Treating Piriformis Syndrome with Acupressure and Myofascial Release

glutes piriformis syndrome sciaticaOn my trip to Savannah last week, I had a very nice conversation with the woman sitting next to me. When I told her that I was a bodywork therapist; she asked if I knew of Piriformis Syndrome. Though I knew something about treating it, I was intrigued to do more research.

The piriformis is a flat, band-like muscle deep within the buttocks that runs from the front of the sacrum to the hip joint (head of the femur). It functions to laterally rotate the hip and is a core stabilizing muscle. The piriformis is important because the sciatic nerve runs under it, and in a small percentage of people, the sciatic nerve runs through it. Therefore, injury or inflammation to the piriformis can irritate the sciatic nerve and cause sciatica. When this occurs, it is called piriformis syndrome.

Piriformis syndrome is different from true sciatica which is usually the result of herniated spinal discs, physical trauma, osteoarthritis or years of prolonged sitting and bending. True sciatic pain also takes longer to treat.

The symptoms of piriformis syndrome are pain deep in the buttocks that may radiate down the back or side of the leg through the knee. This pain can present in many ways, sharp or dull and achy, or nagging with numbness and tingling. Symptoms are like true sciatica, but with piriformis syndrome pain usually stops at the knee and there are tender trigger points in the butt. It is best to consult a doctor for a definite diagnosis.

This syndrome is common to runners or people who sit for long periods of time commuting or at their job. My friend on the plane had recently run an extreme marathon. Overuse can create spasm in the piriformis, pinching the sciatic nerve. Piriformis syndrome is more common during the winter when people have been out in the cold. Treatment in Chinese Medicine would include acupuncture, acupressure, heat, bodywork, stretching and at-home care. The home care treatment would be applying heat to the area, applying sustained pressure to the trigger point by sitting on a tennis ball and gentle stretching.

“A simple stretch for the Piriformis muscle: sit in a chair with both feet on the floor. To stretch the right side, place your right ankle across the top of your left knee. Then gently lean forward until you feel the stretch in your butt. Repeat on the other side by reversing the action”.

It may take weeks to achieve pain relief from an acute problem, a chronic problem will take longer, but of course, everyone is different.

Tips for Staying Healthy While Traveling

Photo by Sergey Zolkin on Unsplash

Photo by Sergey Zolkin on Unsplash

The change of weather from summer to autumn many times brings colds, flu, and respiratory infections.  In Chinese Medicine this is the time of the metal element when lung and large intestine meridians are most active.  I’ve mentioned in a previous post that if your lung or large intestine meridian’s energy is blocked, especially at this time of year, your immune system is compromised, and it is easier to get ill.

If you are traveling by plane during this season it is a really good idea to support your immune system.  Days before traveling you can begin taking any one of these: probiotics, vitamin c, zinc, elderberry syrup, echinacea, essential oils (Doterra’s On Guard or Young Living’s Thieves) garlic,
oregano oil or combinations of all of them.

I’m traveling by plane this week and I’ve purchased an immune support oral spray called Myco Shield which was recommended by a friend.  It includes a combination of mushrooms including Reishi and was formulated for people who are traveling.  It is also important to have your energy balanced, get plenty of sleep and stay warm.

Chronic Cold Condition

Woman feeling coldThis is the season of the metal element in Chinese Medicine. It’s a time when nature pulls back its energy into the earth and roots of the trees and plants to prepare for winter. I’ve spoken about the importance of getting more sleep, eating local, seasonal, cooked food and keeping warm to stay healthy during fall. Today I want to address a chronic cold condition.

Chinese Medicine considers cold to be a cause of disease. It is one of the six “Pernicious Influences “along with heat, dryness, damp, wind and summer heat. Where western medicine considers viruses and bacteria as causes of illness; “the Chinese observed that our body mirrors certain climatic conditions” (1) when we are ill. Cold weather causes contraction and slowing down of activity in nature and creates the same symptoms in the human body.

A chronic cold condition is different from what we call the “common cold”. The common cold is an external disturbance which makes you uncomfortable for a week or so and then passes.

A chronic cold condition is internal cold which makes you feel chilled to your core and can’t be corrected by warmer clothing. Our bodies have heat at our core which keeps our digestion and metabolism running smoothly. When you are chilled to your core, you may have digestive problems, water retention, and feel sluggish and tired a good deal of the time.

This condition is created by an energy imbalance, usually yang depletion, and takes considerably more time to heal than the common cold. It takes a combination of acupuncture, food therapy, herbs and keeping the body warm. A chronic cold condition is created over time, so the correction will also take time.

The third way that cold can manifest in the body is called a cold strike. This occurs when the body is exposed to cold and damp over an extended period (i.e. camping out in cold, rainy conditions). It can create muscle cramps and pain and joint pain. Treatment involves acupuncture and heat.

