Pain in the butt? – literally?
You may have a condition called Piriformis Syndrome. The piriformis is a small muscle found deep in the buttock region. It attaches from the side of your hip over to your tail bone. Directly below the muscle runs the sciatic nerve. If the muscle becomes overly tight and irritated, it can trigger sciatic nerve pain down the back of the buttock or leg. People with piriformis syndrome most often feel this pain when running, rotating the leg or sitting (because of the compression on the muscle and nerve).
What causes Piriformis Syndrome?
The injury is sometimes caused from direct trauma by falling on your backside. However, it is more commonly caused by overuse. The piriformis muscle can become fatigued or strained due to any activity involving the legs. It is very commonly seen in runnersIs there constantly using the same muscle groups over and over. Other causes may include leg length asymmetry, pelvic misalignment, chronic hamstring tightness or over-pronation in the feet.
How do I get rid of them?
- Decrease leg exercise level, avoid running downhill, decrease mileage
- Ice or ice massage after activity
- Correct Bicycle adjustment – bike shop staff may help
- Correct shoe support
- brace (worn above the knee) may provide relief while exercising
*If home treatment does not work after 1 week, consider visiting a professional
- Myofascial release treatment (Graston instrument assisted massage)
- Knee. Hip, Foot physiotherapy/manipulation/exercises
- Muscle stimulation therapy
- Kinesio Taping (black tape seen in the Olympics)
- Natural anti-inflammatory injections