piriformis syndrome


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piriformis syndrome

(pir-e-for'mis)
A condition marked by pain in the hip and buttock that radiates up into the lower back and down the leg. In women, the pain may occur during sexual intercourse. This is caused by entrapment of the sciatic nerve as it passes through the piriformis muscle in the buttock. Because the symptoms mimic those caused by a herniated lumbar disk, the syndrome may be confused with that disease. Treatment includes physical therapy to relieve pressure, ultrasound to reduce muscle spasm, and anti-inflammatory medicines. Surgical therapy to free the entrapped nerve may be necessary.
See: sciatica
References in periodicals archive ?
The programs include MyoFascial Release, relief from Migraine, Trigger Finger Piriformis Syndrome, Cramps and Back Pain.
In the differential diagnosis, bladder syndrome, vulvodynia, levator myalgia, piriformis syndrome, coxodynia, cauda equina syndrome, neuralgias and inflammation of other nerves such as obturator, genitofemoral, or ilioinguinal nerves should be considered.
3) Muscular Compression such as Piriformis Syndrome
* Piriformis syndrome The piriformis muscle is a deep muscle situated in the buttock area: it connects the femur (thighbone) to the spine, and enables you to rotate your leg outwards.
"Common areas of the body are the calves, to remove soreness from long runs, and even loosen calf muscles to alleviate pain from plantar fasciitis; the hamstrings for similar reasons; the buttocks to relieve piriformis syndrome; and the back to help sciatic pain, or to just relieve tension," Taylor said.
Piriformis muscle: clinical anatomy and consideration of the piriformis syndrome. Surg.
Piriformis syndrome can be the result of buttock and hip pain caused by TPs in the piriformis muscle alone or by compression of the sciatic nerve by the shortened and thickened piriformis muscle.
Piriformis syndrome is an extraspinal entrapment neuropathy in which the piriformis muscle compresses the sciatic nerve, causing sciatica [4].
Bilateral piriformis syndrome was suspected after exclusion of the other pathologies using electrodiagnostic studies and lumbar magnetic resonance imaging.
Some of them include herpes zoster, infection, lumbar nerve root tumor, spinal instability, excessive hypertrophy of the facet joint, ankylosing spondylitis, sacroiliitis, sciatic neuritis, piriformis syndrome, intrapelvic mass (hypertrophic ossification), intraspinal ganglion cyst, endometriosis, adenomyosis, coxarthrosis, et cetera.
Thus, peripheral nerve entrapment syndromes, such as piriformis syndrome and carpal tunnel syndrome, may be treatable by direct PRF.
The main causes of low back pain are: disc protrusions and herniations; spinal canal stenosis of lumbar spondylolisthesis; and piriformis syndrome (4).