Rest, NSAIDS and muscle relaxants are used initially.
Physical therapy has a very important role as many cases can resolve with focussed exercises.
Modalities that are used are Ultrasound massage, Deep Tissue Release techniques with a structured program for piriformis and hamstring stretches.
Patients not responding to these have an option of receiving USG or Fluoroscopy guided injections of LA+steroid.
BOTOX can also be given as it causes functional denervation of muscle and relieve the spasm
Surgical options include release of the tendon at the attachment on the greater trochanter, dissection through the piriformis muscle or neurolysis of the sciatic nerve