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Doctor insights on: Acupuncture For Piriformis Syndrome Sciatica

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Hi doctors, can you tell me what is sciatica-piriformis-syndrome?

Hi doctors, can you tell me what is sciatica-piriformis-syndrome?

Piriformis Pain: The sciatic nerve runs underneath the piriformis muscle and typically does not irritate the nerve. However if the muscle is irritated or the nerve runs through the belly of the muscle (5-10% of people) it can press on the sciatic nerve and cause the sciatica type pain in the buttock region but also radiate into the leg as well. Typically stretching and nsaids are mainstay for treatment. ...Read more

Dr. Heidi Fowler
823 Doctors shared insights

Acupuncture (Definition)

Acupuncture is a treatment based on Chinese medicine -- a system of healing that dates back thousands of years. At the core of Chinese medicine is the notion that a type of life force, or energy, known as qi (pronounced "chee") flows through energy pathways (meridians) in the body. Each meridian corresponds to one organ, or group of organs, that governs particular bodily functions. Achieving the proper flow of qi is thought to create health and wellness. Qi maintains the dynamic balance of yin and yang, which are complementary opposites. According to Chinese medicine, everything in nature has both yin and yang. An imbalance of qi (too much, too little, or blocked flow) causes disease. To restore balance to the qi, an acupuncturist inserts needles at points along the meridians. These acupuncture points are places where the energy pathway is close to the ...Read more


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Can you tell me how is sciatica different from piriformis syndrome?

Can you tell me how is sciatica different from piriformis syndrome?

Yes: Sciatica refers to ANY cause of irritation, injury or trauma to the sciatic nerve, at any point in its anatomic course. This can be from a stretch injury, fall, surgery, or direct trauma.
Piriformis syndrome is a irritability and spasm of the piriformis muscle, which directly overlies the sciatic nerve. In rare cases the sciatic nerve passes through the muscle. ...Read more

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I've been doing stretches that are supposed to be good for sciatica and piriformis syndrome, but I always hurt more later, what could be the cause?

I've been doing stretches that are supposed to be good for sciatica and piriformis syndrome, but I always hurt more later, what could be the cause?

Pelvis joints: The idea that you have pyriformis syndrome is a speculation. You might have a dysfunctional sacroiliac joint, and the exercises might be stretching these joints. An osteopth can help you to figure this out. See my chronic pain board at quora. Com (free) where I discuss these issues. ...Read more

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If my sciatica was caused by piriformis syndrome wouldn't I feel themmuscle spasm pain in my buttocks?

If my sciatica was caused by piriformis syndrome wouldn't I feel themmuscle spasm pain in my buttocks?

Piriformis Pain: The sciatic nerve runs underneath the piriformis muscle and typically does not irritate the nerve. However if the muscle is irritated or the nerve runs through the belly of the muscle (5-10% of people) it can press on the sciatic nerve and cause the sciatica type pain in the buttock region but also radiate into the leg as well. Typically stretching and nsaids are mainstay for treatment. ...Read more

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Do the symptoms of piriformis syndrome and/or sciatica include thigh stiffness?

Do the symptoms of piriformis syndrome and/or sciatica include thigh stiffness?

Pyriformis/sciatic: Yes thigh stiffness in the back of the thigh can certainly be present in the conditions above. Pain should also be present to some extent. ...Read more

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Would sacrolilitis or SI joint dysfuncation cause sciatica? Or is Piriformis syndrome more likely, Had MRI of spine and no disk problems found.

Would sacrolilitis or SI joint dysfuncation cause sciatica? Or is Piriformis syndrome more likely, Had MRI of spine and no disk problems found.

Yes: An abnormality of the SI joint such as an inflammatory condition, for example can cause a "sciatica". This is because the L5 nerve, which forms part of the sciatic nerve, runs right over the SI joint. Piriformis syndrome is another example of a condition that is not spine related but can cause sciatica. A detailed exam can usually destinguish the cause. ...Read more

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Can prolonged sitting cause sciatica or piriformis syndrome?

Can prolonged sitting cause sciatica or piriformis syndrome?

