Pins and Needles Treatment

Piriformis syndrome is a painful condition caused by the spasm of the piriformis muscle, situated deep in the buttock and extending from the sacrum to the femur. The muscle’s contraction leads to external rotation of the thigh and is often linked to spinal or sacroiliac joint issues or overuse. Chiropractic treatment is frequently effective in alleviating the pain associated with this syndrome, contingent on an accurate diagnosis. The sciatic nerve usually runs beneath the piriformis muscle, but in about 15% of individuals, a portion of the nerve passes through it, potentially causing neurological symptoms such as pain, numbness, tingling, and weakness—termed piriformis syndrome. It’s crucial to distinguish this syndrome from referred pain patterns to ensure proper diagnosis and treatment, especially when addressing sciatica or leg pain often attributed solely to disc injuries. Symptoms may include lower back, groin, perineum, buttock, and hip pain, with the most common being lower back pain radiating down the leg. Differentiating true piriformis syndrome involves recognizing neurological symptoms, distinguishing it from mere referred pain.