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Writer's picturePaulius Jurasius

Specialized Piriformis Syndrome Treatment: A JANMI Perspective


Pelvic Anatomy Iliustration

Introduction


Hi, I'm Paulius Jurasius, founder of JANMI Soft Tissue Therapy. Piriformis syndrome can really mess up your daily life. It causes deep pain in your buttocks and can even send sharp pain down your leg. I’ve spent years helping people find relief from pain like this, and I know how much it can stop you from doing the things you love. At JANMI, we work on treating the root cause of piriformis syndrome so you can get back to enjoying your life without pain.


What Is Piriformis Syndrome?


Piriformis syndrome happens when the piriformis muscle, a small but important muscle in your buttock, becomes tight or swollen and presses on the sciatic nerve. This pressure can cause pain that starts in your buttock and runs down the back of your leg—similar to sciatic pain. The piriformis muscle helps rotate your hip and keeps your pelvis stable when you move, making it very important for walking, running, and keeping balance.


The Evolution of the Piriformis Muscle


The piriformis is one of the deep hip rotator muscles. It helped our early ancestors climb trees and stay balanced on difficult ground. As humans began walking and running more, this muscle started helping stabilize the pelvis and assist with rotation.

But our lives are very different now. Most of us spend a lot of time sitting, which makes our hip flexors tight and our piriformis muscle shortened. When the piriformis becomes overworked or tense, it presses on the sciatic nerve, causing the deep, aching pain that many people feel today.


How Modern Life Contributes to Piriformis Syndrome


Think about how much time you spend sitting—whether in the car, at work, or on the couch. All that sitting is one of the main reasons piriformis syndrome is so common. Sitting makes your hip flexors tight and weakens your glutes, which forces your piriformis muscle to do extra work. This leads to muscle imbalances that cause pain and nerve irritation.


We also tend to move less overall. Our bodies are made to move, but many of us don’t get enough exercise. When we don't move, muscles like the piriformis tighten up, putting stress on other areas.


JANMI's Approach to Piriformis Syndrome Treatment


At JANMI Soft Tissue Therapy, I use a mix of myofascial release, trigger point therapy, and targeted exercises to treat piriformis syndrome. My goal is to find the root of the problem and restore muscle balance so you can move without pain.

  • Myofascial Release: Fascia is a web that wraps around your muscles. When it gets tight, it limits your movement and causes pain. Myofascial release is a gentle way to loosen these restrictions, letting the piriformis muscle move naturally without pressing on the sciatic nerve.

  • Trigger Point Therapy: Trigger points are tight spots in muscles that can cause pain in other areas. With piriformis syndrome, trigger points often form in the piriformis muscle and other hip muscles. Releasing these points can bring a lot of relief and help the muscles work better together.

  • Targeted Exercises: Stretching and strengthening are key to treating piriformis syndrome. Exercises like glute bridges, hip stretches, and clam shells help strengthen your glutes and balance your hips. This takes pressure off the piriformis so it doesn’t have to do all the work.


Case Study: Michael's Journey to Relief


Michael, a 42-year-old cyclist, came to JANMI after months of deep pain in his buttock and tingling down his leg. He thought it might be a serious back problem, but after assessing him, we found that his piriformis muscle was pressing on his sciatic nerve.


We started with myofascial release to relax the tension in his glutes and hips. Trigger point therapy helped release tight spots that were adding to his pain. I also gave Michael exercises like pigeon stretch and side-lying clam shells to strengthen his glutes and take the pressure off the piriformis.


After a few weeks, Michael felt a big improvement. He could ride his bike again without the deep pain that had been bothering him. By keeping up with his exercises and coming in for occasional sessions, Michael has managed his symptoms and is back to doing what he loves.


Important Note


Piriformis syndrome can have different causes, so it’s important to see a healthcare professional to get the right diagnosis. The treatments and exercises I use work best when guided by a skilled therapist who can make a plan that fits your needs.


Conclusion


Piriformis syndrome can make simple movements really painful. At JANMI Soft Tissue Therapy, I focus on finding the root cause—restoring muscle balance, releasing tight fascia, and building strength where it’s needed. My approach combines hands-on techniques with personalized exercises to help you find lasting relief.


If piriformis syndrome is causing you pain, let’s work together to find a solution. At JANMI Soft Tissue Therapy, I’m here to help you move better, feel stronger, and get back to enjoying life without pain.


Warm regards,

Paulius Jurasius

Founder, JANMI Soft Tissue Therapy

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