It is not easy: Indications include sciatica (radiating pain in the buttock, posterior thigh and lower leg) and the physical exam finding of tenderness in the area of the sciatic notch. The pain is exacerbated with activity, prolonged sitting, or walking. The diagnosis is largely clinical and is one of exclusion.
Answered 12/26/2022
5.8k views
Clinical: This is most likely a clinical diagnosis. Location of pain and response to pt.
Answered 3/31/2013
5.2k views
Might consider: Doctors who deal with this frequently include osteopaths and physiatrists, and certain exam maneuvers can confirm whether or not this is the correct diagnosis.
Answered 3/31/2013
5.2k views
See Osteopathic Dr.: I recommend seeing an osteopathic dr. trained in hands-on diagnosis & manipulation to get proper diagnosis & treatment. Piriformis syndrome rarely goes away by itself. Some people advocate stretching the piriformis muscle, but in my pain practice that rarely works.A simple, gentle osteopathic technique which you can be taught to do at home may help.
Answered 11/28/2014
3.5k views
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