If your body is always cold, ways to help are:

  • Add warming herbs such as ginger, garlic, cayenne pepper, mustard and cinnamon to your diet.
  • Keep your core warm, use a heating pad or hot water bottle to warm your abdomen below the navel or use on the small of your back.
  • Apply heat to joints that ache more with the cold weather.
  • Dress for the weather, keep the entire torso and head and ears covered during cold, damp weather.
  • Seek help from an acupuncturist if all else fails.

Chinese Medicine tips for staying healthy during Fall

Photo by Kristijan Arsov on Unsplash

Photo by Kristijan Arsov on Unsplash

As nature changes from the heat and expansiveness of summer to the cooler temperatures and pulling back of energy during fall; we also experience natural changes in our physical bodies, health, and moods. During autumn we are more inclined to stay home at night, get more sleep and spend time in more serious pursuits. Living in harmony with the changing seasons will boost your immune system and help to maintain health.

The energy pathways of Lung and Large Intestine are most active during this season. The emotions associated with Lung, grief, and sadness, will stagnate Lung energy if they are not processed by the body. When our Lung energy is stagnant we are more susceptible to colds, and respiratory infections.

When Lung energy is flowing freely, there is clarity of thought. We can also experience a positive attitude and be able to find peace regardless of our circumstances.

Imbalance in Large Intestine (LI) Meridian can manifest an inability to flow with life, stubbornness and difficulty letting go (i.e. difficulty letting go of summer). A balanced LI meridian can result in a sense of relaxation and the ability to flow with life’s changes.

Some ways to balance Lung and LI energy are:

  • Acupressure or acupuncture sessions. These modalities can move stagnation and balance the body’s energy.
  • Practice deep breathing exercises.
  • Let go of old wounds. Practice forgiveness of self and others.
  • Clean house let go of what is no longer needed.
  • Get more sleep.

Large Intestine Meridian – the Energy of Fall

autumn leavesThe season of Fall reminds us to let go of that which is no longer needed. This is the metal season in Chinese Medicine; the time when Lung and Large Intestine Meridians are most active. I’ve spoken about Lung Meridian the last few weeks and would like to focus on Large Intestine Meridian today.

The Large Intestine (LI) transports waste to be eliminated. It is closely aligned with the lungs and skin, which are also organs of detoxification. The LI “absorbs liquid and releases anything that is no longer needed in the way of food, toxins, emotions, thereby cleansing the body, mind and spirit.”

Since the LI is closely related to the lung meridian; it is also affected by the emotions of grief, sadness and worry. When LI energy is balanced, we can express grief, let go of thoughts and emotions which no longer serve us and move easily into the season of autumn.

Imbalance in LI energy can bring mindsets of stubbornness, rigidity, confusion, compulsiveness, regret and hanging on. Physical signs of LI imbalance include constipation, age spots, slow metabolism, diarrhea, colitis, diverticulitis, bloating and issues of control to name a few.

To nurture LI energy during this season:

  • Drink plenty of water
  • Chew food completely
  • Exercise such as Qi Gong, Tai Chi, and yoga are very helpful
  • Deep breathe
  • Have massage or bodywork sessions
  • Meditate
  • Express emotions, especially grief
  • Eat an alkaline diet rich in steamed fresh vegetables and greens
  • Include onion, cinnamon, basil, rosemary, turnips, raw honey, nutmeg and fennel in your diet.

Living in Harmony with the Fall Season

Photo by Sebastian Unrau on Unsplash

Traditional Chinese Medicine (TCM) considers man part of nature.Therefore, if you live in an area of changing seasons, the changes taking place in nature are also being mirrored inside of you.

To maintain health and prevent illness during fall, TCM recommends that we eat foods which grow locally this time of year and prepare for the coming winter. Transition from the salads of summer to hearty cooked meals.

The Lung and Large Intestine Meridians are most active during this season. Keeping ourselves warm will help to prevent the colds, flu and virus that appear this time of year. If you suffer from chronic cough, bronchitis, skin rashes and eczema you need to support your lung energy. A licensed acupuncturist can prescribe herbs which can help you to heal.

The emotions of sadness and grief are associated with the Lung Meridian. “Suppressed sadness and grief can damage the lungs and make us prone to disease.” Bodywork sessions can assist you to get in touch with these emotions and offer an opportunity to express them. “The issues are stored in the tissues.” When we acknowledge these emotions in constructive ways, we allow ourselves to heal.

We can also access our emotions through meditation, support groups, journaling, taking long walks, praying and talking to a therapist or close friend. This is a time for self-reflection and awareness of body, mind, and spirit. We need to be aware of all parts of ourselves in order to maintain optimum health.

The Energy of Autumn – Traditional Chinese Medicine

Photo by Alexander Schimmeck on Unsplash

The Autumnal Equinox occurred on September 23rd this year. With the passing of the equinox, we begin to sense the dance of the subtle energies transforming summer into autumn. The nights are cooler, the days are shorter. The beautiful greenery of summer fades and the warm reds, oranges, and browns of fall emerge.

Fall is the time of the metal element and Lung and Large Intestine are the associated organ meridians.

