pain that travels from your spine to your buttocks and even down the back of one leg. Because the sciatic is a major nerve serving your lower extremities, you may feel pain anywhere from your back down to your calf. The pain you feel may be a sharp stabbing pain or a dull, constant ache.

Additionally, the pain may be accompanied by tingling or numbness. It’s not uncommon for people suffering from sciatica to feel pain in one area of their leg and numbness in another. When you see your New York City doctor, make sure you describe your symptoms as accurately as possible. Your description helps your doctor make an accurate diagnosis, as do the risk factors that apply to you, such as:

  • Obesity, which puts extra stress on your spine
  • Diabetes, which among other things can lead to nerve damage
  • Your age, as you’re more susceptible when you’re older
  • Sitting for extended periods, which puts weight right onto your piriformis muscle
  • Certain jobs that force you to sit, carry heavy objects or twist your back
  • Improper stretching before working out or playing sports

Diagnosing Piriformis Syndrome

Due to symptoms that reflect sciatica caused by a herniated disc, piriformis syndrome is difficult to diagnose, let alone treat. Usually, diagnosis starts with a complete examination and medical history by your pain specialist. Even then, it may be a matter of eliminating other causes.

To narrow the possibilities, your doctor may stretch your affected leg in various ways, using your pain level as a guide. An x-ray, CT scan, MRI or electromyography may be useful for ruling out other causes. Diagnoses that present a similar symptom — that your doctor has to eliminate — include:

At-Home Treatment for Piriformis Syndrome

With this condition, your piriformis muscle is inflamed and pressing on your sciatic nerve, so ultimately, the cure is to stop the inflammation, which should stop your symptoms. Before you visit a pain specialist in Midtown Manhattan — or as a first recommended piriformis treatment — you can try some at-home or alternative remedies, including:

  • Over-the-counter pain medicine, such as non-steroidal, anti-inflammatory drugs (NSAIDs)
  • Cold temperature treatments applied directly to the base of your spine, right above your buttocks, for up to 20 minutes to help reduce swelling
  • Warm temperature treatments
  • Alternating warm and cold
  • Lower back stretches aimed at the piriformis muscle
  • Time off from work, if your job aggravates your symptoms
  • Chiropractic adjustment is sometimes effective for increasing mobility in your hips

Piriformis Syndrome Treatments

If your pain and symptoms don’t go away within a week of at-home treatments, make an appointment with your sports medicine and pain physician in New York City. Treatment for piriformis syndrome begins with targeted physical therapy. Prescription-strength muscle relaxants or other types of medications, such as anti-depressants, are the next step.

If these remedies don’t work, you may need stronger piriformis syndrome treatment. A trigger point injection can calm your piriformis muscle, alleviating your symptoms. A lumbosacral epidural steroid injection may be the better choice for you. Only your Manhattan pain specialist can decide.

Treatment for piriformis syndrome is usually effective, but you must do your part afterward to keep the condition from recurring. Start a regular exercise regimen, watch your posture at all times — especially while sitting — and don’t lift objects using improper form. Do these things and you’ll never need piriformis syndrome treatment again.

Do you have any questions about the piriformis syndrome treatment we offer in NYC? Would you like to schedule an appointment with the best rated hip pain management doctor Febin Melepura MD of New York sports pain management clinic? Please contact our office for consultation with the top hip pain relief specialist in Midtown Manhattan.