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Doctor insights on: Cure Piriformis Syndrome

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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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Dr. Chad Levitt
96 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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Are there usually many symptoms when you have piriformis syndrome?

Are there usually many symptoms when you have 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

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How is piriformis syndrome treated? And how long does it take to go away?

How is piriformis syndrome treated? And how long does it take to go away?

Piriformis symdrome: manifests when the sciatic nerve is compressed by a muscle in the buttocks called the piriformis uscle. you can have lower back pain and also in the hip (or sciatic notch). worse with sitting, running or cycling. You can reduce pain by various exercises, stretches, and anti inflammatories. It can take up to 4 to 6 weeks to get relief. see a doctor ...Read more

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I have piriformis syndrome. How long should I expect it to take to recover?

I have piriformis syndrome.  How long should I expect  it to take to recover?

Wrong Question: Piriformis synd rarely goes away by itself.The question is 'What can be done to get rid of piriformis synd.?' 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. I recommend seeing an osteopathic dr. trained in hands-on diagnosis & manipulation to get proper treatment ...Read more

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How to know if I have pinched nerve or piriformis syndrome?

How to know if I have pinched nerve or piriformis syndrome?

Pyriformis/nerve: Its very difficult for you to tell. But a doctor who does a proper examination should be able to tell. Sometimes its difficult without an injection being done. ...Read more

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How long does it take botox to work for piriformis syndrome?

How long does it take botox to work for piriformis syndrome?

About a week: It can take between5-7 days for Botox to work on the muscle. It does not mean that your piriformis syndrome will be gone at 1 week. Once the muscle are relaxed the physical therapy can be utilized. ...Read more

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What kind of specialist can I see about piriformis syndrome?

What kind of specialist can I see about piriformis syndrome?

A few: Orthopedists, Physical medicine specialists, Neurologists, Chiropractors, Physical therapists and other Sports Medicine Specialists have a role to play in this condition. ...Read more

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How can one deal with polyneuropathy and piriformis syndrome?

How can one deal with polyneuropathy and piriformis syndrome?

Double Crush: Definitely treat the piriformis with pelvic re-balancing, stretches or myofascial release therapy, because if the piriformis is compressing the sciatic nerve that's already injured it could significantly compound the problem. ...Read more

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Please answer! what kind of specialist do I see about piriformis syndrome?

Please answer! what kind of specialist do I see about piriformis syndrome?

AN orthopaedist or: A physical Medicine and rehabilitation (PM&R) doc can help. usually it is diagnosed by physical exam and occasionally MRI. usually treated with Medicine and Therapy, Sometimes it requires release of the piriformis to relieve your symptoms. ...Read more

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How to differentiate between symptoms of sacroiliitis and piriformis syndrome?

How to differentiate between symptoms of sacroiliitis and piriformis syndrome?

Skilled Examiner: Piriformis Synd often causes pain in the buttock region & can also cause sciatica-type symptoms with pain down the back of the thigh to just above the knee. Sacroilitis is not known to cause pain down the back of the thigh. A skilled examiner, such as an osteopath trained in hands-on diagnosis & manipulation can easily tell the diff: tenderness over the piriformis vs. tenderness along the SI jt. ...Read more

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Can the symptoms from a pinched nerve come and go? Or symptoms of piriformis syndrome?

Can the symptoms from a pinched nerve come and go? Or symptoms of 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

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Will i be in constant pain with piriformis syndrome? Been reading peoples horror stories about. Now really worried and scared.

Will  i be in constant pain with piriformis syndrome? Been reading peoples horror stories about. Now really worried and scared.

Piriformis: May or may not be. Get it checked by rehab, ortho, or spine surgeon. Piriformis syndrome may not be the problem. Stretch your hams, check for bulging discs. ...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 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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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.

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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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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