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Doctor insights on: Sciatica Piriformis Exercises

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Is it possible there is a conclusive cure for piriformis sciatica?

Is it possible there is a conclusive cure for piriformis sciatica?

Surgery Perhaps: Typically medications, therapy, injections and exercise programs can help take care of most of the symptoms. If these do not help enough and the pathology is significant for the type of piriformis syndrome that entraps the sciatic nerve then surgery may be the last resort. I would seek out a surgeon that does this a lot since its not a common surgery. ...Read more

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Dr. Sanjiv Kaul
2,077 doctors shared insights

Low Back Pain (Definition)

Low back pain is pain that occurs in the back above the buttock area and below the ribs. Low back pain can be sharp, dull, intermittent or constant. Pain can be at rest or associated with activity. Back pain can also be accompanied with pain that shoots or radiates down into the lower extremities or legs which is frequently ...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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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?

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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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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Can you explain what's this is diabetic radiculopothy sciatica piriformis syndrome?

Can you explain what's this is diabetic radiculopothy sciatica piriformis syndrome?

Wow: That is a lot of terms that mean all different diagnoses. Diabetic pain is different than radiculopathy and sciatica. Piriformis syndrome is also very different although can be similar symptoms to sciatica. I would suggest seeing a pain/spine specialist. ...Read more

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If my sciatica was caused by piriformis syndrome wouldnt i feel themmuscle spasm pain in my buttocks?

If my sciatica was caused by piriformis syndrome wouldnt i feel themmuscle spasm pain in my buttocks?

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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Do the symptoms of piriformis syndrome and/or sciatica include thigh stiffness?

Pyriformis/sciatic: Yes thigh stiffness in the back of the thigh can certainly be present in the conditions above. Pain should also be present to some extent. ...Read more

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How can u differentiate between sciatica pain & piriformis synrome? Pain above & down left buttock & leg hurts to stand sit lay

How can u differentiate between sciatica pain & piriformis synrome? Pain above & down left buttock & leg hurts to stand sit lay

Exam, studies, injec: It can be hard and piriformis syndrome as a diagnosis is likely often missed. Physical exam can help, a nerve conduction with the hip in neutral verses internal rotation can tell, response to injection into piriformis is most diagnostic. Also seeing a patient with severe pain running down the leg with a normal looking MRI of lumbar suggests something else like piriformis syndrome might be issue. ...Read more

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I sit down and straight my left leg and pushing my body forward and , i feel a pain in my left hips . Doctors said it is not sciatica \ piriformis?

I sit down  and straight  my left leg and pushing  my body forward and , i feel a pain in my left hips . Doctors said it is not sciatica \ piriformis?

Likely Low Grade: Sciatica or Sacroiliac Joint pain. Piriformis Syndrome is rare, however it can be a possible symptom as well. Generally internal rotation of your hip or actual pressure on the piriformis muscle will cause pain if you have piriformis syndrome. If no improvement in a few weeks, go back to doctor for further evaluation. ...Read more

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Can piriformis muscle syndrome cause sciatica type symptoms (pain and tingling in legs). Can you suggest anything that may help relieve it?

Suggestions: Yes, if sciatic is caught by buttock muscles, pain can simulate a pinched nerve from the back, BUT you describe issues in "legs", and the bilaterality causes some concern regarding lumbar stenosis vrs peripheral neuropathy. First, get diagnosis confirmed, then if appropriate, try physical therapy or osteopathy. ...Read more

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Would sacrolilitis or SI joint dysfuncation cause sciatica? Or is Piriformis syndrome more likely, Had MRI of spine and no disk problems found.

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

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Can inflammation around the si joint cause sciatica pain? Or muscle spasms of piriformis muscle?

Can inflammation around the si  joint cause sciatica pain? Or muscle spasms of piriformis muscle?

Yes/No: Rare that the SI joint can cause true sciatica, however it can cause a referred pattern of pain that is known to radiate down the back of the leg up to about the calf. Traditionally SI Joint pain most often causes tenderness and pain in the buttock area. Piriformis muscle may cause sciatica, but that is also not common. Suggest seeing a spine specialist to determine which is occurring. ...Read more

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Can you get sciatica just in your calf? I get sharp stabbing pains in back near SI joints and nerve pain in calf,no disks problems though. Piriformis?

Can you get sciatica just in your calf? I get sharp stabbing pains in back near SI joints and nerve pain in calf,no disks problems though. Piriformis?

Sciatica still can b: One can still have sciatica without DISK problems. Many other places within the anatomy of the vertebral bodies that nerve roots involved in causing sciatica can be compromised. Symptoms can radiate above the calf or below the calf...typically into the big toe but certainly not always. Best option is to neurologist for good once over and potentially some electrical testing is diagnosis unclear. ...Read more

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Can tight hamstrings cause sciatica without any involvement of the piriformis muscle? (pain in the upper part of my leg after sitting over 3 hours)

Can tight hamstrings cause sciatica without any involvement of the piriformis muscle? (pain in the upper part of my leg after sitting over 3 hours)

Opposite: It is actually more likely the.other way around. Chronic "sciatica" will cause a person to lean forward and not fully straighten out at the hip and knee which can potentially lead to hip flexor and knee flex ion (hamstring) contractures; not typically the other way around. ...Read more

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Does the clamshell, exercises the piriformis? When doing the exercise I lots of pain later on.

It does: but it's just one part of several treatments... http://en.wikipedia.org/wiki/Piriformis_syndrome#Treatment my advice? don't do any one exercise/maneuver to the point your pain is significantly exacerbated. you have to pick and choose to do your exercises at the right time and at the right intensity/amount. one tip I suggest is walking in the pool in waist deep water: side ways/backwards/forward ...Read more

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Got inner knee & piriformis area pain on left side. Xray was clear,been in physio 10 weeks.Alignment & exercises seemed to fix it, but pain is back. ?

Got inner knee & piriformis area pain on left side. Xray was clear,been in physio 10 weeks.Alignment & exercises seemed to fix it, but pain is back. ?

SIJ ?: 27/f w. sciatica has medial knee pain. Common variety of unstable pelvis sacroiliac joint is oft associated w. underlying ipsilateral knee strain & sciatica. Less common is Pyriformis syndrome, a mostly theoretical problem. Sartorious syndrome seems remote. None of these problems discoverable by imaging studies. Need smart Osteopath w. sensitive fingers & knows how to perform anesthetic blocs. ...Read more

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Piriformis trapped nerve dangerous?

Piriformis trapped nerve dangerous?

Piriformis sciatica: I'm not sure what you mean by "dangerous". Most cases of piriformis syndrome with intermittent sciatica are painful, but not at all what i'd consider dangerous. As you can see from the image attached, the sciatic nerve can pass behind the muscle or split the muscle (just butt pain then), or one or both parts of the nerve can pierce the muscle which can cause the shooting pain down the leg. ...Read more

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Dr. Qamar Khan
1,064 doctors shared insights

Sciatica (Definition)

A condition that results in pain, weakness, numbness, or tingling in the leg. It results from injury to or pressure on the sciatic nerve, which starts in the lower spine and runs down the ...Read more