What is piriformis syndrome, also called pyramidal syndrome, and how is it treated?

Piriformis syndrome, also known as piriformis syndrome, is a condition that causes pain in the gluteal region and sciatic nerve, due to compression of the sciatic nerve by the piriformis muscle, a small muscle located at the back of the hip that assists in external rotation of the leg.

Treatment of pyramidal syndrome can vary depending on the severity of symptoms and the underlying cause. Some treatment options include:

  • Rest and physical therapy: Rest and physical therapy can help relieve pain and improve the strength and flexibility of the piriformis muscle and surrounding muscles. Stretching and strengthening exercises are essential in this type of treatment.
  • Shock wave therapy: This treatment uses high-energy sound waves to stimulate healing and reduce inflammation in the affected area.
  • Injections: In some cases, corticosteroid injections or local anesthetics may be used to reduce inflammation and pain.
  • Pain medications: In some cases, analgesic medications may be prescribed to relieve pain.
  • Surgery: If conservative treatments do not work, surgery may be considered to release the piriformis muscle and reduce pressure on the sciatic nerve. This option is reserved for severe and long-term cases.