2022, Number 3
<< Back Next >>
Ortho-tips 2022; 18 (3)
Piriformis syndrome a cause of nondiscogenic sciatica
Cahueque LMA, Camey E, Gómez X, Azmitia E
Language: Spanish
References: 12
Page: 254-257
PDF size: 210.23 Kb.
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
Byrd JW. Piriformis syndrome. Oper Tech Sports Med. 2005; 13: 71-79.
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.
Fishman LM, Schaefer MP. The piriformis syndrome is underdiagnosed. Muscle Nerve. 2003; 28: 646-649.
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.
Hopayian K, Song F, Riera R, Sambandan S. The clinical features of the piriformis syndrome: a systematic review. Eur Spine J. 2010; 19: 2095-2109.
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.
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.
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.
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.
Smith J, Hurdle MF, Locketz AJ, Wisniewski SJ. Ultrasound-guided piriformis injection: technique description and verification. Arch Phys Med Rehabil. 2006; 87: 1664-1667.
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.
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.