This
website does not provide specific medical advice and the information provided
should not be used as a substitute for seeking medical advice from a registered
health practitioner.
Piriformis syndrome,many patients got this diagnosis,but it really exists? No
one know.....
It is thought that the piriformis muscle tendon may be tethering the sciatic
nerve, and causing an irritation to the nerve. While it has not be proven, the
theory supported by some physicians is that when the piriformis muscle and its
tendon are too tight, the sciatic nerve is choked. This may decrease the blood
flow to the nerve and irritate the nerve because of pressure. (Quote from http://orthopedics.about.com)
According to zak acupuncture experiences,So call piriformis syndrome,its real
reason is soft tissue injuries in buttock and lower back area,So,The treatment
that patients have surgery to release, or loosen, the piriformis muscle tendon
is possibly not wise idea.Deep and intensive acupuncture can help most of
cases.Zak
claim. _____________________________________________________________________________________ Chinese
patients were treated by acupuncture at Huantiao (GB 30), Yanglingquan (GB 34)
and Shenmai (BL 62), with needling shallow, middle and deep layers for Huantiao,
Yanglingquan, and after acupuncture massage was given at the Foot-Taiyang
Channel and the Foot-Shaoyang Channel on lumbosacral region and the affected
foot. ______________________________________________________________________ Reference:Zhongguo
Zhen Jiu. 2008 Mar;28(3):205-6
So you have been diagnosed with
sciatica and even though your doctor explained to you about the condition, you
have come looking for a bit more information on sciatica.
Lets start with the basic question on most peoples mind, what is sciatica? The
general term used for pain being felt along the sciatic nerve is sciatica. This
pain is usually described by patients as a sharp electric shocking type pain
that starts in the buttocks and travels down the back of the thigh and leg.
Most often caused by a herniated disk, there are also other causes. When
diagnosing sciatica symptoms a MRI scan is most often taken to help with this process.
If your MRI shows a herniated disk make sure to get referred to a spine
specialist. A spine specialist can look over your X-rays and be able to
recommend the proper course of treatment.
Some signs and symptoms of sciatica are:
A cramping sensation of the thigh
Shooting pains from the buttock, down the leg
Tingling, or pins-and-needles sensations in the legs and thighs
A burning sensation in the thigh
Maneuvers such as squatting, coughing or sneezing worsen the sciatica symptoms
that the patient is having. The cause of the worsened sciatica symptoms is the
jerking motion adding pressure that is being placed around the nerve.
I mentioned earlier that sciatica is not always caused by a herniated or
slipped disk. Some other causes of Sciatica could be:
Iliolumbar Syndrome: This is simply inflammation or a tear of the ililumbar
ligament. This is the back of your pelvis and it extends from the spine to the
iliac crest.
Lumbar Facet Joint Syndrome: The pain coming from the joints in your back with
this particular symptom can cause Sciatica like symptoms along with pain and
discomfort. Just like the knee and elbow can get inflamed and cause pain, the
facet joint is like any other joint in your body and follows these same rules.
Lumbar Spinal Stenosis: This is the narrowing of the spinal canal causing
sciatica type symptoms. Disk problems and arthritis of the spine can cause this
narrowing.
Piriformis Syndrome: Simply put this is pain caused by the Piriformis muscle
that may be in spasm, inflamed, or irritated. Located in you buttock and laying
right on top of the sciatic nerve as it exits the spine down your leg. When
this muscle is inflamed, irritated or in spasm it will cause pressure on the
sciatic nerve causing the sciatica like symptoms.
Sacroiliitis: The joint where your hip meets your spine is called the
sacroiliac joint. When your sacroiliac joint becomes inflamed it is known as
sacroiliitis. Sciatica type syndromes can be felt due to inflammation caused by
arthritis or traumatic injury. Anesthetic injections or anti-inflammatory
medications can take away the pain.
Being extremely uncommon in younger patients sciatica can still affect most
anyone. Most people who suffer from sciatica are in the age range of thirty to
fifty. Most often back injury or over exerting the back will bring on a sudden
onset of sciatica.
Piriformis
syndrome is due to piriformis sciatic nerve injury and oppression caused by the
side of the main Tuntui pain symptoms.
Piriformis is hip deep in the muscle, from spinabifida ahead, and passed
through ischium big hole, which will be divided into Piriformis on the next
hole and the hole, the greater trochanter limited. Piriformis was completed in
coordination with other major muscle external rotation movements. Sciatic nerve
running just under the hole by piriformis passed through the pelvis to the
buttocks. Visibility piriformis and the anatomy of the sciatic nerve very close
relationship Piriformis by injury or if the piriformis and the sciatic nerve
anatomy mutated may lead to the sciatic nerve is being squeezed out of a
variety of symptoms which occur.
Piriformis injury caused piriformis syndrome is the main reason, the majority
of patients have history of trauma, such as blinking, twisting, leaping
standing, squatting and carrying heavy loads, gait and other catch cold.
Certain acts such as lower extremity outreach, swing or squatting change when
so straight-piriformis lengthening injury piriformis stretch. Piriformis
injury, local edema, or spasm, leading to repeated injury piriformis
hypertrophy, the sciatic nerve can be directly oppression there piriformis
syndrome. Secondly, piriformis and the anatomy of the sciatic nerve
relationship mutates and can also lead to oppression or sciatic nerve
stimulation produced piriformis syndrome. In addition, as part of gynecological
diseases such as ovarian or pelvic inflammatory annex and the sacroiliac joint
inflammation also may affect Piriformis affected by piriformis Kong under the
sciatic nerve and the corresponding symptoms. So for the female disease
patients need to understand whether gynecological inflammatory diseases.
Pain is the main piriformis syndrome performance. Mainly to hip pain, to help
the lower extremities radiation, not serious when walking or running for some
distance after intense pain, the need to take a rest after running can
continue. Patients may feel pain deeper position, diffuse mainly to the lower
extremities of the ipsilateral lateral or behind, is also accompanied by some
lateral leg numbness, perineal discomfort. Severe pain in the buttocks could be
telling signs of "knife-like" or "scorching" for the pain
and difficulties legs buckling, knees kneeling reclining, sleep difficulties at
night. Excretion, coughing, sneezing, etc. because of increased abdominal
pressure can be so channeling of the affected limb pain increased.
Non-surgical treatment of piriformis syndrome, including practices, the partial
closure of intramuscular injection, physical therapy, Chinese herbal medicine
and acupuncture.