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Piriformis Syndrome: Symptoms, Causes, Diagnosis and Treatments

Learn about the symptoms, causes, diagnosis & treatments for piriformis syndrome associated with this painful condition. Find relief today with our article.

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Sciatica is a type of discomfort that begins in the buttocks and travels down one or both legs. Sciatica is typically brought on by pressure or irritability on the lower back nerves. Piriformis syndrome is one disorder that puts pressure on those nerves. The Piriformis is a muscle that protrudes beyond the front of the sacrum. That is the triangle-shaped bone in your pelvis between your two hip bones. The muscle extends to the top of the femur by crossing the sciatic nerve. The big bone in the top of your leg is called the femur. The Piriformis facilitates lateral thigh movement. The sciatic nerve can become compressed during a piriformis muscle spasm, which might result in discomfort. Piriformis syndrome is the outcome.

What is Piriformis syndrome?

Inflammation develops due to the piriformis muscle compressing the sciatic nerve, which results in piriformis syndrome. The result may be the result of Numbness or discomfort radiating over the back part of the leg and into the buttocks. The body's side might be impacted by one or both. The piriformis muscle is flat and thin. It passes through your butt, under your spine, and up your thighs. Practically all lower body motions are supported by the piriformis muscle, which runs down both sides of the body.

What are the symptoms of Piriformis syndrome?

The primary sign of piriformis syndrome is sciatica. But other things might happen. Frequently, the pain is felt in a different area of the body, such as the back of the leg. Referred pain is the term for this. symptoms of Piriformis syndrome Other typical piriformis syndrome symptoms include:
  • Tingling and Numbness may travel down the back of the leg in the buttocks.
  • Muscular sensitivity in the buttocks.
  • Sitting comfortably is challenging.
  • Sitting-related pain that worsens with time.
  • Leg and buttock pain that gets worse with movement.
Your legs and buttocks may experience excruciating pain in extreme cases of piriformis syndrome, to the point where it is incapacitating. You can lose the ability to carry out routine duties like using a computer, driving for any period, or doing the dishes. Also Read: Can a Chiropractor Help With Sciatica?

What is the cause of piriformis syndrome?

The sciatic nerve causes the Piriformis, which will result in piriformis syndrome. The common piriformis syndrome is caused by;
  • edema or inflammation of the Piriformis or the tissues around it.
  • Muscles cramping
  • Muscular tissue scarring
These problems may be brought on by:
  • Not having enough developed piriformis muscles when walking, running, or climbing stairs.
  • Having stiff muscles as a result of inactivity.
  • Lifting something incorrectly and inflicting piriformis muscle damage.
  • Not stretching your body before or after exercising.
  • Exerting excessively or engaging in repetitive motions, such as long-distance running.
  • Significant time spent sitting (such as those who spend their days sitting at a desk).
But occasionally, piriformis syndrome is brought on by aberrant anatomy.

How is Piriformis syndrome diagnosed?

Piriformis syndrome is a diagnosis that has generated considerable debate. According to researchers, the absence of scientifically verified testing is the major reason there aren't enough diagnostic criteria to distinguish the disorder from other conditions of a similar kind. More recently, scientists have discovered that just the piriformis muscle is one of the several structures that might entrap the sciatic nerve. Because of this, medical practitioners increasingly favor using the more general phrase-deep gluteal syndrome to refer to the disorder. It's possible that doctors over- and under diagnose piriformis syndrome since they frequently make their diagnoses based only on symptoms. Read Also: How to sleep with sciatica?

What are the treatment options for Piriformis syndrome?

Different approaches can be used to treat the signs and symptoms of piriformis syndrome. Some methods may be tried at home, while others require medical supervision. Strategies consist of:

1 At Home treatments 

When the signs are not too severe, one might attempt the following:
  • Applying heat or ice packs.
  • A thorough hip and buttock massage.
  • Using non-steroidal anti-inflammatory medications (NSAIDs) available over the counter. 
However, one shouldn't utilize these drugs to lessen the pain of exercising. One should refrain from engaging in activities like running that worsen the discomfort. However, one shouldn't utilize these drugs to lessen the discomfort of exercising. One should avoid engaging in activities like running that aggravate the discomfort. after a clear injury, rest Exercises and stretches This could lessen the intensity of muscular spasms and loosen up tight muscles.

2 Medical treatments

An individual should seek medical attention if the pain is severe, continues after a week of pain treatment, grows worse over multiple days, or is otherwise unabated. Numerous medical procedures can assist in reducing the piriformis syndrome's excruciating discomfort. These consist of: Botox injections help lessen pain and muscle spasms.
  • Either prescription painkillers or muscle relaxants. Painkiller hazards and advantages should be discussed with a doctor because these medicines have a high potential for addiction.
  • Injections of anesthetic or corticosteroid.
  • Therapy using trigger points and acupuncture.
Physical treatment helps heal the Piriformis and stop muscular atrophy by inactivity and dysfunction in the surrounding muscles. As a last option, an individual may consider having surgery to cut the piriformis tendon, where it joins to the hip, or to make an incision in the Piriformis to release pressure on the sciatic nerve.

How can you prevent Piriformis syndrome?

Even though piriformis syndrome can occasionally result from exercise, frequent exercise can help lower your risk. Exercise is necessary for healthy, robust muscle maintenance. It would help if you took the following actions to aid in preventing accidents that result in piriformis syndrome:
  • Before you run or do an intense workout, warm up and stretch.
  • Increase the level of difficulty of your activity or sport gradually.
  • Avoid jogging on uneven ground or up and down hills.
  • Get up to avoid spending too much time sitting or lying still.
  • Barring a catastrophic injury, it should be able to prevent a recurrence.
You may have a slightly increased chance of recurrence of piriformis syndrome if you have already had treatment. If you complete the physical therapy activities you were taught. Read Also: What will a hospital do for sciatica pain : 5 treatments?

What Are the Risk Factors for Piriformis Syndrome?

One must always consider the symptoms of piriformis syndrome, or one will have the chance of developing a serious condition.
  • According to some research, women are more likely than males to suffer from piriformis syndrome, which is assumed to be caused by anatomical variations.
  • Piriformis syndrome may be caused by anatomical variations in the sciatic nerve's connection to the piriformis muscle.
  • Long periods of sitting might cause the sciatic nerve to be directly compressed. 

Conclusion-

Piriformis syndrome is a rare condition that can be challenging to diagnose. Medical treatments and some physical therapy will help you to be treated.  Your rear and legs should feel healthier before, during, and after the exercise if you stay active but stretch before working out. If the piriformis muscle pushes on the sciatic nerve, piriformis syndrome develops. Your butt, hip, or upper leg may experience discomfort, Numbness, or tingling due to the problem. However, if an accident causes discomfort or your symptoms persist for longer than a few weeks, consult a medical professional.
Categorized into General Health, Orthopaedic
Tagged in Exercise