Piriformis PainThe one thing which is universally agreed upon in piriformis syndrome is that symptoms are elicited by compression of the sciatic nerve. However, what remains under debate is the basic reason why the piriformis constricts this largest anatomical nerve and more importantly, how to stop it from doing so. Piriformis Pain Causes
There are certain theorized contributing factors to the development of piriformis syndrome pain syndromes:Genetic factors contribute due to the actual patient's anatomy. Some people are born with their sciatic nerve passing through the piriformis muscle, rather than well below it. Other genetic factors regarding the size and shape of the piriformis and surrounding muscles seem to contribute to the development of painful symptoms. However, this is by far a universal conclusion, since many patients do not demonstrate these factors, yet are still diagnosed with symptoms. Sitting for extended periods of time is an exacerbating factor for most patients. Sitting with anything in the back pocket of the pants is another possible contributor to this syndrome. General activity level seems to play a part in the development of piriformis syndrome. Generally active people are less susceptible than sedentary individuals. Pirformis Pain SyndromeMany doctors do not believe this condition even exists. Others dedicate their entire practice focus to it. I have seen enough evidence to believe that piriformis syndrome does indeed affect some unfortunate patients. However, I also have seen many patients suffering with cases of oxygen deprivation back pain that are misdiagnosed with piriformis syndrome. Oxygen deprivation pain is far more common and should always be thought of first when a patient presents piriformis syndrome symptoms.Remember, these diagnoses are inter-related since the very reason the muscle might be chronically tight may certainly be ongoing regional oxygen deprivation. Recommendation on Piriformis PainI like the fact that in many diagnosed cases of piriformis syndrome, the usual spinal scapegoats which may have traditionally been blamed for causing the symptoms have been exonerated. However, I do not like the structural obsession with injury so often illogically included with the piriformis diagnosis.Sure, when the nerve-through-muscle irregularity exists, there may be some credence for the idea that the design of the muscle itself causes the pain. However, what about the vast majority of patients diagnosed with piriformis syndrome who do not demonstrate this abnormality? I would like to see logic better applied here and suggest that all doctors treating piriformis pain do their own research as to ischemia being the most probable source. This regional process will continue basically unchecked if never targeted for treatment. This potential source of suffering makes lots of sense when you consider the transient benefits offered by so many therapy options which increase circulation to the affected area. Think about it… Piriformis Pain to Back Pain 2/26/07 Revised 1/5/12 |
Sensei Adam Rostocki
Mission Statement
Editorial Board
Legal
Privacy Policy
Site Funding Disclosure
Source Material