Piriformis Syndrome vs Lumbar Radiculopathy
What's the Difference? Piriformis Syndrome vs Lumbar Radiculopathy (AKA Lumbosacral Radiculopathy)
Piriformis Syndrome • Piriformis Syndrome/Sciatica
Two Minutes of Anatomy: Piriformis • Two Minutes of Anatomy: Piriformis
Two Minutes of Anatomy: Sciatic Nerve • Two Minutes of Anatomy: Sciatic Nerve
Lumbar Radiculopathy (AKA Lumbosacral Radiculopathy) • Lumbar Radiculopathy AKA Lumbosacral ...
Lumbar Spine Disc Herniation and Disc Bulge: Anatomy • Lumbar Spine Disc Herniation and Disc...
Lumbar Spine Disc Herniation and Disc Bulge • Lumbar Spine Disc Herniation and Disc...
Intervertebral Disc Degeneration • Intervertebral Disc Degeneration
Two Minutes of Anatomy: Lumbar Plexus and Sacral Plexus • Two Minutes of Anatomy: Lumbar Plexus...
Piriformis Muscle Stretching • Piriformis Muscle Stretching
Piriformis Muscle Foam Rolling to Help Combat Sciatica • Piriformis Muscle Foam Rolling to Hel...
Piriformis Syndrome is impingement of the sciatic nerve by a hypertonic piriformis muscles. The piriformis muscles gets tight and places pressure on the sciatic nerve.
Nerve roots branch off the spinal cord in the lumbar spine and sacrum and form two networks of nerves. The sciatic nerve emerges from these networks directly underneath the piriformis muscle. The sciatic nerve is the primary nerve in the lower extremity. It is the longest and thickest nerve in the body. It starts in the gluteal region and has branches extending to the great toe.
The piriformis muscle runs across the buttocks and contracts to rotate the thigh outward. Tightness of the piriformis muscle places pressure on the sciatic nerve and causes symptoms in the buttocks and leg. This is a nerve impingement condition named piriformis syndrome.
Symptoms of piriformis syndrome begin in the gluteal area and proceed into the posterior and/or lateral aspects of the thigh and lower leg and may extend all the way into the feet and toes. Symptoms may include sharp-shooting shock-like pain, weakness, numbness, tingling, deep burning pain and limited symptom-free range of motion. Symptoms can be intensified by weight-bearing activity, walking, running, sitting, standing, hip motions, back movements and going up or down steps.
Lumbar Radiculopathy (AKA Lumbosacral Radiculopathy) is a syndrome caused by compression or irritation of spinal nerve roots in the low back. Lumbosacral radiculopathy results from irritation and/or compression of a spinal nerve root as it exits the lumbar spine. Spinal nerve roots L4, L5 and SI roots are most commonly involved.
This condition can be a significant cause of low back pain, lower extremity pain and disability. Pain is a common presenting symptom and may be accompanied by numbness, tingling, burning pain and weakness in areas innervated by the affected lumbar nerve root.
The most common causes of lumbosacral radiculopathy are a lumbar disc herniation with resultant nerve root compression, disc degeneration or spinal osteoarthritis.
Symptoms of a lumbosacral radiculopathy include low back pain that radiates into the lower extremities in a dermatomal pattern. These symptoms can include sharp-shooting, shock-like pain or stinging pain radiating into the lower extremity. Numbness, tingling and/or a deep burning sensation. Weakness. Muscle spasm, tightness and stiffness. Muscle guarding or splinting. Limited active and passive range of motion due to pain and muscle guarding. Difficultly moving in all planes. Slow and guarded motions in all planes. Altered gait or limping.
***Disclaimer: Viewing this video does not take the place of seeing a medical professional, working with a nutritional professional, working with a fitness professional and receiving proper training in the medical profession. Please visit a medical professional for evaluation, diagnosis and treatment. Please work with a nutritional profession to develop individualized nutrition strategies. Please work with a fitness professional to learn proper exercise technique and to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute. Always perform all exercises through a symptom free range of motion. Begin your training at your current health, fitness and strength levels. Increase intensity in small gradual calculated increments. Please use nutritional strategies that are designed to work for your individual needs.
Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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