Understanding Piriformis Syndrome: Relieving Buttock Pain Mimicking Sciatica
- Dr. Elbert Chao
- Oct 26
- 3 min read

Understanding Piriformis Syndrome: Relieving Buttock Pain Mimicking Sciatica
If you’ve ever felt a nagging pain in your buttocks that radiates down your leg, you might assume it’s sciatica. But what if it’s something else mimicking those symptoms? Enter piriformis syndrome, a condition where the piriformis muscle irritates or compresses the sciatic nerve, causing discomfort that can feel strikingly similar to sciatica. At Leap Chiropractic, we’ve helped countless patients find relief from this often-misunderstood condition through targeted muscle release techniques and pelvic adjustments. Let’s dive into what piriformis syndrome is, its symptoms, and how chiropractic care can help you get back to pain-free living.
What Is Piriformis Syndrome?
The piriformis muscle is a small, pear-shaped muscle located deep in the buttocks, running from the sacrum (base of the spine) to the top of the femur (thigh bone). Its job is to help rotate the hip and stabilize the pelvis during movement. However, when this muscle becomes tight, inflamed, or spasmed—due to overuse, injury, or poor posture—it can compress the nearby sciatic nerve, leading to pain and discomfort.
Unlike true sciatica, which often stems from spinal issues like a herniated disc, piriformis syndrome originates in the muscle itself. This makes it a unique condition that requires a tailored approach to treatment.
Symptoms of Piriformis Syndrome
Piriformis syndrome can manifest in ways that feel eerily similar to sciatica, but there are some telltale signs to watch for:
Buttock Pain: A deep ache or sharp pain in the buttocks, often on one side.
Radiating Leg Pain: Discomfort that travels down the back of the thigh, sometimes reaching the calf or foot.
Numbness or Tingling: A pins-and-needles sensation along the path of the sciatic nerve.
Worsening with Activity: Pain that intensifies during prolonged sitting, climbing stairs, or activities like running.
Tenderness in the Buttocks: Pressing on the piriformis muscle may cause localized soreness.
If these symptoms sound familiar, piriformis syndrome could be the culprit. A proper diagnosis from a chiropractor can help distinguish it from other conditions like sciatica or hip joint issues.
Why Does Piriformis Syndrome Happen?
Several factors can contribute to piriformis syndrome, including:
Overuse or Strain: Repetitive activities like running, cycling, or prolonged sitting can overwork the piriformis muscle.
Poor Posture or Biomechanics: Misaligned pelvis or improper movement patterns can put extra stress on the muscle.
Injury: Trauma to the buttocks, such as a fall or impact, can cause muscle inflammation or spasms.
Tight Muscles: Limited flexibility in the hips or surrounding muscles can lead to compensatory tightness in the piriformis.
Understanding the root cause is key to effective treatment, which is where chiropractic care shines.
How Chiropractic Care Can Help
At Leap Chiropractic, we take a comprehensive approach to relieving piriformis syndrome, focusing on both symptom relief and addressing the underlying cause. Here’s how we help:
1. Muscle Release Techniques
Tight or spasmed piriformis muscles are often at the heart of the problem. Our chiropractors use targeted soft tissue techniques, such as myofascial release or trigger point therapy, to relax the piriformis muscle and reduce pressure on the sciatic nerve. These methods help restore flexibility, improve blood flow, and alleviate pain.
2. Pelvic and Spinal Adjustments
Misalignment in the pelvis or lower spine can contribute to piriformis syndrome by altering how the muscle functions. Gentle chiropractic adjustments realign the pelvis and spine, reducing stress on the piriformis muscle and promoting proper biomechanics. This not only relieves pain but also helps prevent recurrence.
3. Corrective Exercises and Stretching
We provide personalized stretching and strengthening exercises to keep the piriformis muscle flexible and balanced with surrounding muscles. These exercises target the hips, glutes, and core to support long-term relief and prevent future flare-ups.
4. Lifestyle and Posture Guidance
Our team offers practical advice on improving posture, modifying activities, and avoiding triggers like prolonged sitting. Small changes, like using a standing desk or incorporating regular movement breaks, can make a big difference.
Why Choose Leap Chiropractic?
At Leap Chiropractic, we’re passionate about helping you move better and feel better. Our experienced team takes the time to listen to your concerns, perform a thorough assessment, and create a personalized treatment plan tailored to your needs. Whether you’re dealing with piriformis syndrome or another musculoskeletal issue, we’re here to guide you on your journey to optimal health.
Take the First Step Toward Relief
Don’t let buttock pain or sciatica-like symptoms hold you back from enjoying life. At Leap Chiropractic, we’re ready to help you find relief from piriformis syndrome with proven, non-invasive techniques. Book your appointment today and take the first step toward a pain-free, active lifestyle. Visit our website or call us to schedule your consultation with our caring team. Let’s leap into better health together!
Dr. Elbert Chao D.C.
Leap Chiropractic



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