Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful Treatment

Siddiq, Abu Bakar; Khasru, Moshiur Rahman; Rasker, Johannes J.

doi:10.1155/2014/893836

Cited by 14 publications

(25 citation statements)

References 14 publications

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“…Based on the Michel clinical scoring system, iTh and iCSA are excellent parameters for differentiating between stage 2 and stage 3 PS and between normal and all-stage PS patients. Our results are similar to those of Siddiq et al, 19,20 who found that piriformis muscle thickness increased, but did not describe CSA.…”

Section: Discussionsupporting

confidence: 92%

Ultrasound appears to be a reliable technique for the diagnosis of piriformis syndrome

et al. 2019

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Introduction : Piriformis muscle syndrome (PS) is a disorder encompassing a constellation of symptoms, including buttock and hip pain. In this study we aimed to assess the value of ultrasound (US) in the diagnosis of PS. Methods : Thirty‐three clinically diagnosed PS patients and 26 healthy volunteers underwent a clinical PS scoring examination and US and MRI assessment of the bilateral piriformis muscles. The areas under the receiver operating characteristic curves (AUROCs) of the US parameters (i.e., increased thickness [iTh] and increased cross‐sectional area [iCSA]) for piriformis muscle were evaluated. Results : On US and MRI, the thickness and CSA were increased in PS patients. The AUROCs for the iTh and iCSA for discriminating stage 0 (healthy volunteers) from stage 1 through stage 3 (PS patients) were 0.88 and 0.95, respectively. Discussion : US may be a reliable technique for the clinical diagnosis of PS. Muscle Nerve 59:411–416, 2019

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Section: Discussionsupporting

confidence: 92%

Ultrasound appears to be a reliable technique for the diagnosis of piriformis syndrome

et al. 2019

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“…I advised them to continue with piriformis muscle stretching exercises. Fortunately, none of our study subjects developed features that matched with central sensitization, namely fibromyalgia, irritable bowel syndrome, etc ., nonetheless reported to be possible if persistent somatic pain left untreated or poorly managed as had been demonstrated in one of my previous studies [ 13 ].…”

Section: Discussionmentioning

confidence: 96%

“…Here, wallet neuritis diagnosis was straightforward; nevertheless, most often it can be confused with clinical conditions of several low back pain generators like facet joint (lumbar facet arthropathy), sacroiliac joint (sacroiliac joint dysfunction), lumbar spinal canal (stenosis), piriformis muscle (piriformis syndrome), ischial bursa (bursitis), auricular part of ilium (osteitis condensans illi), hip joint (hip arthropathy), hamstring muscle origin (hamstring muscle rupture), etc [ 3 , 10 , 13 ]. Most importantly, we were cautious about them during patients’ screening.…”

Section: Discussionmentioning

confidence: 99%

“…Nerve conduction study (NCS) revealed features of sciatic nerve demyelination in one patient, that has been well-matched with Hughes findings [ 16 ]. Ultrasonogram of gluteal region (3.5 MHz, Siemens Acuson X300, premium edition, transducer: CH 5-2, Germany) showed piriformis muscle thickness in one wallet sciatica, signifying associated muscle hypertrophy, spasm as a consequence of overusing it [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

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Wallet Neuritis – An Example of Peripheral Sensitization

Siddiq¹,

Jahan

Masihuzzaman

2018

CRR

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Background: Wallet neuritis is an example of extra-spinal tunnel neuropathy concerning sciatic nerve. Its clinical appearance often gets confused with sciatica of lumbar spine origin. Wallet-induced chronic sciatic nerve constriction produces gluteal and ipsilateral lower extremity pain, tin-gling, and burning sensation. It was Lutz, first describing credit-card wallet sciatica in an Attorney, surfaced on Journal of American Medical Association (JAMA), 1978; however, the condition has not been well-studied in various other occupations.Case Summary: In this write-up, we take the privilege of demonstrating wallet neuritis as an example of peripheral sensitization in three different professionals’ namely specialist doctor, driver, and banker first time in Bangladesh. All the three patients’ demonstrated aggravated gluteal pain with radiation on the homo-lateral lower extremity while remained seated on heavy wallet for a while, fortunately im-proved discontinuing such stuff with. Alongside radical wallectomy, piriformis stretching exercise on the affected side had also been recommended and found worthy in terms of pain relief.Conclusion: long-standing use of rear pocket wallet may compress and sensitize ipsilateral sciatic nerve, generating features resembling lumbago sciatica; thereby, remains a source of patients’ misery and diagnostic illusion for pain physicians as well.

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“…According to the ACR 1990 classification criteria for Fibromyalgia syndrome (FMS), one of the 18 tender areas resides at the insertion of PM tendon to the posterior aspect of greater trochanter of the femur that could get irritated depending on the risk factors causing more gluteal pain or persistent regional gluteal pain. Because of inappropriately treated PS could induce the development of central sensitization which may result in generalized body ache, for example FMS [8,9].…”

Section: Editorial Piriformis Syndrome: Still Unsolved Issuesmentioning

confidence: 99%