Piriformis Muscle
Sciatic Nerve
Piriformis syndrome? What's that?
"Maria" was having a lot of pain in her hip and leg ever since that long road trip to visit her parents. She had noticed some soreness after she arrived at her parents' house, but it seemed to ease off after taking some ibuprofen. But after making the return trip, the pain was pretty bad, and this time medication wasn't helping.
A friend suggested that it might be sciatica and after a few days of the pain not getting any better, Maria decided to see the doctor. Maria's doctor did a brief examination and took some X-rays and really didn't find anything to explain Maria's pain (piriformis syndrome doesn't show up on X-rays and many diagnostic tests). Nonetheless, the doctor prescribed some anti-inflammatories and muscle relaxers.
The medication helped quite a bit, but the pain would return whenever she tried to stop taking the pills. After suffering with the pain for nearly a month, Maria ran into her friend, Ana, at the grocery store who noticed that Maria was limping a little. Maria told Ana about the pain, and Ana suggested Maria see her doctor who had helped her with a back problem she had a few months prior. Maria agreed to give the new doctor a try.
The new doctor met with Maria and spent quite a bit of time asking questions about her problem and then examining her back, hips, and legs. The doctor felt quite sure that Maria had a condition called piriformis syndrome and using a combination of joint and muscle correction techniques, Maria was back to normal by the end of the week.
Piriformis Syndrome is a condition in which the piriformis muscle in the hip area (see the illustration at the top of this page) causes pressure on the sciatic nerve, and/or develops "knots" of contraction that can mimic sciatic nerve irritation.
Piriformis syndrome symptoms are much the same as sciatica, and include pain, burning, aching, or "electric shock" sensations in the buttock and may extend down the leg to the foot.
The causes of piriformis syndrome may include overwork or trauma to the muscle, or it may develop as a result of functional problems in the sacroiliac joints.
Diagnosis of piriformis syndrome is usually made by means of physical examination in which the doctor will stretch and push on the pirifomis muscle to see how it affects symptoms. In some cases, advanced examination procedures such as MRI may be ordered to rule out other possible causes of the symptoms, such as sciatica due to a bulging or herniated disc.
Treatment of piriformis syndrome is different than the treatments for sciatica due to a bulging or herniated disc. In the case of piriformis syndrome, treatment is directed at improving the function of the sacroiliac and hip joints and piriformis muscles. Treatment methods may include biomechanical joint correction, massage, stretching, and sometimes the use of shoe inserts to correct biomechanical problems stemming from the feet and ankles.
If you would like to schedule a FREE evaluation to determine what is causing your symptoms and what your treatment options are, please call:
Best Health And Wellness
Dr. George Best, D.C.
(210) 341-7040
We are located at:
11230 West Avenue, Suite #1109
(in the Commons West Offices)
San Antonio, Texas 78213
To contact us, email to info@SpineSA.com, or call us at (210)341-7040.
Copyright 2008 SpineSA Piriformis Syndrome Relief San Antonio