Serving LA & Orange County

LA & Orange County Piriformis Syndrome Treatment

Numbness, tingling, or a nagging ache deep in the buttocks often points to piriformis syndrome. The sciatic nerve gets squeezed by the piriformis muscle, and pain radiates down the leg.
Dr. Brett Shore provides treatment for patients with piriformis syndrome throughout Orange County and Los Angeles.

15+

Years Treating Hip Conditions

11

Years as Chief of Hip Preservation at Kaiser SoCal

5

Rating Across 100+ Patient Reviews

Rigorous Training, Exceptional Outcomes

Undergraduate Degree

Medical Degree

Orthopedic Residency

Sports Medicine Fellowship

Patient Reviews

What Is Piriformis Syndrome?

The piriformis is a small muscle deep behind your hip. The sciatic nerve, the longest nerve in the body, runs right under it. In some people, the nerve passes straight through the muscle.

When the muscle tightens or swells, it presses on the nerve. You’ll often feel buttock pain, along with tingling, numbness, or a burning feeling down the leg.

The condition is common in runners, cyclists, desk workers, and recreational athletes throughout Orange County and Los Angeles.

When to Seek Treatment for Piriformis Syndrome

If you feel these symptoms, consult with a doctor right away:

Every consultation starts with a hands-on exam, reviews your imaging, and opens a full conversation about treatment options.

How Dr. Shore Treats Piriformis Syndrome

Every case requires a different treatment plan. Dr. Shore lays out your options once the exam and scan results are out.

Most patients feel better without ever needing surgery. First-line care usually involves:

  • Short pauses from the moves that aggravate the muscle
  • Guided physical therapy for piriformis stretches and glute work
  • Anti-inflammatory pills for short-term flare management
  • Muscle relaxants, when the piriformis won’t loosen its grip
  • Corticosteroid or anesthetic injections for deep-seated pain

A thoughtful rehab program addresses tight fibers, sharpens hip rotation, and trims the chance of another flare. Most patients head back to their usual routine without ever entering an operating room.

Surgery stays off the table for most patients. Dr. Shore only raises the option after months of rehab and injections haven’t brought lasting comfort.

The procedure loosens the piriformis muscle and relieves pressure on the sciatic nerve. Most patients return home the same afternoon and start walking through guided physical therapy. 

Return to full activity often happens within three to four months, though timelines vary.

What Causes Piriformis Syndrome?

Several factors may irritate or tighten the piriformis muscle:

Piriformis syndrome isn’t limited to athletes. Commuters, golfers, and active adults in Los Angeles and Orange County often deal with it too.

Meet Your Piriformis Syndrome Specialist

Dr. Shore has focused on hip care, and only hip care, for more than 15 years. That depth helps with conditions like piriformis syndrome, which often gets missed or confused with back problems.

Dr. Shore brings the following training and experience:

  • 11 years as Chief of Hip Preservation at Kaiser Southern California
  • Orthopedic training at Princeton, Columbia, and Harvard
  • Hip preservation fellowship in Switzerland under Leunig, Beck, and Tannast
  • Sports medicine fellowship with Dr. James Andrews
  • Arthroscopy Journal editorial board and peer-reviewed author

Patients often mention his clear explanations and patience with their questions.

How Early Diagnosis Can Protect Your Hip Mobility

Catching piriformis syndrome early often makes care simpler. An early plan may:

  • Bring faster relief from buttock and leg pain
  • Lower the odds of chronic nerve irritation
  • Restore normal hip rotation and motion
  • Reduce the chance of future flare-ups
  • Shorten overall recovery time

Long-standing symptoms are still worth evaluating. Dr. Shore will review your history, perform a focused exam, and go over your treatment options.

Piriformis Syndrome Treatment in Los Angeles

Patients looking for LA piriformis syndrome treatment see Dr. Shore at his Marina del Rey office inside DISC Sports and Spine Center. The clinic handles outpatient orthopedic visits, MRI review, and same-day treatment planning.

Piriformis Syndrome Treatment in Orange County

Orange County patients see Dr. Shore at his Newport Beach office inside DISC Sports and Spine Center. Your visit starts with a focused hip exam, moves into a side-by-side review of your MRI or X-rays, and ends with a treatment plan matched to your goals.

Hear From Our Patients

Frequently Asked Questions

Not quite. Sciatica usually starts with a pinched nerve root in the lower back. Piriformis syndrome comes from the muscle pressing on the same nerve farther down the leg.

Many patients feel better within 6 to 8 weeks of rehab and activity changes. Some cases last longer and may need injections or surgery. Timing depends on how long the muscle has been tight.

Yes, with a few adjustments. Heavy squats, sprints, and deep hip rotation moves may go on pause. Walking, swimming, and upper-body work usually stay in the routine.

Injections help many patients, though the length of relief varies. Corticosteroid shots often calm pain for weeks or months. Botulinum toxin may keep the muscle loose for longer.

Every surgery carries some risk. Common ones include infection, bleeding, or short-term nerve irritation. Dr. Shore reviews your personal risk at your consultation.

Book Your Piriformis Syndrome Consultation With Dr. Shore

Buttock or leg pain that hasn’t eased with rest deserves the right diagnosis. Dr. Brett Shore offers piriformis syndrome treatment for Orange County patients at two coastal clinics. 

Book a consultation in Newport Beach or Marina del Rey.

Schedule a Consultation