What is the best way to overcome/heal piriformis syndrome? I have it and it really hampers my running efforts.
Piriformis syndrome is a very interesting issue as far as I am concerned. Personally, I don't believe that the Piriformis acts out alone. The muscle is a crazy muscle that inserts on the inside of the Sacrum proximally, and then on the hip distally. As a two joint muscle it is very difficult to manage in isolation. The bigger question from my point of view, is "why is the Piriformis complaining?"
In my mind, the muscle almost always complains in runners when the Sacro-iliac joint is out of sorts. Which brings me to the first suggestion I have: Go see a manual therapist or sports oriented chiropractor who can restore normal Sacro-iliac alignment.
The second suggestion I have, assuming that the SI joint is not an actor, is to start with a functional screen. I wrote about the functional movement screen in my blog today as a matter of fact!
The bottom line Nellie, is that you need to tackle the cause of the Piriformis syndrome to fix it. I see it a lot more in runners than one would think. The reason for this is that it is easy while running to take a misstep, into a hole, or onto a curb for example, that would cause the SI joint to rotate. The secret is to get it taken care of quickly because the longer it is subluxed, the longer it takes to return to its proper alignment and stay there.