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Symptoms. Piriformis Syndrome

By Editorial Team (Y)
February 14, 2022
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Piriformis Syndrome symptoms

Piriformis Syndrome can cause Sciatica, resulting in pain that shoots down the back of the thigh and into the leg. The Piriformis Syndrome symptoms can occur in only one leg, or sometimes they are experienced in both legs. Piriformis Syndrome can cause pain that travels down the leg and into the foot, making it sometimes mistaken for a herniated lumbar disc.

The condition rarely causes Piriformis Syndrome symptoms of weakness, but sometimes it causes tingling sensations in the legs. People who have Piriformis Syndrome may have trouble sitting. Since sitting on the affected side causes pain, people with the condition will sit with their sore buttocks tilted upward instead of sitting flat down in a chair.

For the most part, Piriformis Syndrome begins with pain, tingling, or numbness in the buttocks. Pain can be severe and reach out down the length of the sciatic nerve (called Sciatica). The pain is expected in the piriformis muscle compacting the sciatic nerve, such as sitting on an auto seat or running. Pain may likewise be activated while climbing stairs, applying firm weight straightforwardly against the piriformis muscle, or sitting for extended periods of time.

Most instances of Sciatica, in any case, are not due to piriformis disorder. People with Piriformis Syndrome may encounter an assortment of Piriformis Syndrome symptoms, which may happen irregularly, or they might be available incessantly.

The side effects of Piriformis Syndrome are regularly exacerbated by drawn-out sitting, delayed standing, crouching, and climbing stairs.

  • Pain in the buttocks or hip area is the most widely recognized Piriformis Syndrome symptom.
  • Pain may emanate from the buttock area down into the lower leg along the way of the sciatic nerve. A few patients may experience lower back pain.
  • There might be numbness and tingling in the buttock area, which can now and then transmits down to the lower leg.
  • Women may experience pain during intercourse.

Piriformis Syndrome diagnosis

Diagnosis of Piriformis Syndrome symptoms usually starts with your physician taking a complete history and performing a physical examination. You will be asked questions about how your pain affects your daily activity and about your other symptoms. Your doctor will ask if any activities help your pain or if any positions relieve your symptoms of Piriformis Syndrome. You will also be asked if you have had any recent accidents or past injuries.

Your family history is also important in diagnosing Piriformis Syndrome. Your doctor will check your posture, watch how Piriformis Syndrome symptoms might be affecting your gait, and check for the location of your pain. In addition, your physician will want to see which movements make your pain worse. Your muscle strength, your reflexes, and skin sensation will also be tested because it is sometimes difficult to distinguish Piriformis Syndrome, which comes from the sacroiliac area, from a pain that comes from other spinal disorders.

Lab tests might be ordered to rule out an infection or Arthritis. Your blood might be drawn, and your urine may need to be tested due to Piriformis Syndrome symptoms.

Other tests your physician may recommend to diagnose Piriformis Syndrome include:

  • X-rays: To help diagnose Piriformis Syndrome, X-rays of the pelvis and lower back are typically taken. These tell your doctor how much degenerative damage has occurred in the sacroiliac joint. X-rays of the hips and lumbar spine may also be used to rule out conditions that cause symptoms similar to Piriformis Syndrome.
  • Magnetic Resonance Imaging (MRI): An MRI may be recommended to give the physician detailed pictures of the soft tissues to rule out conditions other than Piriformis Syndrome. An MRI uses magnets and radio waves to produce images of your pelvis and lumbar spine.
  • Neurography: This is a particular MRI test used to examine the nerves. It uses an MRI scanning machine, but the settings are calibrated to locate irritation along the nerves. Neurography may be changing how physicians diagnose conditions like Piriformis Syndrome, Carpal Syndrome, and Thoracic Outlet Syndrome.

The most accurate method doctors use to diagnose Piriformis Syndrome involves injecting an anesthetic into the muscle. The piriformis is located deep within the buttock, so this procedure requires guidance using a CT scanner, an open MRI, or a fluoroscope. If the pain resolves following the injection, your physician can be reasonably certain your symptoms were caused by Piriformis Syndrome.

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