Piriformis Syndrome Pain Management Specialists
Piriformis Syndrome
Condition Overview
Piriformis syndrome is a pain condition involving the piriformis muscles. These muscles are located deep within the buttocks, near the hip joint. They sit right behind the gluteus maximus (butt) muscles and help stabilize and rotate the hip joint when someone is walking, running or standing upright.
When these muscles get too tight or irritated, they can cause pain and discomfort in the buttocks and down the leg. The cause of tightness and irritation can vary — sometimes, it’s due to sitting for too long too often, and sometimes, it’s caused by muscle overuse or an injury.
The pain experienced with this syndrome can sometimes be mistaken for sciatica since both involve pain that goes down the back of the leg. That’s why it’s particularly important to see a piriformis syndrome pain specialist for diagnosis — to guarantee you get the right treatment from the right doctor on your path to relief.
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Symptoms of Piriformis Syndrome
Piriformis syndrome presents with a spectrum of symptoms, the most common being pain in the buttocks and lower back that’s described as dull and persistent. This discomfort tends to peak during activities involving movements like bending, lifting or twisting. Other symptoms include:
- Radiating pain down the legs — varying from shooting sensations to tingling — extending from the lower back into the buttocks, thighs, or even down to the feet
- Muscle tightness or stiffness surrounding the affected piriformis muscle, leading to limited mobility and discomfort
- Weakness or numbness in the legs due to pressure on nerves compressed by the piriformis muscle
- Alterations in posture or gait resulting from piriformis dysfunction, affecting overall mobility and comfort
Diagnosis of Piriformis Syndrome
Piriformis syndrome diagnosis typically starts with a detailed review of your medical history and a thorough physical examination. During the exam, Nura’s specialists will check for symptoms like buttock pain, tingling or numbness — especially down the back of the leg. They may also perform specific maneuvers to pinpoint tenderness or discomfort around the muscle.
In addition to the physical exam, imaging tests like MRI or CT scans may be recommended so they can see the muscle and what surrounds it. These tests help identify any structural issues, like muscle inflammation or compression of the sciatic nerve, which could be causing pain.
Treatment Options for Piriformis Syndrome
Anyone dealing with piriformis syndrome should collaborate closely with their doctors — especially pain specialists — to craft a comprehensive treatment plan tailored to their unique needs and goals. Treatment for this condition typically involves a combination of approaches depending on the severity and persistence of symptoms. Common treatment options include:
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