Piriformis syndrome can feel like sciatica—burning, numbness, or shooting pain from the butt into the leg. At Adapt Health Clinic (Campbell) we treat the root cause with chiropractic, targeted soft-tissue, and rehab so you can sit, train, and sleep without pain.

190+ five-star Google reviews (Campbell & San Jose)
60-minute new-patient evaluation

What Is Piriformis Syndrome?

Your piriformis is a small, deep hip rotator that runs from the sacrum to the outer hip. When it gets tight, overworked, or inflamed, it can compress or irritate the nearby sciatic nerve, causing buttock pain that may radiate down the leg. Desk time, running, heavy lifting, or prior back/hip issues can all set the stage.

Common signs:
Deep ache in the glute (one side), worse with sitting or driving
Burning/tingling down the back of the thigh or into the calf/foot
Pain with getting out of the car, stairs, or crossing the leg
Relief when standing/walking vs. prolonged sitting

Why It Happens (Root Causes We See)

We don’t just treat the muscle. We assess your spine, pelvis, gait, tissue quality, and habits to stop the pain at the source.
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Overuse + under-recovery (running, lifting, pickleball, cycling)

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Prolonged sitting / “desk hips” → hip flexors tighten, glutes under-activate

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Pelvic/SI joint restrictions and lumbar mechanics issues

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Weak glutes & core so the piriformis “overworks” to stabilize

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Old ankle/hip injuries changing gait mechanics

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Lifestyle drivers: poor sleep, dehydration, elevated stress → higher tension and slower recovery

How We Diagnose

(Your 60-Minute First Visit):
1 Step 1 - Comprehensive Consultation

1 Step 1 - Comprehensive Consultation

History of onset, training load, work setup, Posture, gait and single-leg control
2 Step 2 - Personalized Treatment Plan

2 Step 2 - Personalized Treatment Plan

Lumbar/SI joint evaluation (rule in/out disc or stenosis drivers)
3 Step 3 - Long-Term Relief & Prevention

3 Step 3 - Long-Term Relief & Prevention

You’ll leave with a clear plan, what to do first, what to avoid, and how we’ll measure progress.

Treatment at Adapt Health Clinic (Campbell)

We combine hands-on care + targeted exercise + tech so results stick:

What Your First 4 Weeks Look Like

Weeks 1–2: Calm pain, restore motion (hands-on + laser), begin 2–3 micro-drills/day

Weeks 3–4: Progress strength (glutes/core), add shockwave if chronic; taper visit frequency

After: Maintain with a 10-minute routine and monthly tune-up (or as needed during high-load training/desk periods)

Real Patient Story (Campbell)

A product manager commuting to San Jose had a deep right-glute ache with numbness down the hamstring after long drives. We freed the SI joint and hip capsule, released piriformis/TFL, started 90/90s + band walks, and added laser for inflammation. By week three she sat through back-to-back meetings without pain. A simple 10-minute routine + monthly check-in has kept her flare-free through two product launches.

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