Condition profile · Back & Lumbar
Piriformis syndrome (sciatica)
Protocol from 4'060 CHF · ≈ 8 weeks

Common causes
- Piriformis muscle contracture or hypertrophy compressing the sciatic nerve
- Prolonged sitting
- Asymmetric overload — possible entry point on the back or hip side
Symptoms
- Deep buttock pain
- Sometimes radiating into the leg (to distinguish from disc herniation)
- Worse when sitting
Diagnosis
Our approach
The first step is always a medical consultation. Complementing this: clinical assessment (specific piriformis tests) by the physiotherapist. Ultrasound or MRI with Dr Massimo Donalisio if diagnosis remains uncertain.
Care at Off-Field
- Physiotherapy (release, targeted stretching)
- Physical preparation (hip rotator strengthening, postural correction)
- In coordination with Dr Massimo Donalisio when indicated: ultrasound-guided injection if discomfort persists
Investment
Base protocol price
From
4'060CHF
≈ 8 weeks
Indicative price that may vary with the number of protocol weeks. It will be adjusted after the clinical assessment by the physician and physiotherapist, based on the actual protocol duration and specific needs.
Mandatory prerequisite (not included)
Initial consultation with a partner physician (entry assessment): mandatory prerequisite, not included in the package. If needed, our team handles the referral and booking.
Included in the package
- Private physiotherapy sessions (2× 1h / week)
- One-on-one personal training (1× 1h / week)
- Initial + follow-up consultation with a partner nutritionist
- Case coordination: premium orchestration across all experts, direct booking of appointments once your schedule is shared
Extras not included. Imaging (ultrasound, MRI), orthobiologics (PRP, hyaluronic acid, SVF, BMAC), injections, shockwave therapy, biomarker panels: billed on top, only when clinically indicated by the responsible practitioner.
Same area
Other conditions treated: back & lumbar
The diagnosis drives the protocol. Here are the other situations we treat in this area.
Fast booking
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Every condition is unique. Contact us for a personalised assessment.