1:1 Coaching with Cath Spencer-Smith, Kione Wilkins and Candice Morgan

Hi Cath, 

Thanks for the session today- please find the updated articles attached if you wouldnt mind running them again.

Thanks,
C
Plantarfasciitis updated.docx 39.8 KB | Download
Shoulder impingement updated.docx 31.2 KB | Download
Upated Physiotherapy for Headaches in London.docx 27.4 KB | Download
Parent Page .docx 32 KB | Download
Discover the Benefits of Pilates in Victoria at Westminster Physiotherapy and Pilates Centre (1).docx 48.6 KB | Download
Deep Gluteal Syndrome.docx 46.1 KB | Download
Lower Back Pain and Physiotherapy (2).docx 39.4 KB | Download
New thread
CT
Updated Articles for Review
Candice Thorne
Oct 17th, 3:57pm UTC
Hi Cath, 

Thanks for the session today- please find the updated articles attached if you wouldnt mind running them again.

Thanks,
C
Plantarfasciitis updated.docx 39.8 KB | Download
Shoulder impingement updated.docx 31.2 KB | Download
Upated Physiotherapy for Headaches in London.docx 27.4 KB | Download
Parent Page .docx 32 KB | Download
Discover the Benefits of Pilates in Victoria at Westminster Physiotherapy and Pilates Centre (1).docx 48.6 KB | Download
Deep Gluteal Syndrome.docx 46.1 KB | Download
Lower Back Pain and Physiotherapy (2).docx 39.4 KB | Download
New thread
Close thread

Coaching Call with Candice, Kione and Cath - October 17

Meeting Purpose
Key Takeaways
Topics
Debt Collection and Staff Incentives
Pricing Strategy and Service Structure
Patient Management and Treatment Plans
Marketing and Website Development
Next Steps
Action Items
  • Email Josh Borders re: Google review - WATCH (5 secs)
  • Email solicitors all outstanding invoices; demand payment by Mon 5 pm - WATCH (5 secs)
  • Email Kione edited blog drafts for review - WATCH (5 secs)
  • Compile website style/branding refs for Cheryl discovery call - WATCH (5 secs)
  • Email Kione stock images for website - WATCH (5 secs)
  • Schedule clinic photography shoot (exterior, interior, team) - WATCH (5 secs)
  • Update LinkedIn profiles for corporate outreach - WATCH (5 secs)
  • Track initial:follow-up ratio - WATCH (5 secs)
  • Run internal training on patient journey/booking ahead - WATCH (5 secs)
  • Implement pricing/booking changes: 60-min self-pay, 30+30 Bupa/AXA, 30-min follow-ups, grandfather - WATCH (5 secs)
  • Email Kione 2 free coaching sessions; schedule by year-end - WATCH (5 secs)

New thread
CS
Coaching Call Recap 17.10.2025
Cath Spencer-Smith
Oct 17th, 2:58pm UTC

Coaching Call with Candice, Kione and Cath - October 17

Meeting Purpose
Key Takeaways
Topics
Debt Collection and Staff Incentives
Pricing Strategy and Service Structure
Patient Management and Treatment Plans
Marketing and Website Development
Next Steps
Action Items
  • Email Josh Borders re: Google review - WATCH (5 secs)
  • Email solicitors all outstanding invoices; demand payment by Mon 5 pm - WATCH (5 secs)
  • Email Kione edited blog drafts for review - WATCH (5 secs)
  • Compile website style/branding refs for Cheryl discovery call - WATCH (5 secs)
  • Email Kione stock images for website - WATCH (5 secs)
  • Schedule clinic photography shoot (exterior, interior, team) - WATCH (5 secs)
  • Update LinkedIn profiles for corporate outreach - WATCH (5 secs)
  • Track initial:follow-up ratio - WATCH (5 secs)
  • Run internal training on patient journey/booking ahead - WATCH (5 secs)
  • Implement pricing/booking changes: 60-min self-pay, 30+30 Bupa/AXA, 30-min follow-ups, grandfather - WATCH (5 secs)
  • Email Kione 2 free coaching sessions; schedule by year-end - WATCH (5 secs)

New thread
Close thread
Hello.. i think it wriggled off the paper clip!
Physiotherapy for Headaches in London.docx 19.5 KB | Download
New thread
CS
Physio for headaches doc
Cath Spencer-Smith
Oct 13th, 10:27am UTC
Hello.. i think it wriggled off the paper clip!
Physiotherapy for Headaches in London.docx 19.5 KB | Download
New thread
Close thread
Hi Cath, 

I am also sending the parent page across if you wouldnt mind glancing over to see if there is room for improvement. We will link the blogs off this page ;

Welcome to The Westminster Physiotherapy and Pilates Centre

At WPPC , we’re here to help you move with confidence, recover from injury, and improve your overall wellbeing.
 Our experienced team of physiotherapists, Pilates practitioners, massage therapists, and nutritionists combine expertise with care to provide personalised treatment in a welcoming environment.

