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Doctor insights on: Periformis 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

Dr. Oscar Novick
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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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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What should I do to have correct diagnoses for periformis syndrome.?

What should I do to have correct diagnoses for periformis syndrome.?

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. ...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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What are the most effective ways an individual can treat sever periformis syndrome at his home?

What are the most effective ways an individual can treat sever periformis syndrome at his home?

Heat, NSAIDs, rest: Piriformis muscle is just below the lower edge of the buttock. Press and roll a golf ball or marble around this area to pinpoint tender areas. Once you've done this, applying pressure to tender areas with the ball or marble can help release the taut muscle. Heat over tender areas, Ibuprofen and other nsaids help. Avoid vigorous flexion & extension of affected leg at the hip. ...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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Could the person have periformis syndrome at the same time with fibromyalgia.?

Could the person have periformis syndrome at the same time with fibromyalgia.?

Yes: Though I see pyriformis syndrome more commonly diagnosed in patients with fibromyalgia, the two conditions also exist separately. ...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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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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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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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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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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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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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

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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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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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How can a doctor diagnose a periformis syndrome. What tests should I make? Help please....

How can a doctor diagnose a periformis syndrome. What tests should I make? Help please....

Piriformis synd: Clinical diagnosis. Is sciatica without the herniation disc at the lower back. Same symptoms (pain, tingling, numbness, shooting pain buttucks, posterior thing and below knee). First we rule out herniated disc (sciatica) with mri. Piriformis muscle on your butt bone (where you sit on) puts pressure on sciatic nerve (precipitated by sitting. Enjoy el viernes social- don't sit too much. ...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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What is the best perscription for the periformis syndrome disease.? What is something that makes me sure that I have this disease plus pain in leg.?

What is the best perscription for the periformis syndrome disease.? What is something that makes me sure that I have this disease plus pain in leg.?

It depends: Piriformis syndrome is like sciatica. There is pain behind the hip in the buttocks, occasionally radiating into the lower leg. There is usually tenderness in the buttocks area along the piriformis muscle belly where it crosses the sciatic nerve. Treatment includes stretching or local steroid injection. An MRI will show if the piriformis is the source of pain or whether its something else. ...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?

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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