Managing Chronic Piriformis Syndrome Pain at North Shore Health
North Shore Health – Integrated Chronic Pain Solutions
Updated June 2025 | 3 min read
Understanding Piriformis Syndrome in the Context of Chronic Pain
At North Shore Health, we specialize in the long-term management of chronic pain conditions, including Piriformis Syndrome—a neuromuscular condition where the piriformis muscle, located deep in the buttock, compresses or irritates the sciatic nerve. This can lead to persistent pain, tingling, or numbness radiating from the buttock down the leg (commonly referred to as "sciatica").
In chronic cases, pain can be amplified by prolonged sitting, standing, or walking, interfering with sleep, daily activities, and quality of life.
Common Symptoms of Chronic Piriformis Syndrome
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Dull, aching pain in one buttock
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Radiating sciatic pain down the thigh and calf
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Pain intensified by prolonged sitting, climbing stairs, or hip rotation
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Difficulty sitting evenly or a tendency to sit with one hip raised
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A noticeable outward turn of the foot while walking, due to muscle shortening
Why Does It Become Chronic?
Chronic piriformis syndrome often results from underlying biomechanical issues, overuse, or postural imbalances that go unaddressed. Contributing factors include:
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Sacroiliac joint dysfunction or hip instability
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Weak deep stabilizing muscles of the pelvis
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Postural strain or overpronated feet
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Scar tissue or inflammation post-injury or trauma
Chronic Pain Focus at North Shore Health
Our multidisciplinary team at North Shore Health integrates evidence-based physiotherapy and clinical acupuncture for a personalized, whole-body approach to chronic piriformis pain.
Evidence-Based Approaches We Use
Physiotherapy
✔ Targeted Exercise Therapy
Strengthening and stretching the hip stabilizers and external rotators reduces muscle imbalance and pressure on the sciatic nerve.
A 2021 review (Orthopaedic Research Journal) supports therapeutic exercise as the first-line treatment for chronic piriformis syndrome.
✔ Manual Therapy & Myofascial Release
Hands-on techniques reduce local muscle spasm and improve hip joint mobility.
✔ Movement Re-education
We address postural habits and gait abnormalities contributing to recurrence and chronicity.
Acupuncture for Chronic Pain
Acupuncture is a recognized complementary approach for musculoskeletal pain and neuropathic symptoms.
A 2022 systematic review (Journal of Pain Research) found that acupuncture significantly reduced chronic piriformis syndrome symptoms, improved mobility, and lowered inflammation markers.
✔ Dry Needling & Electroacupuncture
These techniques target myofascial trigger points in the piriformis and surrounding tissues.
✔ Neuromodulation Effects
Acupuncture enhances blood flow, reduces nerve irritation, and stimulates the release of natural pain-relieving chemicals (endorphins and serotonin).
Our Multimodal Chronic Pain Management Plan Includes:
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Comprehensive Physiotherapy Assessment
We assess hip biomechanics, lumbar spine function, and nerve sensitivity. -
Acupuncture Sessions Tailored to You
Delivered by certified practitioners trained in evidence-based protocols. -
Education and Lifestyle Strategies
We coach you on posture, workstation setup, and pacing to reduce daily flare-ups. -
Collaborative Care
Coordination with your GP, pain specialist, or orthopedic provider as needed.
Is Piriformis Syndrome the Cause of Your Chronic Sciatica?
At North Shore Health, we use validated diagnostic tests such as the FAIR Test, Freiberg Maneuver, and Pace Test to rule out lumbar disc herniation or SI joint dysfunction and confirm piriformis involvement.
Book a Chronic Pain Assessment
If you’ve been dealing with persistent buttock or leg pain for months or years, help is available. Our integrated physiotherapy and acupuncture model has helped many patients return to active, comfortable living.
📍 Serving North Shore, Sydney
📞 Call us at (02) 8065 2034
🌐 www.northshorehealthclinic.com.au
North Shore Health – Supporting You Beyond Pain.
Let us help you take the next step toward freedom from chronic piriformis syndrome pain.