Whether you’re managing pain, recovering from surgery, or aiming to prevent future injuries, we’ll work with you to achieve your health and lifestyle goals.


Conditions We Treat

We support people of all ages with a wide range of conditions, from everyday aches to complex injuries. Below are some of the common issues we help manage:


Neck and Head:

  • Neck pain and stiffness
  • Whiplash injuries
  • Headaches
  • Jaw (TMJ) pain and dysfunction
  • Nerve-related pain (e.g. referred arm pain)
 

Shoulder and Arm:

  • Rotator cuff injuries and tears
  • Subacromial pain syndrome/ Shoulder impingement
  • Frozen shoulder
  • Tennis elbow 
  • Golfer’s elbow
  • Wrist and hand injuries (sprains, fractures, overuse)
  • Carpal tunnel syndrome
 

Back and Spine:

  • Lower back pain
  • Sciatica and nerve pain
  • Disc injuries (bulging or herniated discs)
  • Scoliosis management
  • Postural pain 
 

Hip & Pelvis

  • Hip labral tears and impingement
  • Hip bursitis
  • Deep Gluteal Syndrome
  • Osteoarthritis
  • Sacroiliac joint dysfunction
 

Knee:

  • Ligament injuries (ACL, MCL)
  • Meniscus tears
  • Runner’s knee (patellofemoral pain)
  • Tendon problems (jumper’s knee, quadriceps tendon)
  • Osteoarthritis
 

Foot and Ankle:

  • Ankle sprains and instability
  • Plantar fasciitis and heel pain
  • Achilles tendinopathy
  • Heel spurs
  • Stress fractures
  • Bunions and foot pain
 

Whole Body and General Concerns:

  • Sports injuries 
  • Pre- and post-surgical rehabilitation
  • Arthritis management
  • Running assessment and gait analysis
  • Balance and mobility issues
  • Postural problems from work or daily activity
 

Our Services

Alongside treating specific conditions, we provide comprehensive care through our key services:

Physiotherapy

Evidence-based treatment to reduce pain, restore movement, and support recovery from injury or surgery.

Pilates

Individually tailored exercise programs designed to build strength, stability, and flexibility while preventing future injuries.

We have a fully equipped studio and offer:

  • Clinical Pilates – physiotherapist-led, targeted for injury rehab and prevention
  • 1:1 Pilates Sessions – personalised programs with close guidance
  • 1:3 Equipment Sessions – small group training using reformers and specialised equipment
  • Mat Work Group Classes – floor-based Pilates in a friendly group setting

Massage Therapy

Remedial, sports, and relaxation massage to ease tension, promote circulation, and support recovery.

Nutrition

Personalised advice and support to fuel recovery, improve energy, and optimise health — whether you’re managing a condition, supporting injury rehab, or simply wanting to feel your best.

 

Your Path to Recovery

We don’t believe in one-size-fits-all treatment. Our team listens, assesses, and creates a plan designed for you — combining physiotherapy, Pilates, massage, and nutrition where needed to achieve the best results.

Take the first step today — book an appointment and let’s get you moving well again.

 

New thread
CT
Page Review Request for Improvements
Candice Thorne
Oct 8th, 8:31pm UTC
Hi Cath, 

I am also sending the parent page across if you wouldnt mind glancing over to see if there is room for improvement. We will link the blogs off this page ;

Welcome to The Westminster Physiotherapy and Pilates Centre

At WPPC , we’re here to help you move with confidence, recover from injury, and improve your overall wellbeing.
 Our experienced team of physiotherapists, Pilates practitioners, massage therapists, and nutritionists combine expertise with care to provide personalised treatment in a welcoming environment.

Whether you’re managing pain, recovering from surgery, or aiming to prevent future injuries, we’ll work with you to achieve your health and lifestyle goals.


