Doctor insights on:
Herniated Disk Vs Piriformis Syndrome
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 moreSee 2 more doctor answers
Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more
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
How can I tell the difference between sciatica caused by a herniated disc or by piriformis syndrome?
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
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
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
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
I have suffered for two years with piriformis syndrome and tried everything except surgery but I am worried as to the recovery time and after effects?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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