What to expect from physiotherapy for piriformis syndrome

The assessment may explore buttock pain, symptoms that travel down the leg, sitting tolerance, hip movement, spinal movement, muscle strength and nerve-related signs. Because several conditions can produce similar symptoms, the clinician considers the whole hip and lower back region rather than treating one muscle in isolation.

Treatment can include gentle hip mobility, stretching only when appropriate, strengthening of the hip and trunk, and practice of positions that reduce pressure during sitting or activity. The programme may also address walking, lifting, running or work habits that repeatedly reproduce symptoms.

Use the exercises at the dose provided and change position regularly if sitting aggravates the area. Avoid forcing a stretch into tingling or spreading leg pain. Share any change in numbness, weakness or walking control so the plan can be adapted and another cause can be considered if needed. The condition overview on [Piriformis Syndrome](/conditions/piriformis-syndrome/) may help you review related symptoms.

Seek prompt medical advice for increasing leg weakness, worsening numbness, trouble walking, or changes in bladder or bowel control. Urgent assessment is needed for sudden severe back or leg symptoms with loss of function, fever, or major trauma. Physiotherapy should not delay evaluation of these warning signs.

Ask what features support piriformis syndrome, what other causes have been considered, which activities are safe now, and when a further examination or scan would be appropriate.