Conditions We Treat

We support people of all ages with a wide range of conditions, from everyday aches to complex injuries. Below are some of the common issues we help manage:


Neck and Head:

  • Neck pain and stiffness
  • Whiplash injuries
  • Headaches
  • Jaw (TMJ) pain and dysfunction
  • Nerve-related pain (e.g. referred arm pain)
 

Shoulder and Arm:

  • Rotator cuff injuries and tears
  • Subacromial pain syndrome/ Shoulder impingement
  • Frozen shoulder
  • Tennis elbow 
  • Golfer’s elbow
  • Wrist and hand injuries (sprains, fractures, overuse)
  • Carpal tunnel syndrome
 

Back and Spine:

  • Lower back pain
  • Sciatica and nerve pain
  • Disc injuries (bulging or herniated discs)
  • Scoliosis management
  • Postural pain 
 

Hip & Pelvis

  • Hip labral tears and impingement
  • Hip bursitis
  • Deep Gluteal Syndrome
  • Osteoarthritis
  • Sacroiliac joint dysfunction
 

Knee:

  • Ligament injuries (ACL, MCL)
  • Meniscus tears
  • Runner’s knee (patellofemoral pain)
  • Tendon problems (jumper’s knee, quadriceps tendon)
  • Osteoarthritis
 

Foot and Ankle:

  • Ankle sprains and instability
  • Plantar fasciitis and heel pain
  • Achilles tendinopathy
  • Heel spurs
  • Stress fractures
  • Bunions and foot pain
 

Whole Body and General Concerns:

  • Sports injuries 
  • Pre- and post-surgical rehabilitation
  • Arthritis management
  • Running assessment and gait analysis
  • Balance and mobility issues
  • Postural problems from work or daily activity
 

Our Services

Alongside treating specific conditions, we provide comprehensive care through our key services:

Physiotherapy

Evidence-based treatment to reduce pain, restore movement, and support recovery from injury or surgery.

Pilates

Individually tailored exercise programs designed to build strength, stability, and flexibility while preventing future injuries.

We have a fully equipped studio and offer:

  • Clinical Pilates – physiotherapist-led, targeted for injury rehab and prevention
  • 1:1 Pilates Sessions – personalised programs with close guidance
  • 1:3 Equipment Sessions – small group training using reformers and specialised equipment
  • Mat Work Group Classes – floor-based Pilates in a friendly group setting

Massage Therapy

Remedial, sports, and relaxation massage to ease tension, promote circulation, and support recovery.

Nutrition

Personalised advice and support to fuel recovery, improve energy, and optimise health — whether you’re managing a condition, supporting injury rehab, or simply wanting to feel your best.

 

Your Path to Recovery

We don’t believe in one-size-fits-all treatment. Our team listens, assesses, and creates a plan designed for you — combining physiotherapy, Pilates, massage, and nutrition where needed to achieve the best results.

Take the first step today — book an appointment and let’s get you moving well again.

 

New thread
Close thread

Coaching Call with Candice, Kione and Cath - October 03

Meeting Purpose
Key Takeaways
Topics
Wellbeing Week Event
Debt Collection Strategy
Website and Branding Update
Staff Management
Next Steps
  1. Delegate 10 easy-to-chase debtors to Isabel with 25% commission
  2. Prepare for transition of Julia's role to commission-based model
  3. Contact Cheryl to start website development process 
  4. Develop strategy for increasing Google reviews (target: 5 per review, £50 bonus at 10 reviews)
  5. Take photos during upcoming wellbeing week for marketing materials
  6. Have Isabel upload current blogs to the website to maintain activity
Action Items
  • Respond to 1-star Google review. Explain situation professionally. Highlight extended service.  - WATCH (5 secs)
  • Select 10 old debt cases (90+ days). Give to Isabel. Offer 25% commission on collections.  - WATCH (5 secs)
  • Take photos during launch week (Oct 6-10). Document taster sessions/new clients.  - WATCH (5 secs)
  • Contact Cheryl (London Web Girl). Discuss website redesign project. Get timeline/quote.  - WATCH (5 secs)

New thread
CS
Coaching Call Summary and Action Items
Cath Spencer-Smith
Oct 3rd, 5:33pm UTC

