Diagnosis and management of piriformis syndrome: an osteopathic approach
- PMID:19011229
- DOI: 10.7556/jaoa.2008.108.11.657
Diagnosis and management of piriformis syndrome: an osteopathic approach
Abstract
Piriformis syndrome is a neuromuscular condition characterized by hip and buttock pain. This syndrome is often overlooked in clinical settings because its presentation may be similar to that of lumbar radiculopathy, primary sacral dysfunction, or innominate dysfunction. The ability to recognize piriformis syndrome requires an understanding of the structure and function of the piriformis muscle and its relationship to the sciatic nerve. The authors review the anatomic and clinical features of this condition, summarizing the osteopathic medical approach to diagnosis and management. A holistic approach to diagnosis requires a thorough neurologic history and physical assessment of the patient based on the pathologic characteristics of piriformis syndrome. The authors note that several nonpharmacologic therapies, including osteopathic manipulative treatment, can be used alone or in conjunction with pharmacotherapeutic options in the management of piriformis syndrome.
Similar articles
- Piriformis syndrome and low back pain: a new classification and review of the literature.Papadopoulos EC, Khan SN.Papadopoulos EC, et al.Orthop Clin North Am. 2004 Jan;35(1):65-71. doi: 10.1016/S0030-5898(03)00105-6.Orthop Clin North Am. 2004.PMID:15062719Review.
- The piriformis syndrome.Parziale JR, Hudgins TH, Fishman LM.Parziale JR, et al.Am J Orthop (Belle Mead NJ). 1996 Dec;25(12):819-23.Am J Orthop (Belle Mead NJ). 1996.PMID:9001677Review.
- Piriformis syndrome: a real pain in the buttock?Halpin RJ, Ganju A.Halpin RJ, et al.Neurosurgery. 2009 Oct;65(4 Suppl):A197-202. doi: 10.1227/01.NEU.0000335788.45495.0C.Neurosurgery. 2009.PMID:19927068Review.
- Piriformis syndrome: a cause of nondiscogenic sciatica.Cass SP.Cass SP.Curr Sports Med Rep. 2015 Jan;14(1):41-4. doi: 10.1249/JSR.0000000000000110.Curr Sports Med Rep. 2015.PMID:25574881Review.
- Piriformis syndrome: a case with non-discogenic sciatalgia.Parlak A, Aytekin A, Develi S, Ekinci S.Parlak A, et al.Turk Neurosurg. 2014;24(1):117-9. doi: 10.5137/1019-5149.JTN.7904-13.0.Turk Neurosurg. 2014.PMID:24535806
Cited by
- Division of neuromuscular compartments and localization of the center of the intramuscular nerve-dense region in pelvic wall muscles based on Sihler's staining.Hu X, Wang M, He X, Chen P, Jia F, Wang D, Yang S.Hu X, et al.Anat Sci Int. 2024 Jan;99(1):127-137. doi: 10.1007/s12565-023-00744-4. Epub 2023 Sep 28.Anat Sci Int. 2024.PMID:37768515Free PMC article.
- Retro-trochanteric sciatica-like pain: current concept.Meknas K, Johansen O, Kartus J.Meknas K, et al.Knee Surg Sports Traumatol Arthrosc. 2011 Nov;19(11):1971-85. doi: 10.1007/s00167-011-1573-2. Epub 2011 Jun 16.Knee Surg Sports Traumatol Arthrosc. 2011.PMID:21678093Free PMC article.Review.
- Wallet Neuritis - An Example of Peripheral Sensitization.Siddiq MAB, Jahan I, Masihuzzaman S.Siddiq MAB, et al.Curr Rheumatol Rev. 2018;14(3):279-283. doi: 10.2174/1573397113666170310100851.Curr Rheumatol Rev. 2018.PMID:28294069Free PMC article.
- Ultrasound-guided trigger point injection for piriformis syndrome in the emergency department.Aquino-Jose VM, Blinder V, Johnson J, Havryliuk T.Aquino-Jose VM, et al.J Am Coll Emerg Physicians Open. 2020 Jun 24;1(5):876-879. doi: 10.1002/emp2.12153. eCollection 2020 Oct.J Am Coll Emerg Physicians Open. 2020.PMID:33145535Free PMC article.
- Clinical results of endoscopic sciatic nerve decompression for deep gluteal syndrome: mean 2-year follow-up.Park MS, Yoon SJ, Jung SY, Kim SH.Park MS, et al.BMC Musculoskelet Disord. 2016 May 20;17:218. doi: 10.1186/s12891-016-1062-3.BMC Musculoskelet Disord. 2016.PMID:27206482Free PMC article.
Publication types
MeSH terms
Substances
Related information
LinkOut - more resources
Full Text Sources
Medical