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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

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Dr. Stephen Scholand
95 doctors shared insights

Piriformis Syndrome (Definition)

Piriformis syndrome 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