Treating Piriformis Trigger Points - Dr. Jonathan Kuttner
Piriformis syndrome is a result of impingement of the sciatic nerve by the piriformis muscle
Incorrect form or improper gait often leads to tightness and inflexibility in piriformis. The condition occurs more frequently in women than men (6:1).
When piriformis becomes tight it puts pressure on the underlying nerve, causing pain similar to sciatica.
The pain usually starts in the mid-gluteal region and radiates down the back of the thigh.
Piriformis - Common Trigger Point Sites
Cause of injury
Incorrect form or gait while walking or jogging. Weak gluteal muscles and/or tight adductor muscles. Trigger point activity in piriformis/glutes/adductor muscles.
Signs and symptoms
Pain along the sciatic nerve. Pain when climbing stairs or walking up an incline. Increased pain after prolonged sitting.
Piriformis Trigger Points can be the cause of "Sciatica-Type" Pain
Complications if left unattended
Chronic pain will result if left untreated. The tight muscle could also become irritated causing stress on the tendons and points of attachment.
RICER. Anti-inflammatory medication. Heat and massage to promote blood flow and healing. Trigger point therapy. Muscle Energy Techniques.
Rehabilitation and Prevention
During rehabilitation a gradual return to activity and continued stretching of the hip muscles is essential. Start with lower exercise intensity or duration. Identifying the factors that caused the problem is important, especially the treatment of active trigger points.
Strengthening the gluteal muscles and increasing the flexibility of the adductors will help to alleviate some of the stress and prevent the piriformis from becoming tight.
Maintaining a good stretching regimen to keep the piriformis muscle flexible will help, while dealing with the other issues.
Piriformis syndrome seldom results in long-term problems when treated properly. Rarely, a corticosteroid injection or other invasive method may be required to alleviate symptoms.
About NAT Courses
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About Niel Asher Education
Niel Asher Education is a leading provider of distance learning and continued education courses.
Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.
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We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
Award Winning Instructors
Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.
If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.
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There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.
NAT courses are accredited for continuing education by over 30 professional associations in North America, United Kingdom, Australia, and European Union countries. These include The National Academy of Sports Medicine, Physical Therapy Board of California, AAFA, National Certification Board for Manual Therapists and Bodyworkers, Sports Therapy Institute, and Myotherapy Australia.
Niel Asher Technique
Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.
The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.
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This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
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