You have a deep ache in your buttock that won’t let you sit through a meeting, a drive, or even dinner. It shoots down your leg and makes you dread every chair. You’ve tried stretching, rest, maybe even injections. Nothing has stuck.
We look beyond just the sore spot.
Your hips, pelvis, low back, and both sides are assessed to find every contributor to your piriformis pain.
Advanced shockwave reaches 4 inches deep.
Focused acoustic pulses break up adhesions in the piriformis muscle while electromagnetic therapy calms the irritated nerve.
A home program that prevents relapse.
You leave with targeted stretches and hip strengthening exercises so the piriformis stays loose long after treatment ends.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
Deep buttock pain that gets worse after 20 to 30 minutes of sitting at your desk or in the car
Pain shooting down the back of your leg that looks like sciatica but nothing on your MRI explains it
You sit at a desk all day, drive for a living, or spend hours in the same position at work
You’re a runner, cyclist, hockey player, or weekend athlete who keeps getting flare-ups in the hip
You’ve tried stretching, massage, or injections and the pain keeps coming back. You want something that actually fixes the root cause.
The Real Problem
Explore 4 slides on Piriformis Syndrome
Most people have several of these happening at once. That’s why we assess the whole chain, from your lumbar spine to your hip and pelvis, not just the painful spot.
OUR APPROACH
INITIAL VISIT
Full hip, pelvis, and lumbar spine movement screen to find where range of motion is restricted
Strength and muscle activation testing to identify which glute and hip muscles are underperforming
A clear written plan with transparent pricing before you commit to anything
First 2 to 4 Weeks
Focused shockwave therapy to break up adhesions deep in the piriformis and reset muscle tone
Electromagnetic therapy (EMTT) to calm sciatic nerve irritation and reduce inflammation
Chiropractic adjustments to realign the pelvis, sacroiliac joint, and lumbar spine
Make sitting, driving, and daily movement tolerable, fast.
4+ Weeks and Beyond
Progressive gluteal strengthening (bridges, clamshells, hip extension) to take load off the piriformis
Piriformis stretching and sciatic nerve glide home program to maintain muscle length
Ergonomic and movement guidance so your desk, car, and workouts stop re-triggering pain
What To Expect
Every case is different, but research and our clinical experience consistently show:
Noticeable improvement within 2 to 3 sessions. Many patients report meaningful pain reduction after just a few treatments. In clinical trials, shockwave patients began improving as early as 1 to 2 weeks.
Sitting, driving, and walking become tolerable again. Patients in studies regained daily function within weeks of starting a stretching and treatment program. One case documented a runner returning to full training after three shockwave sessions.
Long-term relief when root causes are addressed. Available follow-up data shows sustained improvement at 3 months. Patients who maintain their home exercises and ergonomic changes tend to stay pain-free well beyond that.
Our promise: we will tell you honestly at the assessment if we don’t believe you’re a good candidate for this approach.
EVIDENCE
Shockwave therapy has been shown to significantly reduce pain and improve function in piriformis syndrome, performing on par with steroid injections in randomized controlled trials.
Targeted piriformis stretching improves daily function in clinical studies, and adding hip strengthening exercises yields greater gains than stretching alone.
About 40 to 50 percent of patients with piriformis syndrome improve substantially with conservative care (exercise and manual therapy), confirming it as effective first-line treatment.
Pulsed electromagnetic field therapy has been shown to reduce chronic nerve pain by 44 to 55 percent in responders, supporting its use as an adjunct for stubborn sciatic symptoms.
Ultrasound imaging after shockwave treatment has documented decreased piriformis muscle hardness and reduced sciatic nerve swelling, suggesting structural tissue repair beyond pain relief.
Outcomes are group averages from clinical trials; individual results vary.
Here are answers to some of the most common questions about Piriformis Syndrome.
6 results found
Yes. Randomized trials show that shockwave therapy significantly reduces piriformis pain and improves function, performing on par with steroid injections. It works by sending focused pulses deep into the muscle to break up adhesions and reset tone. We review whether shockwave is the right fit for your case during your initial assessment.
Absolutely. Prolonged sitting shortens the piriformis and reduces blood flow to the area. Research shows significantly higher rates of piriformis-related pain in people who sit for long hours. Sustained hip flexion is one of the most common triggers we see. We map out your specific risk factors in your first visit.
Clinical trials used 1 to 3 shockwave sessions. In our experience, most patients need 3 to 5 visits to achieve meaningful relief. Many notice significant improvement after the first 2 to 3 treatments. We give you a clear session estimate at your assessment based on your specific case.
Most recurrences happen because the underlying causes weren’t fully addressed. If your glutes are still weak, your pelvis is still misaligned, or you’ve gone back to the same sitting habits, the piriformis will tighten again. That’s why we treat the whole lumbar-pelvic chain and give you a home program. We review this with you during your initial assessment.
They can feel very similar. Piriformis syndrome pain is typically centered deep in the buttock and aggravated by hip rotation or prolonged sitting. Disc-related sciatica often starts in the low back. In some cases both are contributing at the same time. We sort this out through clinical testing during your assessment.
That’s common. Stretching alone isn’t enough when the muscle is deeply fibrotic or the nerve is chronically irritated. Our approach adds shockwave to physically break up adhesions, electromagnetic therapy to calm the nerve, and chiropractic to fix alignment issues that stretching can’t reach. We assess whether this combined approach makes sense for you at your first visit.
YOUR NEXT STEP
Stop guessing, stop collecting random treatments, and get a plan that treats the system, not just the sore spot.
Initial Piriformis Syndrome Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full-body movement and strength assessment (hip, pelvis, lumbar spine, both sides)
Identify which pain drivers matter for your case
Review of history and imaging if available
Clear written plan with transparent pricing before you commit
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
There are 11 other resources that share the same topics:
We use cookies to analyze site traffic and improve your experience. See our Privacy Policy for details.