Cases Of Piriformis Syndrome Research Articles

VP05.21: A case of piriformis syndrome in extragenital endometriosis

VP05.21: A case of piriformis syndrome in extragenital endometriosis

Laparoscopic surgical approach for the treatment of piriformis syndrome: Intrapelvic decompression technique

Introduction: Piriformis syndrome is an uncommon disease resulting from the piriformis muscle’s compression of the sciatic nerve. Pain and numbness in the buttocks and down the leg are the most common symptoms. This study analyzes the laparoscopic surgical treatment of piriformis syndrome. Methods: We report three cases of piriformis syndrome diagnosed in our hospital. The first case was a 40 years old woman with a 7-year history of intermittent low back pain and sciatica on her right side. Hyperesthesia and cutaneous allodynia were observed in the right sciatic nerve dermatome. The second case was a 30 years old woman with a 2-year history of sciatica on her left side. The third case was a 30 years old woman with a 2-year history of sciatica on her right side. All the patients underwent laparoscopic decompression surgery, which was performed to release the sciatic nerve or sacral nerve roots. Results: The patients were reexamined at the postoperative 3rd and 6th months. Their visual analog scale (VAS) scores were found to be decreased from 10/10, 9/10, and 7/10 to 0/10, 1/10, and 0/10, respectively. Conclusion: Due to the very few cases in the literature, pelvic piriformis syndrome is an exclusively clinical diagnosis. If the sciatica is refractory to conservative treatments, laparoscopic exploration and decompression surgery of the pelvic nerves and piriformis muscle could be an option.

‘Hand on hip’ sign: A novel screening test and diagnostic tool in piriformis syndrome

Introduction: Currently there is no gold standard clinical test or investigation available to diagnose piriformis syndrome. We have found a pose used by the patients to describe the pain in the gluteal region in cases of suspected piriformis syndrome. This pose in our study has been described as ‘hand on hip sign’ (HHS). In this study, we aim to assess the significance of this sign in screening of patients with piriformis syndrome. Materials and methods: Seventy patients presenting with pain in the gluteal region with radiculopathy between the age group of 18 years and 60 years were included. All patients were asked to locate the site of the pain in the gluteal region. The demonstration of pain by the patients was noted. If the description matched the description of HHS, it was considered to be positive, else it was considered negative. All patients were subjected to four piriformis-specific confirmatory clinical tests. Considering that there is no single confirmatory test, any patient in whom any two piriformis-specific signs were elicited was considered as a case of piriformis syndrome. Using the data, sensitivity, specificity and positive and negative likelihood ratio of the HHS in the diagnosis of piriformis syndrome were calculated. Inter-test comparison was also made using Cohen’s kappa statistic. Results: HHS was found to have a sensitivity of 86% and a specificity of 75%. It also has a high positive predictive value of 94% and a positive likelihood ratio of 3.44. Inter-test reliability comparison showed that there was a fair to moderate agreement between HHS and other confirmatory piriformis-specific tests. Conclusion: HHS serves as an effective screening test in the identification of piriformis syndrome.

Beda Efektivitas Pengaruh Pemberian TENS Dan Stretching Dengan Lllt Dan Stretching Terhadap Penurunan Nyeri Pada Kasus Sindroma Piriformis

Background: Piriformis syndrome causes a decrease in mobility thereby reducing productivity. Objective to find out the difference between giving TENS therapy with stretching and LLLT with stretching to reduce the comfort of cases of Piriformis syndrome. Subjects were 30 piriformis syndrome patients Methods:. Experimental with two pre and post test designs. ANALYSIS: normality test with saphiro wilk obtained VAS score data with normal distribution with p > 0.05 for the first group and LLLT postal group with abnormal distribution data p < 0.05, parametric test with paired sample test in group I get the results sought with significance value p = 0,000 and non parametric Wilcoxon test for group II with p = 0.001. Post and post different tests of the two groups with the mann whitney test obtained p = 0.028. Result: providing TENS therapy with stretching and LLLT with stretching respectively in reducing pain in the case of Piriformis syndrome. Conclusion: Provision of TENS therapy with stretching is more effective than LLLT with stretching in the sense of decreased in cases of Piriformis syndrome.

Development of Unilateral Piriformis Syndrome in a Female with Congenital Leg Length Discrepancy

Background: This is a rare case of piriformis syndrome. We discuss the patient’s symptoms, imaging study results, laboratory examination findings, and prescribed treatment in an attempt to determine the possible mechanisms or reasons for this patient’s development of piriformis syndrome. Methods: The patient is a 22-year-old female soldier who was admitted for lower back pain with soreness radiating to her right buttock and right lower extremity. We found that she had leg length discrepancy under X-ray finding. She was diagnosed piriformis syndrome by physical examination and Magenetic Resonance Image. Results: We performed scanography for lower extremities revealed a left femur length of 42.7 cm, a right femur length of 43.3 cm, a left tibia length of 33.2 cm, and a right tibia length of 33.6 cm; her left lower extremity was 1 cm shorter than her right. The MRI of sacrum also reveals hypertrophy of right piriformis muscle. Conclusions: Piriformis syndrome might be caused by short-term compensation in congenital leg length discrepancy. The patient with leg length discrepancy changed posture when standing, walking, and running. These compensation postures could lead to abnormality position of bones where there is insertion of the muscle.

Quantitative Acupuncture: A Therapeutic And Diagnostic Tool in Myofascial Syndromes

Background: The technique and theory of quantitative acupuncture (QAc) have been described for myofascial pain syndromes, specifically the piriformis syndrome. When persistent abnormal denervation potentials (trains of fibrillations, positive sharp waves, or complex repetitive discharges) are identified by standard electromyography and silenced by QAc, pain relief has been reported as immediate and lasting. Objective: To evaluate the peroneal F-wave latency and synchronicity in piriformis syndrome. Design, Setting, and Patients: Four cases of piriformis syndrome were evaluated before and after QAc. Peroneal F-wave latency and synchronicity and tibial H-reflex amplitude and latency were evaluated in another case of piriformis syndrome. Median nerve amplitude and F-wave responses were evaluated in a case of proximal median neuropathy. Main Outcome Measures: Nerve conduction velocity and delayed responses. Results: In all of the cases presented, post-QAc data showed objective normalization in one or more neurophysiologic parameters measured by nerve conduction velocity techniques. Conclusions: We propose that QAc is a useful tool to quantitatively study and treat various myofascial syndromes. Implications regarding the pathophysiology of piriformis syndrome are discussed.

A case of piriformis syndrome with new variant

A case of piriformis syndrome with new variant

Acupuncture treatment for piriformis syndrome

Fourty-five Cases of piriformis syndrome were treated by acupuncturing Huantiao(GB 30),Yanglingquan (GB 34) and Kuanlun (BL 60). After 20 treatments,36 individuals were well cured and 9 were effective.

Combined Treatment of 60 Cases of Piriformis Syndrome

Sixty patients with piriformis syndrome were treated mainly by electroacupunture, Tuina plus TDP irradiation. After 10 treatments, among 60 patients, 41 cases were cured and 19 cases were improved.

Treatment of 20 cases of piriformis syndrome by needling Zhibian(BL 54)

Treatment of 20 cases of piriformis syndrome by needling Zhibian(BL 54)

Atypical Piriformis Syndrome: A Report of 2 Cases

The piriformis syndome is a rare condition characterized by pain and paresthesia in the buttock, often radiating to the posterior thigh. Symptoms are made worse by hip adduction and internal rotation of the hip joint. We report two cases of piriformis syndrome caused by an atypical sciatic nerve pathway combined with hamstring hypertrophy.