Piriformis Syndrome: The Real Reason You're Not Improving
✅𝐃𝐞𝐞𝐩 𝐆𝐥𝐮𝐭𝐞𝐚𝐥 𝐏𝐚𝐢𝐧 𝐒𝐲𝐧𝐝𝐫𝐨𝐦𝐞✅
𝗪𝐡𝐚𝐭 𝐢𝐬 𝐢𝐭?
🧐Sciatica can be difficult at the best of times to get on top of effectively though getting a diagnosis can sometimes be hard too.
📈With such a high prevelance of asmypotmatic findings on Lumbar MRI’s, what happens on the occasions where there isn’t a structural cause that can be attributed to the symptoms?
📍Does it definitely mean there is another structural cause else where, such as a peripheral nerve entrapment or is it more complex than that.
Ultimately I’m a strong believer that we need to treat the patient and not the pathology as even at the best of times with all the evidence we have, it’s hard to definitely “diagnose” a condition with what we have available to us in clinic, not without diagnostic injections anyway.
This article summarised a few of the possible structures that could all be involved in some way with peripheral entrapment of the sciatic nerve - so it’s more about being aware of just how many other structures there are other than the piriformis that can cause these symptoms.
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Park JW, Lee YK, Lee YJ, Shin S, Kang Y, Koo KH. Deep gluteal syndrome as a cause of posterior hip pain and sciatica-like pain. Bone Joint J. 2020 May;102-B(5):556-567. doi: 10.1302/0301-620X.102B5.BJJ-2019-1212.R1. PMID: 32349600.
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