Piriformis Syndrome

Recurrence of Piriformis Syndrome occurs when structural vulnerability and lifestyle habits are not corrected. Risk factors for recurrence include: ① failure to practice posture correction after treatment, ② weakening of stabilizing muscles surrounding the piriformis (gluteal muscles and deep hip external rotators), ③ uncorrected pelvic asymmetry, and ④ returning to work involving repetitive overload. Completely releasing piriformis adhesions and inducing tissue regeneration using needle acupuncture and thread lifting results in a lower recurrence rate than simple relaxation therapy. Consistently performing piriformis strengthening exercises (Clamshell, Side Leg Raises) for 3 to 6 months after the completion of treatment is key to preventing recurrence. From the perspective of a Korean medicine clinic, preventing recurrence is possible only when both the externally manifested problem (eliminating adhesions) and the internal root cause (strengthening the body's energy) are addressed. The piriformis muscle weakens because kidney function, which governs the body's fundamental energy, and spleen and stomach function, which digest and absorb nutrients, are insufficient; consequently, Qi and blood are not properly supplied to the deep muscles. At Dongjedang, after the completion of treatment, we reinforce internal functions with herbal medicine tailored to your physical condition, building a body capable of allowing the piriformis muscle to maintain its elasticity on its own. Receiving regular checkups every 2 to 3 months for recurrence prevention allows you to detect minor changes early.