top of page
  • Writer's pictureKayla Wilde

Understanding Piriformis Syndrome vs. Sciatica and the Role of Remedial Massage

When it comes to lower back pain and discomfort radiating down the legs, piriformis syndrome and sciatica are often culprits. Despite their similar symptoms, these conditions have distinct causes and treatments. One effective approach for relief in both conditions is remedial massage. Let’s delve into the differences between piriformis syndrome and sciatica and explore how remedial massage can help.

What is Piriformis Syndrome?

Piriformis syndrome occurs when the piriformis muscle, located in the buttock region, spasms and causes pain. This muscle can also irritate the nearby sciatic nerve, leading to pain, numbness, and tingling along the back of the leg and into the foot.

Symptoms of Piriformis Syndrome:

  • Deep pain in the buttocks

  • Pain radiating down the leg (similar to sciatica)

  • Increased pain after prolonged sitting or activities

  • Reduced range of motion in the hip

What is Sciatica?

Sciatica, on the other hand, refers to pain that radiates along the path of the sciatic nerve, which branches from the lower back through the hips and buttocks and down each leg. Sciatica is usually caused by a herniated disk, bone spur on the spine, or narrowing of the spine (spinal stenosis) compressing part of the nerve.

Symptoms of Sciatica:

  • Pain radiating from the lower back to the buttock and down the leg

  • Discomfort along the nerve path, often only on one side of the body

  • Sharp, burning, or searing pain

  • Weakness, numbness, or difficulty moving the leg or foot

Key Differences Between Piriformis Syndrome and Sciatica

While both conditions involve the sciatic nerve, the primary difference lies in the cause:

  • Piriformis Syndrome: Caused by spasms or irritation of the piriformis muscle.

  • Sciatica: Caused by compression or irritation of the sciatic nerve due to spinal issues.

Another difference is the nature of the pain. Piriformis syndrome often leads to localized buttock pain that may radiate down the leg, whereas sciatica usually involves a more widespread, sharp pain radiating from the lower back down the leg.

Remedial Massage for Relief

Remedial massage is an effective treatment for both piriformis syndrome and sciatica. This type of massage focuses on manipulating the body's soft tissues to relieve pain, reduce muscle tension, and improve blood flow.

Benefits of Remedial Massage:

  • Relieves Muscle Tension: By targeting tight muscles, especially in the buttocks and lower back, remedial massage can alleviate the pressure on the sciatic nerve caused by piriformis syndrome.

  • Improves Circulation: Enhanced blood flow promotes healing and reduces inflammation.

  • Enhances Flexibility and Mobility: Regular massage therapy can help restore range of motion and prevent muscle stiffness.

  • Pain Reduction: Through targeted techniques, massage can reduce the severity of pain and improve overall comfort.

Techniques Used in Remedial Massage:

  • Deep Tissue Massage: This technique focuses on the deeper layers of muscle and connective tissue to release chronic muscle tension.

  • Trigger Point Therapy: By applying pressure to specific points within the muscle, this therapy can relieve pain and improve function.

  • Myofascial Release: This technique involves stretching and releasing the fascia (the connective tissue surrounding muscles) to reduce pain and improve movement.


Piriformis syndrome and sciatica can significantly impact your quality of life, but understanding their differences and effective treatments is key to finding relief. Remedial massage offers a holistic approach to managing pain and improving function. By targeting the root causes of muscle tension and nerve compression, this therapy can help you get back to your daily activities with less pain and greater ease.

If you’re struggling with symptoms of piriformis syndrome or sciatica, consider consulting one of our Remedial Massage Therapists. We can tailor a treatment plan to your specific needs, helping you on your path to recovery and wellness.

13 views0 comments


bottom of page