When you get told by your Physio that your nerve pain is from Piriformis syndrome they make it sound like it is an isolated problem with the Piriformis muscle but it isn’t. The Piriformis can tighten up sure, but only as part of a whole pattern of imbalance and tension in the body.
It doesn’t matter what part of your body has a muscle imbalance, it will eventually affect other parts. It happens a lot faster if you train by lifting weights, running or doing sports that involve these activities.
Even the person who just does cycling for example, overworks their legs and when a minor imbalance in the leg muscles exist (which is very common) it becomes exaggerated and spreads causing the pelvis to get involved, normally as a rotation, followed by the spine and shoulders.
The symptoms of a pelvic rotation include: tight Piriformis, irritation to the sacrum joint, sore knees or feet, tight or sore shoulders and/ or neck, tight or sore thoracic spine. So as you can see it pretty much affects every part of your body eventually.
Gentle yoga and massage, in conjunction with some exercise can help you to increase flexion, relax the tension and build your strength.
The yoga is a meditative form of exercise that focuses on connecting all the muscles and the nervous system. It treats the whole body as one and helps you compare the muscles on one side with their counterparts on the other so you can visualise where your imbalances are.
Therefore it not only makes you aware of where you are tight, but it helps you correct them and bring your body back into BALANCE