Piriformis Syndrome

The Korean traditional medicine treatment for piriformis syndrome utilizes tools tailored to changes in tissue condition at each stage. Stage 1 (Acupuncture): Stimulates piriformis trigger points and Qi-blood pathways on the outer buttocks and thighs to suppress neuromuscular hyperexcitation and improve local blood flow. Used in the acute and early stages where muscle spasms are the primary symptom. Stage 2 (Thin Needle Needle): Physically separates fibrous adhesions formed over a chronic course using a thin needle. Essential when adhesions are a mechanical cause of sciatic nerve compression. Stage 3 (Thread Threading/Fire Needle): Stimulates the separated piriformis tissue for regeneration to restore normal elastic fibers. Prevents recurrence by inducing collagen regeneration. Pharmacopuncture is used as an adjunct at each stage due to its anti-inflammatory effects. These three stages represent a process of structurally realizing the Korean medical principle that "pain disappears when there is circulation." Stage 1 corresponds to the circulation of Qi and blood in the meridians, Stage 2 to the separation of blood stasis and adhesions, and Stage 3 to the restoration of the body's vital energy and the reconstruction of muscles and veins. At Dongjedang, we objectively determine the transition points for each stage based on ultrasound and changes in clinical symptoms, designing a treatment plan that ensures appropriate therapy is administered at the necessary stage. This flow enables fundamental treatment rather than mere pain suppression.