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Doctor insights on: Piriformis Syndrome Treatment

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Piriformis syndrome and sciatic nerve treatment, do you have any recommendations?

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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Dr. Mark Pack
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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I have the symptoms of Piriformis Syndrome. Pain Mgt. Dr rolls his eyes. What treatment is available for this? The pain is severe and I loathe Per10/32

I have the symptoms of Piriformis Syndrome. Pain Mgt. Dr rolls his eyes. What treatment is available for this? The pain is severe and I loathe Per10/32

Who diagnosed?: Compression or entrapment of sciatic nerve by piriform muscle is called P. synd. Usually diagnosis is confirmed by CT, MRI & nerve conduction studies, some times compression could be at inter obturator muscle level, most of time physical therapy, stretching, PT is enough, surgery is rarely done. Speak to your doctor ...Read more

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What is the best treatment for severe hip bursitis and piriformis syndrome?

What is the best treatment for severe hip bursitis and piriformis syndrome?

Bursitis: Rest, ice, anti inflammatory agents such as Ibuprofen (there are many other similar one's), physical therapy and in resistant or unresponsive cases, local steroid injections are the choices. ...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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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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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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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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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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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