In part but need mor: We would need more information. The piriformis muscle is in the gluteal region and sitting can irritate it but strengthen it. The piriformis muscle can press on the sciatic nerve and cause sciatica. You can see your physician and have this evaluated. You will benefit from physical therapy. ...Read more

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Can you explain what's this is diabetic radiculopothy sciatica piriformis syndrome?

Can you explain what's this is diabetic radiculopothy sciatica piriformis syndrome?

Diabetic radiculopat: Diabetes is a systemic disease with widespread effects throughout the body. Neuropathy is nerve damage, anywhere. Either the myelin or the nerve fiber can be affected causing a demyelinating or axonal neuropathy respectively. A radiculopathy is a pinched nerve as the nerve root exits the neck or lower back. In piriformis syndrome there is pinching of sciatic nerve under the piriformis muscle. ...Read more

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Does piriformis syndrome or sciatica ever go away and let me be normal again? How long? How can I relieve pain and stop it? I am working on my weight

Does piriformis syndrome or sciatica ever go away and let me be normal again? How long? How can I relieve pain and stop it? I am working on my weight

Sciatica.: Weight loss should definitely help your symptoms. Physical therapy will be a good idea as well. Analgesics should be of the non-narcotic variety and be used only when absolutely necessary. These things will help, although none of them unfortunately would be curative. ...Read more

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Doc told me yesterday I have piriformis syndrome (part scatica). but could it be fibromyalgia. How long are the return to normal?

Pain: Whatever the name or cause, your pain needs to be be treated. This will determine how quickly it is resolved. He/she may prescribe physical therapy or other thiings. Your history mentions obesity. That is a factor as well. Peace and good health. ...Read more

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What is the main cause of piriformis syndrome?

What is the main cause of piriformis syndrome?

Irritation of muscle: Piriformis syndrome is caused when the piriformis muscle compresses the sciatic nerve.
Since piriformis syndrome is usually caused by sports or movement that repeatedly stresses the piriformis muscle, such as running or lunging, prevention is often related to good form. Avoid running or exercising on hills or uneven surfaces. Warm up properly before activity and increase intensity gradually. ...Read more

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Will a steroid injection fix piriformis syndrome?

Will a steroid injection fix piriformis syndrome?

Cortisone: Piriformis syndrome failed on drug therapy responds to cortisone shots. ...Read more

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Does piriformis syndrome cause pain at back of knee?

Yes: The piriformis syndrome is caused by the piriformis muscle compressing the sciatic nerve. Usually it causes pain and tingling in the buttocks, but if the compression is severe enough it can cause pain down the length of the sciatic nerve in the leg. There are a number of treatments available to avoid surgery. An Orthopedic surgeon or Physiatrist can recommend such modalities ...Read more

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What doctors taking medicare perform botox injection for piriformis syndrome?

What doctors taking medicare perform botox injection for piriformis syndrome?

Other options: Botox is not approved by insurance companies or medicare for pirifoemis syndrome. There are other options for treatment, however, including standard trigger point injections (with Lidocaine or saline), topical Baclofen (from a compounding pharmacy) and physical therapy. Acupuncture can help. It is also out of pocket, but likely less than botox. ...Read more

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Is it possible to be unable to walk, have urinary incontiency, because of piriformis syndrome?

Is it possible to be unable to walk, have urinary incontiency, because of piriformis syndrome?

See her doctor!: Urinary incontinence is unlikely to be caused by piriformis syndrome. It is more likely to be a sign of worsening back pain unrelated to the piriformis muscles. You should see your family practice doctor since you are describing red flags for worsening back pain. ...Read more

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I had a botox injection for piriformis syndrome 15 days ago and no result yet. More intense pain than usual. How long before I give up hope?

I had a botox injection for piriformis syndrome 15 days ago and no result yet. More intense pain than usual. How long before I give up hope?

Never give up!: But the Botox does most of what it is going to do within 3-7 days and all it can do within 2 weeks. Might need a bigger dose before you decide it won't help. ...Read more

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Can cortisone shot alleviate piriformis syndrome?

Can cortisone shot alleviate piriformis syndrome?

