Further therapeutic methods
In general, osteopathic sessions at regular intervals are recommended for Piriformis syndrome, whereby structural damage can be found and treated directly. In the field of osteopathy, craniosacral therapy can be applied. This is also a holistic procedure, in which the patient is treated through gentle applications without the patient noticing much during the session, but even more so afterwards.
In addition, regular physiotherapeutic sessions can improve the tone of the muscles through the appropriate massage techniques. Educating the patient is equally important. It is mainly about how to deal with everyday life, such as the healthy balance between sitting, standing, moving and taking breaks.
Nutrition also plays an important role. An increased acid content in the body due to unhealthy or wrong nutrition affects the muscles. Cooperation with a nutritional consultation can help the patient in the long term.
A good exercise program and above all a stretching program should be carried out by the patient regularly at home and should also be followed by sports. In the case of piriformis syndrome, it is important for the osteopath to find out why the M. piriformis causes problems. Not only does the osteopath check the muscle for strength locally, but he also controls the pelvic position and establishes the connection between muscle and spine.
If the pelvis is protruding forward, the muscle is overstretched and thus irritates the nerve that runs under the piriformis muscle. The resulting symptoms disappear after straightening the pelvis. If the muscle is overstretched, therapy is not performed directly on the muscle.
If the pelvis is positioned relatively backwards, there is an indication of excessive tone in the muscle, which may be caused by an injury directly at the muscle or by the malposition of the pelvis. In the beginning, the muscle is treated directly with soft tissue techniques. If this is not successful, the pelvis is straightened by mobilization or manipulation.
Subsequent direct treatment on the muscle allows the complaints to improve significantly. If both variations do not help, there may be a blockage in the lumbar spine area, which can also be easily treated. Depending on the anamnesis it is also advisable to examine the pelvic floor and the intestine osteopathically. Adhesion or hypertonus in the corresponding areas can also lead to a pelvic malposition and can therefore be regulated by treatment. After a session, the patient should be given an extensive exercise and stretching program so that he or she can learn to help himself or herself.
- Ostheopathy in osteoarthritis
- Osteopathy slipped disc
- Physiotherapy Piriformis Syndrome
- Connective Tissue Massage
- Fascial Training
- Lymphatic drainage
- Mobilization Exercises
- Gait training
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