How is piriformis muscle spasm treated?
There are a number of ways of treating piriformis muscle spasm: by manipulation, by digital massage of the muscle belly through the rectum, by spray and stretch technique or by various injection techniques. Piriformus muscle spasm generally responds well to treatment, leaving a gratified patient and a satisfied physician. However, on occasion, the piriformis muscle can be unusually irritable and unresponsive to treatment. When this occurs, one must look beyond the muscle itself and ask why the muscle is behaving in this way. Could an interference field be involved? Other mechanical stresses on the pelvis, such as innominate or sacral shears, or on the lower extremity, such as fibular, ankle or feet somatic dysfunction, should be searched for and treated. However, if the tight piriformis persists, it may be that the sympathetic tone of the muscle, or even of the whole region, is increased. When this occurs, an interference field in the ipsilateral lumbar sympathetic ganglia is likely pr