Coaching Call with Candice, Kione and Cath - October 03

Meeting Purpose
Key Takeaways
Topics
Wellbeing Week Event
Debt Collection Strategy
Website and Branding Update
Staff Management
Next Steps
  1. Delegate 10 easy-to-chase debtors to Isabel with 25% commission
  2. Prepare for transition of Julia's role to commission-based model
  3. Contact Cheryl to start website development process 
  4. Develop strategy for increasing Google reviews (target: 5 per review, £50 bonus at 10 reviews)
  5. Take photos during upcoming wellbeing week for marketing materials
  6. Have Isabel upload current blogs to the website to maintain activity
Action Items
  • Respond to 1-star Google review. Explain situation professionally. Highlight extended service.  - WATCH (5 secs)
  • Select 10 old debt cases (90+ days). Give to Isabel. Offer 25% commission on collections.  - WATCH (5 secs)
  • Take photos during launch week (Oct 6-10). Document taster sessions/new clients.  - WATCH (5 secs)
  • Contact Cheryl (London Web Girl). Discuss website redesign project. Get timeline/quote.  - WATCH (5 secs)

New thread
Close thread

Coaching Call with Candice, Kione and Cath - September 19

Meeting Purpose
Key Takeaways
Topics
Recruitment and Staffing
Patient Retention and Treatment Completion
Corporate Outreach and Marketing
Clinic Operations and Finances
Staff Development and Training
Next Steps
Action Items
  • Set up interviews for massage therapist candidates from recent applications  - WATCH (5 secs)
  • Crunch numbers - employed vs non-employed physio profitability. Base salary + commission model  - WATCH (5 secs)
  • Create onboarding plan for new physio. Include KPIs, patient retention strategies, standard of care expectations  - WATCH (5 secs)
  • Prepare recruitment ad for women's health physio w/ MSK background. Jan start. Decide employed/self-employed  - WATCH (5 secs)
  • Set up structured CPD calendar for staff. Mix of external speakers, internal skills training, networking events  - WATCH (5 secs)
  • Create package for ACL rehab (20 sessions). Price at 10% discount vs individual sessions  - WATCH (5 secs)
  • Implement email marketing system. Patient education, corporate outreach. Segment lists (e.g. marathon runners, elderly)  - WATCH (5 secs)
  • Record video messages for LinkedIn outreach to corporate HR contacts. Intro clinic, mention open week  - WATCH (5 secs)
  • List nearby corporate offices. Find HR/wellness contacts on LinkedIn. Consider 1-month LinkedIn Premium trial  - WATCH (5 secs)
  • Prep for Oct open week. Use ChatGPT to optimize email for HR appeal. Highlight corporate services (e.g. chair massages)  - WATCH (5 secs)

New thread
CS
Coaching Call Recap 19.09.2025
Cath Spencer-Smith
Sep 19th, 12:25pm UTC

Coaching Call with Candice, Kione and Cath - September 19

Meeting Purpose
Key Takeaways
Topics
Recruitment and Staffing
Patient Retention and Treatment Completion
Corporate Outreach and Marketing
Clinic Operations and Finances
Staff Development and Training
Next Steps
Action Items
  • Set up interviews for massage therapist candidates from recent applications  - WATCH (5 secs)
  • Crunch numbers - employed vs non-employed physio profitability. Base salary + commission model  - WATCH (5 secs)
  • Create onboarding plan for new physio. Include KPIs, patient retention strategies, standard of care expectations  - WATCH (5 secs)
  • Prepare recruitment ad for women's health physio w/ MSK background. Jan start. Decide employed/self-employed  - WATCH (5 secs)
  • Set up structured CPD calendar for staff. Mix of external speakers, internal skills training, networking events  - WATCH (5 secs)
  • Create package for ACL rehab (20 sessions). Price at 10% discount vs individual sessions  - WATCH (5 secs)
  • Implement email marketing system. Patient education, corporate outreach. Segment lists (e.g. marathon runners, elderly)  - WATCH (5 secs)
  • Record video messages for LinkedIn outreach to corporate HR contacts. Intro clinic, mention open week  - WATCH (5 secs)
  • List nearby corporate offices. Find HR/wellness contacts on LinkedIn. Consider 1-month LinkedIn Premium trial  - WATCH (5 secs)
  • Prep for Oct open week. Use ChatGPT to optimize email for HR appeal. Highlight corporate services (e.g. chair massages)  - WATCH (5 secs)

