Piriformis syndrome

Sub headings

Definition Etiology Clinical features Clinical diagnosis Management

Definition The piriformis syndrome is a

condition in which the piriformis muscle irritates or compress the sciatic nerve, causing pain in the glutial region, posterior thigh and along the course of the sciatic nerve.

Etiology Prolonged spasm

Inflammation

Shortening

Twisting injury on fixed leg.

Clinical features Radiating pain

Pain while walking , climbing stairs and rotation of trunk.

Tenderness

Weakness of hip abduction and external rotation, knee flexion.

Sensory deficits.

Clinical diagnosis No diagnostic tests, MRI, CT, NCV to

rule out sciatica.

Piriformis test.

Direct palpation test.

Management

Medical management.

Physiotherapy management.

Medical management

NSAID.

muscle relaxants.

Local Injections with a corticosteroid or anesthetic.

Surgery

Physiotherapy management

Gentle , static stretching.

Ultrasound Therapy.

Massage.

Hip Abductor and external rotator strengthening exercises.

Patient education.

So I will summarize……….. Piriformis muscle.

Sciatic nerve.

Priformis syndrome.

Causes.

Clinical features.

Piriformis test.

Direct palpation.

Medical management.

PT management

Reference Soft tissue pain and disability- Rene Calilat.

Diagnosis and treatment of lower extrimities- Dos Winkel.

Orthopeadic physiotherapy-Robert Donatelli.

Palpation skills – Assessment and diagnosis through touch- Leon Chaitou.

The hip handbook- Timothy L Fagerson.

Tidey’s physiotherapy- Stuart Porter

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