Pyramidal syndrome, sciatica and back pain

by | Aug 24, 2020 | Back pain, Sciatica

“Piriformis syndrome often occurs when there is a loss of neuromuscular balance between the spine, pelvis and leg.”

For your total safety, you should entrust your health and your spine to a true professional.

Located at the hip, below the buttocks, are the deeper muscles: lateral leg rotators, superior and inferior gemellus; obturator internus and externus, quadratus femoris, and last but not least, the piriformis.

All these deep muscles not only rotate and stabilize the legs but also play an important role in pelvic balance and therefore, in the back.

If the hip muscles contract, the pelvis will pull to one side and rotate, causing an imbalance in the lower back. If the hip muscles contract, the pelvis will pull to one side and rotate. If both hips are

contracted, pelvic movement will be limited and the lumbar part of the back will have to struggle with the torsion that has been created.


Trigger points” in the aforementioned muscles can inform us of pain in the legs and pelvis and in turn can contribute to other dysfunctions such as cramps.

In addition, the joints will be affected, which will contribute significantly to hip ailments and problems in the back, knees and ankles.

Some people sit for hours at their desks or offices every day, and as a consequence, the entire pelvic area

is contracted.

Automobile drivers often suffer from pyramidal syndrome simply by driving for long hours with their wallets or an accessory in the back pocket

of their pants, since it modifies the sitting posture.

The piriformis muscle is particularly important because it tends to cause sciatic pain.

“There is a big difference between treating the symptoms and adjusting the cause.”
D.D.Palmer –

Sciatic pain most often begins in the lower back or buttock, often descending the back or side of the leg or around the hip. If the piriformis muscle contracts and becomes knotted, the nerve is squeezed between the muscle and the hip bone.

It is important to keep the piriformis and deep muscles balanced, coordinated, and free of tension, to reduce the possibility of back pain or sciatic pain and improve their mobility. The Doctor of Chiropractic achieves this by leveling the pelvic position,

adjusting the pelvis with his/her hands and with the help of an electro-hydraulic chiropractic table adapted to each age and specific case.

Remember that self-care does not replace the care that a professional can provide for severe problems. Lower back pain and sciatic pain are caused

by several factors that, if not treated correctly, can become chronic ailments.