Your piriformis muscle is a small muscle that attaches mostly to the sacrum and inserts onto the femur. Is it responsible for both lateral and medial hip rotation and changes depending on the position of the leg. Piriformis syndrome is a conditions in which your sciatic nerve is compressed or irritated as it passes through the two piriformis muscle bellies, resulting in lower back or buttock pain. Piriformis syndrome can often be mistaken with a lumbar disc bulge which may present with the same set of sciatica nerve symptoms. A full clinical examination that rules out a lumbosacral spinal pathology as the cause of your symptoms with usually indicate piriformis syndrome as the next likely cause. Further examinations will only be performed to exclude other conditions that could replicate piriformis syndrome. Symptoms: One or more of the following symptoms may be experienced:
  • Deep boring or dull buttock or posterior leg pain
  • May experience radiation of pain down the back of the thigh, calf and foot
  • Pain with hip flexion activities such as walking upstairs or incline walking
  • Increased pain after prolonged sitting
  • Reduced range of motion of the hip joint
Treatment: A various number of conservative treatment modalities may be utilised to treat piriformis syndrome and prevent re-injury. Once the causative factor has been established treatment could involve any of the following:
  • Joint mobilisations to restore normal joint mobility, range of motion and function
  • Massage or electrotherapy to help alleviate muscle spasm and increase blood flow to the injured muscle tissue
  • Stretching exercises to increase muscle length and flexibility
  • Acupuncture or dry needling to reduce muscle tightness
  • Specific core and hip strengthening exercises recommended by your health care provider to help stabilize your spine, hip and pelvis
Low level laser therapy: Additional to the other modalities mentioned above, low level laser therapy may be added into your treatment to further enhance treatment outcomes. The pain/spasm protocol may be used to decrease nociception/ pain, which is a type of receptor at the end of neurons that react to harmful or painful stimuli, by decreasing nociception, pain perception is decreased. The tissue repair protocol may be used to produce improved microcirculation and modulate inflammation response which therefore creates strong and uniform repair tissue. Lakeside Laser offer a multimodal treatment approach to all conditions; Low Level Laser therapy is just one of the treatment options provided by us. Located in Joondalup WA 6027, central to Perth’s Northern suburbs, with clientele from a variety of surrounding suburbs such as: 6027- Edgewater, Beldon, Heathridge; 6026- Kingsley, Woodvale; 6024 – Greenwood, Warwick and 6023- Duncraig. We also have HICAPS facilities onsite for most Health insurance Providers. If you would like further information regarding Low Level Laser Therapy/Cold Laser Therapy or to book an appointment,  feel free to contact one of our friendly laser technincans on 08 9300 0095 or you can visit our website
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