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Close thread
Hello fab copy team. I've scheduled a little slot to dive into this early early Thursday - and will be back in touch!
New thread
CS
Scheduled Meeting for Thursday Discussion
Cath Spencer-Smith
Sep 16th, 7:23pm UTC
Hello fab copy team. I've scheduled a little slot to dive into this early early Thursday - and will be back in touch!
New thread
Close thread
Hi Cath, 

Do you mind running the DGS article once more :


Deep Gluteal Syndrome Treatment in London

At our London clinic
Treatment is focused on non-surgical pain management and progressive rehabilitation. Our physiotherapy-led approach for deep gluteal syndrome is designed to ease nerve compression, restore mobility, and prevent recurrence.
Our treatment options include:
  • Manual therapy – Hands-on techniques to release tightness in the glutes, piriformis muscle, and hamstring region, which often contribute to irritation in the deep gluteal region and are linked to piriformis syndrome.
  • Soft tissue therapy – Aimed at reducing compression and improving blood flow to the affected area.
  • Targeted exercises – Strengthening of the glutes, core, and hamstrings to restore balance and relieve sciatic nerve pain.
  • Tendon rehabilitation – Specific treatment for patients with overlapping gluteal tendinopathy or hamstring tendon involvement.
  • Pilates-based therapy – To enhance postural stability, pelvic alignment, and control.
  • Postural advice – Guidance on ergonomics at workstations, car seating, and sleep positioning.
  • Progressive rehabilitation – From gentle mobility drills to functional strengthening and return-to-sport programmes.
  • Pain management strategies – Education, pacing, and advice for flare-up control.
By combining hands-on therapy with targeted exercise programmes, patients recover mobility, reduce sciatic nerve pain, and minimise the chance of symptoms returning.
Stages of Rehabilitation
  • Early stage – Focused on pain relief, gentle stretching, and mobility to release the deep gluteal region and calm down symptoms often mistaken for piriformis syndrome.
  • Strength phase – Introducing progressive strengthening of the glutes, hips, and piriformis muscle.
  • Functional training – Restoring balance, gait, and posture to reduce strain on the hip joint and limit recurrence of lateral hip pain.
  • Return to activity – Gradual reintroduction of sport, gym work, or hobbies with a reduced risk of relapse.
How Does Deep Gluteal Syndrome Compare to Other Conditions?
Because deep gluteal syndrome mimics several other musculoskeletal conditions, it is frequently misdiagnosed. Here’s how it compares:
  • Hamstring tendinopathy – Pain near the sitting bone, linked to the hamstring tendon.
  • Hip fracture / stress fracture – Severe pain, particularly with weight-bearing. Unlike nerve entrapment, fractures are structural bone injuries.
  • Greater trochanteric pain syndrome – A common source of lateral hip pain, caused by tendon or bursal irritation on the outside of the hip.
  • Gluteal tendinopathy – Pain around the gluteal tendons, often aggravated by lying on the side.
  • Piriformis syndrome – A related condition in which the piriformis muscle compresses the sciatic nerve, producing very similar symptoms to deep gluteal syndrome.
  • Pudendal nerve entrapment – Burning pelvic pain linked to pudendal nerve compression rather than the sciatic nerve.
  • Carpal tunnel syndrome – Though it affects the wrist, it is another example of nerve entrapment.
