How is piriformis syndrome prevented?

Updated: Sep 16, 2020
  • Author: Milton J Klein, DO, MBA; Chief Editor: Ryan O Stephenson, DO  more...
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  • No method of preventing piriformis syndrome has been demonstrated. The best means of prevention is to maintain biomechanical balance through the restoration of a more physiologic weight-bearing distribution; this necessitates a level pelvis/sacral base and equal leg lengths, which can be achieved by using heel-lift therapy if necessary. This treatment approach also prevents recurrences of piriformis syndrome, especially if the underlying etiology is a leg-length discrepancy. The patient also must engage in a general stretching program that includes the bilateral piriformis muscles.

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