Piriformis Syndrome

 Piriformis Syndrome

Piriformis syndrome is a condition in which patient experiences pain and  of loss of sensation in the back of the thigh to the bottom of the foot. It occurs because of the compression of the sciatic nerve at the hip by the piriformis muscle that’s why called as piriformis syndrome.

What leads you this?
The main reason due to which syndrome occurs would be the pressure on the sciatic nerve and the pressure might be due to following reasons-
1. At the hip by anything that causes you the piriformis muscle spasm
2. Due to any strain from the sudden increase in amount or intensity of activity or overuse of lower extremity.
Who are at risk?
-In Sports activity which involves running, jumping or prolonged walking.
-Poor physical conditioning
What symptoms you have?
*You have tingling, numbness or burning sensation in the back of the thigh to knee and occasionally to the bottom of the foot.
*Tenderness in your buttocks, heaviness or fatigue in your legs.
*Pain and discomfort in the hip, groin, mid buttock area or in the back of the thigh.
How to diagnose?
The physical therapist examine you by performing various special test which indicates that you have piriformis syndrome or not, some of the special tests are-
– FAIR test (Flexion, Adduction, Internal Rotation)-Position the patient in the side-lying with the tested hip on top. Passively move the patient’s lower extremity into flexion (90 degrees), adduction, and internal rotation. Test is positive if  pain is produced in sciatic/gluteal area.

-Seated Piriformis Test– The piriformis test can also be examined in seated position on the chair with back upright and feet resting on the ground. The test is performed by crossing the affected leg and placing the ankle of the affected leg on the unaffected knee. The patient is then asked to bend forwards to feel the stretch in the gluteal region or the examiner pulls the knee towards the chest.

-First, you have to try to avoid positions or activities which trigger your pain. Rest, Icing on the muscle for 10-15 minutes will relieve your symptoms.
-Two to three sessions of physical therapy modalities like TENS, Ultrasound and Laser in one day to subside pain.
-Isometric exercises of your gluteal muscle to strengthen and reduce nerve compression.
-Piriformis muscle stretching three to four times in a day is to be done to reduce muscle tightness and thereby reduce the compression of the nerve.

If you are already performed all the above things but won’t have much relive in your conditions then consults to a nearby doctor! Or you can consult us we have free Consultations for you!

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