What Piriformis Feels Like
Piriformis syndrome is irritation or compression of the sciatic nerve as it passes near the piriformis muscle deep in the glute. Symptoms can mimic sciatica from a lumbar disc, which makes diagnosis tricky. True piriformis syndrome is overdiagnosed; deep gluteal pain is often actually proximal hamstring tendinopathy or low-back referral.
- Deep ache in the buttock that worsens with sitting
- Discomfort that may radiate down the back of the thigh
- Pain climbing stairs or hills
- Tightness through the deep hip rotators
Early Warning Signs
Catching piriformis at this stage is the difference between a week of reduced training and a multi-week shutdown.
- Tightness deep in the glute after long runs
- Discomfort with prolonged sitting
- Hip stiffness after speed work
When to Stop and See a Clinician
- Numbness or tingling down the leg
- Pain that stops you running
- Weakness in the foot or leg
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