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Doctor insights on: Can Piriformis Syndrome Cause Knee Pain

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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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Dr. George Yang
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


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What causes piriformis syndrome. Could it cause pain in the whole leg and knee? Does it cause difficulty in stepping on foot. Please help?

What causes piriformis syndrome. Could it cause pain in the whole leg and knee? Does it cause difficulty in stepping on foot. Please help?

Pyriformis syndrome: Pyriformis syndrome is pain in the buttocks cause by imbalance of the pyriformis muscle that crosses near the sciatic nerve that can cause sciatica just like a herniated disc. I have had this and there are some great online stretching exercises to help as well as to diagnose this condition. See your pcp and ask to see a good physical therapist who may help you sort things out. ...Read more

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Diagnosed with piriformis syndrome. Pain has moved from the middle left buttocks, groin, quadriceps. Now I have hypersensitive skin on knee, & sheen.?

Diagnosed with piriformis syndrome. Pain has moved from the middle left buttocks, groin, quadriceps. Now I have hypersensitive skin on knee, & sheen.?

Most likely disc: The symptoms of piriformis syndrome some time look like disc problem, when you sign of numbness going down to chin this tell me most likely it is a disc problem in the lumber area. Check it out. ...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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Can piriformis syndrome cause muscle twitches in leg? If it's bothering the sciatic nerve or nerve?

Can piriformis syndrome cause muscle twitches in leg? If it's bothering the sciatic nerve or nerve?

Not seen that but...: I am not aware of leg twitches as being part of the complaints seen in patients with true piriformis syndrome. Pain, numbness, tingling, difficulties with ambulaton are the predominant symptoms reported as well as weakness in the leg. In women pain on sexual relations can also be seen. However, I've seen leg muscle spasms so I could believe twitches if you've been correclty diagnosed. ...Read more

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Can Piriformis Syndrome be in both legs? Sometimes in 1 leg then subsides then another. Comes on when walking. Legs ache and pain in calves too.

Can Piriformis Syndrome be in both legs? Sometimes in 1 leg then subsides then another. Comes on when walking. Legs ache and pain in calves too.

Piriformis Syndrome: Yes it can be in both legs. This could be other things including vascular (circulation issues). Concerned because it comes on with walking. Suggest you be evaluated by a physician right away. ...Read more

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How can I tell if my l side sciatic px is from piriformis syndrome or herniated disk? The pain intensity varies & at time only in my l low back/buttock. When I have leg pain to my left foot goes cold.

How can I tell if my l side sciatic px is from piriformis syndrome or herniated disk? The pain intensity varies & at time only in my l low back/buttock. When I have leg pain to my left foot goes cold.

Sometimes: It's very difficult to differentiate between those two. A good physical exam and history necessary. Avoid positions that worse the pain. An MRI sometimes necessary to r/o hnp. Ice, rest and stretching exercises will improved a piriformis syndrome. Also the use of nsaids meds sometimes indicated. Can take long. I went through ps symptoms in the past. Good luck. ...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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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

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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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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 piriformis syndrome cause lower back pain?

Yes: Yes it can. If my opinion, this condition is overdiagnosed and there are several more common causes of back pain, especially in a young person. ...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?

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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I am in a lot of pain from a pinched sciatic nerve caused by piriformis syndrome. Have had a steroid injection already not much help. What can I do?

I am in a lot of pain from a pinched sciatic nerve caused by piriformis syndrome. Have had a steroid injection already not much help. What can I do?

EMG, PT, botox, surg: Make sure you had quality EMG ruling out lumbosacral radiculopathy. Then physical therapy involving strengthening of the pelvic and hip region and stretching of the piriformis. Besides Ultrasound-guided glucocorticoid injections, botulin toxin injections have been used. If all of the above fail, a surgery (piriformis tenotomy) can be pursued if symptoms are that persistent and debilitating. ...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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Could periformis syndrome cause weakness in leg.?

Could periformis syndrome cause weakness in leg.?

Rarely: First, this syndrome should be a diagnosis of exclusion when sciatica has no other discernible cause. Pain, the typical symptom, could cause disuse and secondary weakness over time. Weakness of sciatic nerve driven muscles is rare in pirformis syndrome. ...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

Dr. Frederick Buechel, jr. md
1,158 Doctors shared insights

Knee Pain (Definition)

The knee joint is the joint between three bone of the lower leg: the proximal tibia, the distal femur, and the patella. There are multiple causes of knee pain including degenerative, ...Read more