Piriformis Syndrome
Piriformis · Exercises

Exercises for Piriformis: A Runner's Rehab Guide

The exercises that actually fix piriformis — how to do them, how much, and why each one works.

The Core Rehab Program

Do these consistently for 4-6 weeks. Skip the trendy ones — these are the ones with the strongest evidence for piriformis.

1. Clamshells (Banded)

How: Side-lying with band above knees, open top knee without rotating hips.

Dose: 3 sets of 15 per side, daily

Why: Activates glute medius — the primary stabilizer the piriformis compensates for.

2. Glute Bridges

How: On back, drive hips up squeezing glutes.

Dose: 3 sets of 12, daily

Why: Builds glute max strength to share rotational load.

3. Single-Leg Glute Bridge

How: Bridge on one leg with opposite knee pulled to chest.

Dose: 3 sets of 10 per side, 3x/week

Why: Trains unilateral glute strength that running demands.

4. Piriformis Stretch

How: Lie on back, cross ankle over opposite knee, pull thigh toward chest.

Dose: 60s per side, 2x/day

Why: Restores length to a chronically tight piriformis.

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