Piriformis syndrome is a soft tissue injury of the piriformis muscle and therefore
should be treated like any other soft tissue injury. Immediately following an injury,
or at the onset of pain, the R.I.C.E.R. regime should be employed. This involves
Rest,
Ice,
Compression,
Elevation, and
Referral
to an appropriate professional for an accurate diagnosis.
Treatment
It is critical that the R.I.C.E.R. regime be implemented for at least the first
48 to 72 hours. Doing this will give you the best possible chance of a complete
and full recovery.
The next phase of treatment (after the first 48 to 72 hours) involves a number of
physiotherapy techniques. The application of heat and massage is one of the most
effective treatments for removing scar tissue and speeding up the healing process
of the muscles and tendons.
Once most of the pain has been reduced, it is time to move onto the rehabilitation
phase for piriformis syndrome. The main aim of this phase is to regain the strength,
power, endurance and flexibility of the muscles and tendons that have been injured.
Click on the following link for a complete and
com prehensive article on the treatment of soft tissue injuries.
Prevention
Prevention is the key when it comes to piriformis syndrome. The more you can do
to prevent it, the better off you'll be. There are a number of preventative techniques
that will help to prevent piriformis syndrome, including modifying equipment or
sitting positions, taking extended rests and even learning new routines for repetitive
activities. However, there are four preventative measures that I feel are far more
important and effective.
Firstly, a thorough and correct warm up will help to prepare the muscles
and tendons for any activity to come. Without a proper warm up the muscles and tendons
will be tight and stiff. There will be limited blood flow to the hip area, which
will result in a lack of oxygen and nutrients for the muscles. This is a sure-fire
recipe for a muscle or tendon injury.
Before any activity be sure to thoroughly warm up all the muscles and tendons that
will be used during your sport or activity.
Secondly, rest and recovery are extremely important; especially for athletes
or individuals whose lifestyle involves strenuous physical activity. Be sure to
let your muscles rest and recover after heavy physical activity.
Thirdly, strengthening and conditioning the muscles of the hips, buttocks
and lower back will also help to prevent piriformis syndrome.
And fourthly, (and most importantly) flexible muscles and tendons are extremely
important in the prevention of most strain or sprain injuries. When muscles and
tendons are flexible and supple, they are able to move and perform without being
over stretched. If however, your muscles and tendons are tight and stiff, it is
quite easy for those muscles and tendons to be pushed beyond their natural range
of movement. When this happens, strains, sprains, and pulled muscles occur.
To keep your muscles and tendons flexible and supple, it is important to undertake
a structured stretching routine.
Stretching is one of the most under-utilized techniques for improving athletic performance,
preventing sports injury, such as piriformis syndrome, and properly rehabilitating
sprain and strain injury. Don't make the mistake of thinking that something as simple
as stretching won't be effective.