The piriformis syndrome: a case report of an unusual cause of sciatica

Turtas, S; Zirattu, G

doi:10.1007/s10195-006-0129-6

Cited by 8 publications

(7 citation statements)

References 8 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Two more features (tonic external rotation and tenderness on rectal examination) were added after reading retrieved articles. Several reports of PS have differentiated between buttock pain and low back pain [1,3,4,47,61,77,95,100,112]. Recent European guidelines define low back pain as localised below the ribs and above the inferior gluteal folds [114], which includes the buttock.…”

Section: Data Extractionmentioning

confidence: 99%

“…Proposed mechanisms for PS include: contracture or spasm of the PM from trauma [42,91]; predisposition to nerve compression by congenital variations of the sciatic nerve or PM, in which the sciatic nerve or its divisions pass through the belly or tendinous portions of a normal muscle or the bellies of a bifid muscle [20,85,95]; overuse and hypertrophy [10,21,84,112]. Some authors use PS for any sciatica arising from nerve trunk compression, regardless of PM involvement, for example by osteophytes [66], haematomas [104], pseudo-aneurysms [73,82], endometriotic cysts in the pelvis [28] and prolonged external pressure [23].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The clinical features of the piriformis syndrome: a systematic review

et al. 2010

View full text Add to dashboard Cite

Piriformis syndrome, sciatica caused by compression of the sciatic nerve by the piriformis muscle, has been described for over 70 years; yet, it remains controversial. The literature consists mainly of case series and narrative reviews. The objectives of the study were: first, to make the best use of existing evidence to estimate the frequencies of clinical features in patients reported to have PS; second, to identify future research questions. A systematic review was conducted of any study type that reported extractable data relevant to diagnosis. The search included all studies up to 1 March 2008 in four databases: AMED, CINAHL, Embase and Medline. Screening, data extraction and analysis were all performed independently by two reviewers. A total of 55 studies were included: 51 individual and 3 aggregated data studies, and 1 combined study. The most common features found were: buttock pain, external tenderness over the greater sciatic notch, aggravation of the pain through sitting and augmentation of the pain with manoeuvres that increase piriformis muscle tension. Future research could start with comparing the frequencies of these features in sciatica patients with and without disc herniation or spinal stenosis.

show abstract

Section: Data Extractionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The clinical features of the piriformis syndrome: a systematic review

et al. 2010

View full text Add to dashboard Cite

show abstract

“…A commonly accepted notion is that TOS and piriformis syndrome (PS) are caused by overuse and hypertrophy of the scalenus anticus and piriformis muscles. 24,56,57,58,59,60,61,62,63,64 However, if this was the sole cause, then one would expect daily stretching, massaging, or at least surgical resection of the hypertrophic tissue to resolve the problem. This, however, has not turned out to be the case.…”

Section: Pathogenesismentioning

confidence: 99%

Lumbosacral plexus entrapment syndrome. Part one: A common yet little-known cause of chronic pelvic and lower extremity pain

Larsen¹,

Chien

2019

APIC

View full text Add to dashboard Cite

Lumbosacral plexus entrapment syndrome (LPES) is a little-known but common cause of chronic lumbopelvic and lower extremity pain. The lumbar plexus, including the lumbosacral tunks emerge through the fibers of the psoas major, and the proximal sciatic nerve beneath the piriformis muscles. Severe weakness of these muscles may lead to entrapment plexopathy, resulting in diffuse and non-specific pain patterns throughout the lumbopelvic complex and lower extremities (LPLE), easily mimicking other diagnoses and is therefore likely to mislead the interpreting clinician. It is a pathology very similar to that of thoracic outlet syndrome, but for the lower body. This two-part manuscript series was written in an attempt to demonstrate the existence, pathophysiology, diagnostic protocol as well as interventional strategy for LPES, and its efficacy.Piriformis syndrome; Nerve entrapment; Double-crush; Pain, Chronic; Fibromyalgia Citation: Larsen K, Chien GCC. Lumbosacral plexus entrapment syndrome. Part one: A common yet little-known cause of chronic pelvic and lower extremity pain. Anaesth pain & intensiv care 2019;23(2):124-137

show abstract

“…O tratamento intervencionista inclui acupuntura; técnica de injeção no MP bloqueando o NC guiada por US, TC, fluoroscopia e RM; e a cirurgia. A maior parte dos pacientes responde à conduta conservadora, que quando falha é substituída pelo intervencionismo 34,102,103 .…”

Section: Tratamentounclassified

Síndrome do Piriforme: estado da arte

Santos¹,

Oliveira²,

Pereira³

2019

jbnc

View full text Add to dashboard Cite

A Síndrome do Piriforme é uma condição clínica de ciática não discogênica causada pela compressão do nervo ciático pelo músculo piriforme. Sua fisiopatologia ainda hoje é controversa, podendo ter causas primárias e secundárias. Seu diagnóstico, na maioria dos casos, tem sido clínico e por exclusão. Não existe um teste clínico patognômonico e o exame de ressonância magnética tem sido útil no seu diagnóstico e conduta. O tratamento de escolha a priori é conservador e apresenta bons resultados e, em caso de falha, pode ser indicada cirurgia. É preciso maior conhecimento acerca desta síndrome por parte dos neurocirurgiões, ortopedistas e fisioterapeutas para um diagnóstico precoce e tratamento adequado.

show abstract

The piriformis syndrome: a case report of an unusual cause of sciatica

Cited by 8 publications

References 8 publications

The clinical features of the piriformis syndrome: a systematic review

The clinical features of the piriformis syndrome: a systematic review

Lumbosacral plexus entrapment syndrome. Part one: A common yet little-known cause of chronic pelvic and lower extremity pain

Síndrome do Piriforme: estado da arte

Contact Info

Product

Resources

About