Physiotherapy for Piriformis Syndrome Using Sciatic Nerve Mobilization and Piriformis Release

Area of Science:

• Orthopedics
• Neurology
• Physical Therapy

Background:

• Piriformis syndrome involves sciatic nerve irritation by the piriformis muscle, causing buttock pain and sciatica.
• This condition is more prevalent in females and characterized by nerve compression, leading to symptoms like tingling, numbness, and pain.

Purpose of the Study:

• To review and highlight recent advancements in the physiotherapy management of piriformis syndrome.
• To explore various treatment techniques and their efficacy in alleviating sciatic nerve compression.

Main Methods:

• Review of existing literature on physiotherapy interventions for piriformis syndrome.
• Analysis of techniques including nerve mobilization (gliding and tensioning) and piriformis stretching (hip flexion >90° and <90°).

Main Results:

• Physiotherapy techniques such as nerve mobilization and stretching are effective in managing piriformis syndrome.
• Nerve gliding is found to be less strenuous on the sciatic nerve compared to nerve tensioning.

Conclusions:

• Advances in physiotherapy offer effective treatment options for piriformis syndrome.
• Targeted techniques like nerve gliding and specific piriformis stretches show promise in relieving sciatic nerve compression and associated pain.