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Piriformis Syndrome- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama


Piriformis syndrome is an uncommon neuromuscular disorder that is caused when the piriformis muscle compresses the sciatic nerve. The piriformis muscle is a flat, band-like muscle located in the buttocks near the top of the hip joint. This muscle is important in lower body movement because it stabilizes the hip joint and lifts and rotates the thigh away from the body. This enables us to walk, run, shift our weight from one foot to another, and maintain balance. It is also used in sports that involve lifting and rotating the thighs — in short, in almost every motion of the hips and legs.

The sciatic nerve is a thick and long nerve in the body. It passes alongside or goes through the piriformis muscle, goes down the back of the leg, and eventually branches off into smaller nerves that end in the feet. Nerve compression can be caused by spasm of the piriformis muscle.

Signs & symptoms

Pain, tingling, or numbness in the buttocks.

Severe pain extending down the length of the sciatic nerve (called sciatica).

Tenderness of the muscles in the buttocks.

Difficulty in sitting comfortably.

Pain can be triggered when the piriformis muscle compresses the sciatic nerve, such as while climbing stairs, applying firm pressure directly over the piriformis muscle, or sitting for long periods of time.


Compression or contraction of piriformis muscle on sciatic nerve, which may happen due to trauma or a nearby growth or mass


Piriformis syndrome is most often caused by micro or macrotrauma to the buttocks, leading to inflammation of soft tissue, muscle spasm, or both, with resulting nerve compression. Microtrauma may result from overuse of the piriformis muscle, such as in long-distance walking or running or by direct compression. Involvement of the superior gluteal nerve usually is not seen in cases of piriformis syndrome. This nerve leaves the sciatic nerve trunk and passes through the canal above the piriformis muscle. Blunt injury may cause hematoma formation and subsequent scarring between the sciatic nerve and short external rotators. Nerve injury can occur with prolonged pressure on the nerve or vasa nervorum.


There is no definitive test for piriformis syndrome. In many cases, case history, revealing a trauma to the area, repetitive, vigorous activity such as long-distance running, or prolonged sitting will be enough. Diagnosis of piriformis syndrome is made by physical examination of nervous & locomotor systems.

Because symptoms can be similar in other conditions, radiologic tests such as MRIs may be required to rule out other causes of sciatic nerve compression, such as a herniated disc.


Avoid positions that trigger pain.

Rest, ice, and heat pack may help relieve symptoms.

Exercises and stretches help reduce sciatic nerve compression.

Osteopathic manipulative treatment helps relieve pain and increase range of motion.

Anti-inflammatory medications, muscle relaxants, or injections with a corticosteroid.

Iontophoresis – which uses a mild electric current, and

Botox injections

Surgery may be recommended as a last resort.


The prognosis is good in most of the patients with piriformis syndrome. Once symptoms are managed, normal activities can be resumed. In some cases, a regular exercise routine is advised to avoid recurrence.


Complications are usually due to surgery done for piriformis syndrome. They include:

  • Nerve injury
  • Sciatic nerve injury is the most common
  • Infection
  • Bleeding

Disease & Ayurveda



Dhaatukshaya (degeneration of tissues)

Aavarana (obstruction to channels in the body)


Not mentioned


Due to the causative factors Vaata gets vitiated and gets lodged in the lower limbs, especially nerves & muscles, causing the signs & symptoms.


Severe pain in the lower limb

Difficulty to raise the lower limb


Not mentioned


Saadhya when the disease is new

Krichrasadhya when the disease is chronic



Lepana with soolaharadravyas

Parisheka with warm soolahara-sothahara dravyas

Upanaha with Vaataharadravyas

Sirodhara, kateevasti, kateepichu with Vaatahara taila(once there is no aama)


Sneha (Abhyanga)

Sweda (Potalisweda)





Commonly used medicines

        Maharasnadi kashayam

Sahacharadi kashayam

Rasnerandadi kashayam

Rasnasaptakam Kashayam

Sundeebaladi kashayam

Dasamoolarasnadi Kashayam




Brands available

AVS Kottakal

AVP Coimbatore

SNA Oushadhasala

Vaidyaratnam oushadhasala

Home remedies

Medical professionals suggest the following to ease pain & other disturbances in the legs:

  • Stop the activity that caused the pain.
  • Stretch and massage the muscle.
  • Hold the leg in the stretched position until the pain is relieved.
  • Apply heat to muscles that are tight or tense.
  • Use cold packs on tender muscles.


  • To be avoided


Drink enough liquids. Ensure enough hydration.

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha and cause obstruction in channels

Curd – causes vidaaha and thereby many other diseases

  • To be added

Light meals and easily digestible foods

Green gram, soups, sesame oil.

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc


Protect yourself from very hot & cold climates.

Better to avoid exposure to excessive sunlight wind rain or dust.

Avoid lifting heavy weights and other vigorous physical activities.

Maintain a regular food and sleep schedule.

Avoid sedentary lifestyle. Be active.

Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.


Vigorous exercises are not allowed in painful conditions.

Only stretching, moderate walking, and mild cardio exercises are advised. Also, specific yogacharya including bhujangaasana, salabhasana, vajrasana is recommended. Caution must be there to consider the range of movement and flexibility.

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

Yoga can maintain harmony within the body and with the surrounding system.




exercises for leg pain

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Research articles

These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.

Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him-

Whatsapp – +91 9446918019, +91 8075810816


To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics.

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Dr. Rajesh Nair
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with as senior consultant, Ayurveda.

Dr. Rajesh Nair

Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with as senior consultant, Ayurveda.

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