Because piriformis syndrome overlaps with deep gluteal syndrome, expert physiotherapy assessment of the deep gluteal region is essential.
Prevention and Long-Term Management
Preventing recurrence of deep gluteal syndrome involves:
  • Regular stretching and mobility work, especially for the piriformis muscle, to reduce the risk of developing piriformis syndrome.
  • Strengthening of glutes, core, and hamstrings to reduce risk of sciatic nerve pain.
  • Maintaining good posture when sitting and standing.
  • Avoiding prolonged static positions that strain the deep gluteal region.
  • Balanced training programmes for athletes to reduce overuse.
  • Early intervention for hip pain, posterior hip pain, or recurring lateral hip pain.
Ongoing physiotherapy check-ins are often invaluable for patients who are prone to relapse.
Frequently Asked Questions
What is deep gluteal syndrome?
It’s a condition caused by compression of the sciatic nerve within the deep gluteal region. It is sometimes confused with piriformis syndrome but involves a wider range of structures.
What causes deep buttock pain in this condition?
Compression of the nerve by muscles, tendons, or connective tissue, particularly around the piriformis muscle. This is why deep gluteal syndrome and piriformis syndrome are often discussed together.
Is deep gluteal syndrome the same as sciatica?
Not exactly. While both involve irritation of the sciatic nerve, spinal sciatica begins in the spine, whereas deep gluteal syndrome occurs in the buttock. Piriformis syndrome is another distinct condition that can mimic both.
Can deep gluteal syndrome cause chronic pain?
Yes. Without treatment, symptoms may evolve into persistent sciatic nerve pain, affecting daily life, mobility, and sleep quality.
How is deep gluteal syndrome treated?
Physiotherapy is the main treatment. This includes manual therapy, exercise, tendon rehab, and soft tissue release in the deep gluteal region. Surgery is rarely required.
Additional FAQs
How long does deep gluteal syndrome last?
Deep gluteal syndrome typically lasts 6 to 12 weeks, depending on how early you begin treatment. Many people notice 70–80% improvement in the first fortnight, but a further 10–12 weeks of strengthening is usually required to prevent chronic sciatic nerve pain.
How do you fix deep gluteal syndrome?
Treatment usually involves physiotherapy techniques such as manual therapy, soft tissue release, and structured exercises. Progressive strengthening of the glutes and piriformis muscle helps restore function in the deep gluteal region.
How should I sit with deep gluteal syndrome?
Sit with weight distributed evenly across both sides. Avoid leg crossing or leaning to one side, which can worsen sciatic nerve pain. Supportive ergonomic seating is recommended.
How should I sleep with deep gluteal syndrome?
Sleep on your unaffected side with a pillow between your legs. This position reduces compression in the deep gluteal region and minimises irritation of the sciatic and pudendal nerves.
Get Expert Help for Deep Gluteal Syndrome in London
If you’re experiencing persistent buttock pain, hip discomfort, or symptoms that resemble sciatica, you may have deep gluteal syndrome or piriformis syndrome. Early assessment and treatment are vital to prevent chronic sciatic nerve pain or recurring lateral hip pain.
Our physiotherapy clinic in Victoria, London, offers specialist assessment and tailored Deep Gluteal Syndrome Treatment in London. We focus on resolving pain, improving mobility, and helping you return to the activities you enjoy.
📞 Contact us today to book your appointment and start your recovery.

