Piriformis Syndrome (Non-Disc Sciatica)

Signs or Symptoms

Sciatic pain, pains of unexplained origin in the buttocks, abnormal sensations in the genito-urinary area.


According to the textbooks no one really knows exactly what causes piriformis syndrome, or if it really exists. Some doctors believe that the piriformis syndrome is given to hip/buttock pain that cannot be otherwise diagnosed. Travell, John Kennedy’s doctor, believed that the piriformis syndrome is more common than disc problems and a very real cause of pain and disability.


The piriformis muscle contracts putting pressure on the major nerves in the pelvis.

Standard Treatment

Stretching exercises, anti-inflammatory medications and deep massage.

AK Approach

The piriformis is over contracting and the function of this muscle must be normalized. The muscles that support the pelvis are evaluated to find the ones that are malfunctioning. These are corrected and then the alignment of the pelvic bones is corrected. The attention is then shifted to the localized structures that are injured and failing to support the pelvic joints properly. These can include specialized treatments for ligaments, muscles, skin and joints. This is followed by an analysis of how the person walks, moves and their occupational positions. Finally, attention is directed to corrective procedures that can help stabilize and strengthen the structures to help prevent future over contraction of the piriformis. Nutritional therapies aimed at increasing factors that would speed healing and reduce any inflammation are considered.

Other lifestyle modifications are used to prevent or minimize exacerbating the condition. A specific program for your needs is created.

Our Location

552 Main Street Chatham, NJ 07928

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