  • The climate is dry
  • The emotion is grief and sadness
  • It is harvest time
  • The color is white
  • The flavor is pungent
  • The sense organ – nose
  • Tissues- skin

The lung energy is associated with “letting go”. This is a perfect time of year to clean house both physically and emotionally and let go of that which no longer serves us. The lungs are very susceptible to wind and cold, so it is important to be prepared for the drops in temperature which occur. Carrying a scarf is a great way to stay warm in unsettled weather. Many people get colds, sore throats, and virus this time of year.

To strengthen your immune system for Fall, remember to:

  • Dress for the weather
  • If you get a cold, avoid dairy products which create phlegm
  • Get plenty of sleep – 7-8 hours a night if possible
  • Do deep breathing exercises to strengthen the lungs and walk in nature.
  • Eat soups, stews and warming food, such as sweet potato, garlic, onions, cabbage, pears, ginger, walnuts, radish, and cinnamon to name a few.
  • Spend time in introspection. Just as nature is pulling back its energy and sending it into the earth, so should we spend time looking inward.

Living in harmony with nature will boost our immune system.

Supporting the Spleen Meridian during Indian Summer

yogaDuring this beautiful time of year when the earth element, represented by the spleen and stomach meridians is most active, it is important to support these energies for optimal health. I’ve spoken quite a bit about the stomach meridian, so I would like to focus on the spleen energies for today.

The Daoist philosophy, which is represented by Traditional Chinese Medicine, believes that the spleen stores our intention and ideas. The emotions associated with the spleen are remorse, worry, obsessiveness, suspicion, self- doubt and self-centeredness when imbalanced. When the spleen energies are flowing freely, attributes such as acceptance, openness, faith, honesty, and truthfulness can be present.

One of the most common TCM patterns of imbalance seen in the Western hemisphere is Spleen Chi Deficiency. This condition has symptoms of weakness in the limbs, poor appetite, bloating after meals, fatigue and loose stools. Spleen Chi Deficiency can be the result of poor diet, stress or irregular eating habits.


Some ways to support the spleen meridian are:

  • Eat warm, cooked meals- which are easier to digest
  • Add warming spices to your food: ginger, black pepper, and cinnamon
  • Pungent foods such as fennel, onions, and garlic increase the digestive fire.
  • Eat small, frequent meals to stimulate the spleen’s energy.
  • Vegetables such as turnips, sweet potato, carrots, squash, yam, pumpkin, black beans, and garbanzo beans are very nourishing to the spleen.
  • Small portions of cooked fruit for sweetness will stimulate spleen energy.
  • Eat small amounts of fatty fish, chicken, turkey, beef or lamb and avoid dairy.
  • Meditate, practice yoga and eat with mindfulness.

Yin Yoga is especially helpful to balance the spleen energies. The website annieauyoga.com is a wonderful source for yin yoga poses. Enjoy!

Chinese Medicine Tips for Indian Summer – continued

Photo by Gabrielle Cepella on Unsplash

The ancient Chinese believed that to maintain good health one should live in harmony with the seasons of nature. During this time of year, the intense heat and brightness of summer give way to a cooler, less intense autumn.

It is a time of transition from leisure to more serious pursuits. Children are back in school and the laid-back schedules of many businesses come to an end. This is the time of the earth element, and the energies most active are spleen and stomach.

The emotions associated with the earth element are worry and sympathy. When the earth energies are in balance, we can have empathy for ourselves and others.

When our earth energy is out of balance we can manifest many symptoms such as:

  • Craving sweets
  • Thyroid problems
  • Excessive mucus in nose, throat, and mouth
  • Heavy feelings in the body with achy legs, arms, and head
  • Lack of energy
  • Low self-esteem
  • Chronic worry
  • Bloating and indigestion with bowel issues

To stay healthy during this season, have your energy balanced by an acupressurist or acupuncturist, spend time in self-reflection or in activities such as yoga or meditation, exercise, make sure your needs are met, nourish your body, mind, and soul.

Chinese Medicine Tips for Indian Summer

Indian Summer (late summer) is the season of the earth element.

Photo by Christian Bowen on Unsplash

It is a time to slow down and observe the abundance created during summer. It is also a time of self-reflection and self-awareness. With self-awareness, we can be cognizant of our needs and nourish ourselves. When our needs are met, we have the surplus energy to be sensitive to the needs of others.

In order to move forward with ease, we must be grounded in our center. The earth element provides us with this grounding and balance. It is the transition point between the seasons. The earth element is present late summer, late autumn, late winter, and late spring.

The energy pathways associated with the earth element are stomach and spleen. Tips to support the spleen and stomach energy are:

  • Avoid excess consumption of cold tea, liquor, cold melons, and sweet greasy foods.
  • It is important to exercise at least three days a week. Long periods of inactivity are harmful to spleen and stomach energy.
  • Eat a healthy, nutritional diet including fresh fruits and vegetables, a little protein and some grain.
  • Yellow and orange foods, foods harvested in late summer and root vegetables are very good to support stomach energy.
  • Eat dinner by 6 or 7pm each night if possible. To give the stomach time to digest before sleep.