Acupuncture, microwave, cupping, massage massage, Chinese medicine internal and external compresses, playing closed, lying still! 1, pyriformis syndrome treatment of the fundamental purpose is to eliminate the inflammatory lesions of the pyriformis muscle, lifting the pyriformis muscle on the sciatic nerve compression, early treatment can make the pyriformis muscle lesions abort, no longer on the nerve to continue to pressure; late can not be relieved by conservative treatment can be selected for surgical methods of treatment in order to lift the compression. Therefore, no matter the lesion is early or late, after effective treatment, it can be recovered and the prognosis is good. 2、If the symptoms can not be relieved by various treatments, we should exclude the lumbar vertebrae and the nerves themselves. Pearly muscle syndrome patients, in the acute stage should be bed rest or minimize the activities, in order to facilitate the foci of edema, inflammation absorption, and pay attention to the lower limbs, buttock warmth, to avoid overwork and wind, cold and wet adverse stimuli, in the remission period should be instructed to carry out appropriate lumbar buttock muscle function exercise. 3、The main manifestation of pyriformis syndrome is pain in the buttocks and radiating to the affected side, i.e. sciatic nerve compression symptoms. There are many diseases that cause sciatic nerve compression symptoms in clinic, therefore, when diagnosing pyriformis syndrome, we need to exclude sciatic nerve pain caused by other diseases. The main diseases are sciatic neuritis and radicular sciatica. Sciatic neuritis has a more acute onset of pain along the sciatic nerve pathway from the buttock through the back of the thigh, the fossa to the lateral calf to the distal end of the pain is a persistent dull ache, and can be exacerbated by episodes or a burning-like pain, the pain is relieved when standing. Radicular sciatica is mostly caused by disc herniation, spinal osteoarthritis, spinal bone tumor and thickening of ligamentum flavum and other intravertebral canal and spinal lesions. The onset is slow, there is a history of chronic low back pain, the pain is more pronounced when sitting than walking, the pain is relieved or disappears when lying down, the symptoms may recur, the skin sensation of the lateral calf and the dorsum of the foot is reduced or disappears, the flexor muscle strength is weakened when the foot and toes are flexed dorsally, and the ankle reflexes are weakened or disappeared, this kind of lesion can be done with X-ray examination to assist in the diagnosis. In addition, pyriformis syndrome should be differentiated from other diseases that cause dry sciatica, such as gluteal abscess, sciatic nerve sheath tumor and other diseases. 4. Manipulation is the main method of treating pyriformis syndrome, which can significantly improve the symptoms and relieve the patient's pain. When using manipulation therapy, the first thing to do is to choose the right part. Patients can take the prone position, double lower limbs backward extension, so that the waist and buttocks muscle relaxation, surgical patients from the posterior iliac spine to the femur to do a line, the midpoint of the line straight down 2cm for the sciatic nerve out of the pyriform muscle under the hole of the site, the two sides of the pyriform muscle.