Thanks,
Candice


New thread
CT
DGS Treatment Overview and Comparison
Candice Thorne
Sep 15th, 10:06am UTC
Hi Cath, 

Do you mind running the DGS article once more :


Deep Gluteal Syndrome Treatment in London

At our London clinic
Treatment is focused on non-surgical pain management and progressive rehabilitation. Our physiotherapy-led approach for deep gluteal syndrome is designed to ease nerve compression, restore mobility, and prevent recurrence.
Our treatment options include:
  • Manual therapy – Hands-on techniques to release tightness in the glutes, piriformis muscle, and hamstring region, which often contribute to irritation in the deep gluteal region and are linked to piriformis syndrome.
  • Soft tissue therapy – Aimed at reducing compression and improving blood flow to the affected area.
  • Targeted exercises – Strengthening of the glutes, core, and hamstrings to restore balance and relieve sciatic nerve pain.
  • Tendon rehabilitation – Specific treatment for patients with overlapping gluteal tendinopathy or hamstring tendon involvement.
  • Pilates-based therapy – To enhance postural stability, pelvic alignment, and control.
  • Postural advice – Guidance on ergonomics at workstations, car seating, and sleep positioning.
  • Progressive rehabilitation – From gentle mobility drills to functional strengthening and return-to-sport programmes.
  • Pain management strategies – Education, pacing, and advice for flare-up control.
By combining hands-on therapy with targeted exercise programmes, patients recover mobility, reduce sciatic nerve pain, and minimise the chance of symptoms returning.
Stages of Rehabilitation
  • Early stage – Focused on pain relief, gentle stretching, and mobility to release the deep gluteal region and calm down symptoms often mistaken for piriformis syndrome.
  • Strength phase – Introducing progressive strengthening of the glutes, hips, and piriformis muscle.
  • Functional training – Restoring balance, gait, and posture to reduce strain on the hip joint and limit recurrence of lateral hip pain.
  • Return to activity – Gradual reintroduction of sport, gym work, or hobbies with a reduced risk of relapse.
How Does Deep Gluteal Syndrome Compare to Other Conditions?
Because deep gluteal syndrome mimics several other musculoskeletal conditions, it is frequently misdiagnosed. Here’s how it compares:
  • Hamstring tendinopathy – Pain near the sitting bone, linked to the hamstring tendon.
  • Hip fracture / stress fracture – Severe pain, particularly with weight-bearing. Unlike nerve entrapment, fractures are structural bone injuries.
  • Greater trochanteric pain syndrome – A common source of lateral hip pain, caused by tendon or bursal irritation on the outside of the hip.
  • Gluteal tendinopathy – Pain around the gluteal tendons, often aggravated by lying on the side.
  • Piriformis syndrome – A related condition in which the piriformis muscle compresses the sciatic nerve, producing very similar symptoms to deep gluteal syndrome.
  • Pudendal nerve entrapment – Burning pelvic pain linked to pudendal nerve compression rather than the sciatic nerve.
  • Carpal tunnel syndrome – Though it affects the wrist, it is another example of nerve entrapment.
Because piriformis syndrome overlaps with deep gluteal syndrome, expert physiotherapy assessment of the deep gluteal region is essential.
Prevention and Long-Term Management
Preventing recurrence of deep gluteal syndrome involves:
  • Regular stretching and mobility work, especially for the piriformis muscle, to reduce the risk of developing piriformis syndrome.
  • Strengthening of glutes, core, and hamstrings to reduce risk of sciatic nerve pain.
  • Maintaining good posture when sitting and standing.
  • Avoiding prolonged static positions that strain the deep gluteal region.
  • Balanced training programmes for athletes to reduce overuse.
  • Early intervention for hip pain, posterior hip pain, or recurring lateral hip pain.
Ongoing physiotherapy check-ins are often invaluable for patients who are prone to relapse.
Frequently Asked Questions
What is deep gluteal syndrome?
It’s a condition caused by compression of the sciatic nerve within the deep gluteal region. It is sometimes confused with piriformis syndrome but involves a wider range of structures.
What causes deep buttock pain in this condition?
Compression of the nerve by muscles, tendons, or connective tissue, particularly around the piriformis muscle. This is why deep gluteal syndrome and piriformis syndrome are often discussed together.
Is deep gluteal syndrome the same as sciatica?
Not exactly. While both involve irritation of the sciatic nerve, spinal sciatica begins in the spine, whereas deep gluteal syndrome occurs in the buttock. Piriformis syndrome is another distinct condition that can mimic both.
Can deep gluteal syndrome cause chronic pain?
Yes. Without treatment, symptoms may evolve into persistent sciatic nerve pain, affecting daily life, mobility, and sleep quality.
How is deep gluteal syndrome treated?
Physiotherapy is the main treatment. This includes manual therapy, exercise, tendon rehab, and soft tissue release in the deep gluteal region. Surgery is rarely required.
Additional FAQs
How long does deep gluteal syndrome last?
Deep gluteal syndrome typically lasts 6 to 12 weeks, depending on how early you begin treatment. Many people notice 70–80% improvement in the first fortnight, but a further 10–12 weeks of strengthening is usually required to prevent chronic sciatic nerve pain.
How do you fix deep gluteal syndrome?
Treatment usually involves physiotherapy techniques such as manual therapy, soft tissue release, and structured exercises. Progressive strengthening of the glutes and piriformis muscle helps restore function in the deep gluteal region.
How should I sit with deep gluteal syndrome?
Sit with weight distributed evenly across both sides. Avoid leg crossing or leaning to one side, which can worsen sciatic nerve pain. Supportive ergonomic seating is recommended.
How should I sleep with deep gluteal syndrome?
Sleep on your unaffected side with a pillow between your legs. This position reduces compression in the deep gluteal region and minimises irritation of the sciatic and pudendal nerves.
Get Expert Help for Deep Gluteal Syndrome in London
If you’re experiencing persistent buttock pain, hip discomfort, or symptoms that resemble sciatica, you may have deep gluteal syndrome or piriformis syndrome. Early assessment and treatment are vital to prevent chronic sciatic nerve pain or recurring lateral hip pain.
Our physiotherapy clinic in Victoria, London, offers specialist assessment and tailored Deep Gluteal Syndrome Treatment in London. We focus on resolving pain, improving mobility, and helping you return to the activities you enjoy.
📞 Contact us today to book your appointment and start your recovery.

Thanks,
Candice


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Close thread