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2022, Number 3

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Ortho-tips 2022; 18 (3)

Piriformis syndrome a cause of nondiscogenic sciatica

Cahueque LMA, Camey E, Gómez X, Azmitia E
Full text How to cite this article 10.35366/107276

DOI

DOI: 10.35366/107276
URL: https://dx.doi.org/10.35366/107276

Language: Spanish
References: 12
Page: 254-257
PDF size: 210.23 Kb.


Key words:

Sciatic pain, piriformis syndrome, discogenic, nondiscogenic pain.

ABSTRACT

Introduction: Piriformis syndrome is a nondiscogenic cause of sciatica from compression of the sciatic nerve by piriformis muscle. Patients typically have sciatica, buttock pain that worsens when sitting. Objective: To report a case of sciatic pain caused by compression of the piriformis muscle that simulated to be of discogenic origin. Material and methods: Patient with sciatic pain due to compression of the piriformis muscle, tenotomy and release of the sciatic nerve was performed. Results: Patient presented improvement in the first three days, with complete relief at four weeks. After one year of follow-up, it remains pain-free. Conclusion: The piriformis syndrome is a pathology that should be considered in patients with sciatica pain, when it has been ruled out that there is no root compression in the spine.


REFERENCES

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  2. Fishman LM, Dombi GW, Michaelsen C, et al. Piriformis syndrome: diagnosis, treatment, and outcome V a 10-year study. Arch Phys Med Rehabil. 2002; 83: 295-301.

  3. Fishman LM, Schaefer MP. The piriformis syndrome is underdiagnosed. Muscle Nerve. 2003; 28: 646-649.

  4. Michel F, Decavel P, Toussirot E, et al. Piriformis muscle syndrome: diagnostic criteria and treatment of a monocentric series of 250 patients. Ann Phys Rehabil Med. 2013; 56 (5): 371-383.

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  6. Finnoff JT, Hurdle MFB, Smith J. Accuracy of ultrasound-guided versus fluoroscopically guided contrast-controlled piriformis injections: a cadaveric study. J Ultrasound Med. 2008; 27: 1157-1163.

  7. Michel F, Decavel P, Toussirot E, et al. The piriformis muscle syndrome: an exploration of anatomical context, pathophysiological hypotheses and diagnostic criteria. Ann Phys Rehabil Med. 2013; 56: 300-311.

  8. Rossi P, Cardinali P, Serrao M, Parisi L, Bianco F, De Bac S. Magnetic resonance imaging findings in piriformis syndrome: a case report. Arch Phys Med Rehabil. 2001; 82 (4): 519-521.

  9. Yoon SJ, Ho J, Kang HY, et al. Low-dose botulinum toxin type A for the treatment of refractory piriformis syndrome. Pharmacotherapy. 2007; 27: 657-665.

  10. Smith J, Hurdle MF, Locketz AJ, Wisniewski SJ. Ultrasound-guided piriformis injection: technique description and verification. Arch Phys Med Rehabil. 2006; 87: 1664-1667.

  11. Han SK, Kim YS, Kim TH, Kang SH. Surgical treatment of piriformis syndrome. Clin Orthop Surg. 2017; 9 (2): 136-144. doi: 10.4055/cios.2017.9.2.136.

  12. Park MS, Yoon SJ, Jung SY, Kim SH. Clinical results of endoscopic sciatic nerve decompression for deep gluteal syndrome: mean 2-year follow-up. BMC Musculoskelet Disord. 2016; 17: 218. doi: 10.1186/s12891-016-1062-3.




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