Piriformis Syndrome in Runners and Cyclists
Fzt. Bilal Kara · 15 June 2026 · 1 min read
Fzt. Bilal Kara · 15 June 2026 · 1 min read

In sports with repetitive hip movement, the piriformis muscle can become overworked and compress the sciatic nerve, causing pain that spreads into the leg.
In runners and cyclists, pain that starts deep in the hip and spreads into the leg is often linked to piriformis syndrome — a result of repetitive hip movement.
The piriformis muscle is involved in hip external rotation and works repeatedly during running and pedalling. Overuse can create tension in the muscle and pressure on the sciatic nerve running near it.
This distinction matters especially for athletes because the treatment approach is entirely different; training continued under the wrong diagnosis reinforces the complaint.
Running one direction on a cambered surface, an ill-fitting bike saddle height, and a sudden increase in distance are common triggers for piriformis syndrome.
Stretching and strengthening the hip's deep rotator muscles, combined with correcting the training error that triggered it, are the two pillars of a lasting fix.
Fzt. Bilal Kara assesses piriformis syndrome in runners and cyclists in Bursa Nilüfer alongside a training analysis. You can book an appointment.

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For pain starting deep in the buttock and spreading down the leg, worse with long sitting.
For pain travelling from the back into the hip and leg: assessment that identifies the source, then graded exercise.
An exercise-based, one-to-one physiotherapy programme for back pain and pain radiating into the leg.