Potentially: This is very possible. Sometimes physical therapy focused on stretching and flexibility is enough. Sometimes this along with a steroid injection can alleviate the symptoms. Consult with your physician to see if you are a candidate for this. ...Read more

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How can chiropractors evaluate for piriformis syndrome?

How can chiropractors evaluate for piriformis syndrome?

A stretch: Maneuver where your leg is put up at 90 degrees at the hip, bent at the knee as well, and then your leg is taken into external rotation and stretched. If it is tight and reproduces the symptoms, then it could be pririformis syndrome. ...Read more

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What are the most effective treatments for piriformis syndrome?

What are the most effective treatments for piriformis syndrome?

OMM: Piriformis syndrome is caused by a spasm in a muscle called piriformis. This puts pressure on the sciatic nerve, causing the symptoms. Osteopathic manipuation, in skilled hands, can correct the problem causing the spasm and provide great relief for this common complaint. ...Read more

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Can piriformis syndrome send pain all the way down to the heal? And pain in the Achilles area?

Can piriformis syndrome send pain all the way down to the heal? And pain in the Achilles area?

Piriformis syndrome: Piriformis syndrome pain usually stops at about the knee. If it goes lower, you may want to have your sciatic nerves looked at. ...Read more

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What is piriformis syndrome. What does it cause and how could you get relieved of. Does it cause pain in the whole leg.? Please help me.

Excellemt Question: Many cases, more than many doctors can imagine, of so called 'sciatica' and due to piriformis syndrome, which is a compression of the sciatic nerve as it travels thru buttock, into leg. A form of 'entrapment syndrome'. Clinical exam makes dx. My mantra: best diagnostic tool between the ears). Causes pain down lower leg; rx is specific stretching exercises+. C a trained physical therapist. ...Read more

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Will physical therapy help for piriformis syndrome?

Will physical therapy help for piriformis syndrome?

Yes: It will help strengthen and increase range of motion in the area. Also can provide stretching and ultrasound to help with the inflammation. ...Read more

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Piriformis syndrome and sciatic nerve treatment, do you have any recommendations?

Piriformis syndrome and sciatic nerve treatment, do you have any recommendations?

Stretch injury: If your piriformis pain is secondary to pelvic imbalance and it's constantly stretched, the last thing you want to do is stretch your piriformis. It will aggravate even if it feels good stretching it at the time. Find a physical therapist who can do myofascial release or facilitated positional release and teach you relaxing exercises. ...Read more

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Is it true that someone with hip retroversion cannot get piriformis syndrome on that side?

Is it true that someone with hip retroversion cannot get piriformis syndrome on that side?

Less likely: With retroversion of the upper aspect of the femur the piriformis is relaxed during routine ambulation and therefore there is less chance for irritation that would result in symptoms consistent with piriformis syndrome. ...Read more

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What is the best diagnostic method to see if there is herniated disc or it's about piriformis syndrome?

What is the best diagnostic method to see if there is herniated disc or it's about piriformis syndrome?

An MRI: A physical exam is first in the evaluation. Piriformis syndrome and sciatica often causes pain in the buttock and posterior thigh. Nerve irritation or compression from a herniated disc can cause similar symptoms but with pain and weakness extending below the knee and sometimes into the foot. Plain x-rays then an MRI if symptoms persist is the image of choice. ...Read more

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How common is piriformis syndrome? Can it cause neuropathic symptoms too such as numbness, tingling, burning?

How common is piriformis syndrome? Can it cause neuropathic symptoms too such as numbness, tingling, burning?

Fairly uncommon: It is a disorder that is fairly difficult to diagnose without injections and thought to be relatively uncommon. It is a cause of sciatic nerve compression and can cause all the symptoms you mentioned ...Read more

Dr. Donald Alves
99 Doctors shared insights

Piriformis Syndrome (Definition)

Describes pain experienced in the buttock which may travel down the thigh or up toward the lower back, most commonly made worse by sitting. The pain results from flexing of the piriformis muscle that places pressure on the sciatic nerve which ...Read more


Dr. Qamar Khan
1,077 Doctors shared insights

Sciatica (Definition)

A condition that results in pain, weakness, numbness, or tingling in the leg. It results from injury to or pressure on the sciatic nerve, which starts in the lower spine and runs down the ...Read more