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Piriformis Syndrome

Piriformis Syndrome

Piriformis Syndrome Affects the Sitters, Weight Lifters, Runners, Rowers and Cyclists Among Us

Piriformis Syndrome affects about 200,000 per year in the United States. The condition is directly related to the piriformis muscle, which is a flat, delta-shaped, band-like muscle in your gluteus maximus or buttock. It is located near the upper part of the hip joint. The muscle provides hip joint stability. It moves the thigh, allow us to walk, run, maintain balance and shift weight from side to side. The sciatic nerve is located adjacent to the piriformis muscle and can be compressed or irritated by the flat muscle. The condition is sometimes called Deep Gluteal Syndrome, False Sciatica or Back Pocket Sciatica named after office-workers who keep their wallets in their back pocket. With time the wallet can impinge the sciatic nerve or cause the piriformis muscle to irritate the nerve. Piriformis Syndrome is often misdiagnosed as a herniated or bulging disc.

What Are The Symptoms of Piriformis Syndrome?

Piriformis Syndrome is commonly associated with office workers but can often occur in athletes who exercise their thigh muscles intensely, especially during pre-season conditioning.


  • A persistent, ache or muscle spasms in the rear
  • Pain when sitting or lying longer than 15 to 20 minutes
  • Sciatica-like pain along the thigh, calf and down to the foot
  • Pain improves with walking
  • Pain when rising from a sitting position
  • Difficulty walking
  • Numbness in foot and/or foot drop
  • Leg Length Discrepancy
  • Headache and neck pain
  • Painful bowel movements
  • For women, pain during intercourse

Is surgery my only option for healing my Piriformis Syndrome, or is there a regenerative strategy?

If you are frustrated with the recurring irritation and pain of your piriformis syndrome, consider a surgery-free treatment that goes to the root of your problem. The objective of Dr. Greenberg’s regenerative therapy is to destress the system, initiate regeneration, and promote kinetic equilibrium.

Dr. Greenberg’s team will perform a Comprehensive Kinetic Diagnosis, including a review of your most recent radiographs. We will carefully examine and palpate your ligaments to gain a comprehensive understanding of the kinetic integrity of the key systems along your spine, pelvis, knees and feet that can be affecting your piriformis. We will assess your gait and check for pelvic tilt to see if your musculoskeletal systems are balanced.

Based on the evaluation, Dr. Greenberg will determine if you are a candidate for Kinetic Regeneration Therapy. If so, he will treat your Piriformis Syndrome with the healing and synergistic cascade of Prolotherapy, Platelet Rich Plasma (PRP) and Stem Cell Treatments.

A typical treatment course may call for several injections typically performed every 3 weeks, depending on the patient. Dr. Greenberg has had success with regenerative treatments of the piriformis tendon at its origin and insertion points. He will also treat the nearby sacral, sacrotuberous and sacrococcygeal ligaments. The treatments initiate your body’s healing processes to rebuild sinews, tendons and cartilage using the body’s own healing components to strengthen and renew the ligaments and reduce piriformis pain.

Kinetic Regeneration Therapy is an excellent choice for people who are looking for a non-invasive alternative to surgery that has lower infection risks, shorter recovery times and is opioid-free. We work with you holistically. We, renew you physically and try to raise your personal sense of wellness, so you become a healthier YOU with a back that feels great.

If you or a loved one is looking for a new strategy to treat chronic aches and pains, fill out the form on this page to schedule an appointment or call Dr. Greenberg’s office today at (833) 440-4325.


Piriformis Syndrome, NCBI StatPearls, Hicks, Varacallo


In order to mitigate the spread of COVID-19 in our community, any patient that enters the building will be screened for the virus by having their temperature taken and filling out a questionnaire from Main Line Health. Once inside the office, patients will be asked to wash their hands immediately and may receive another temperature check. All patients will be able to maintain a safe social distance from others, as only one patient is seen per hour. The Greenberg Regenerative staff wears their masks at all times, and also ensures that all safety protocols and guidelines per Main Line Health and the CDC are being followed. Additionally, Dr. Greenberg is fully vaccinated, which further reduces possible COVID-19 transmission. At the end of the appointment, patients have the option to take a Greenberg Regenerative Medicine hand sanitizer to allow them to remain safe and healthy.