Reviewed By:
Kent C Doan, MD (Orthopedics)
Dr Doan Graduated from the University of Missouri Kansas City School of Medicine and completed residency training in Orthopedic Surgery at the University of Colorado. He completed additional fellowship training in Orthopedic Sports Medicine at the prestigious Steadman Clinic and Steadman Philippon Research Institute in Vail, Colorado. He is a practicing Orthopedic Surgeon who specializes in complex and revision knee and shoulder surgery at the Kansas City Orthopedic Institute. He also holds an assistant professorship at the University of Kansas City.
Tomohiro Hamahata, MD (Orthopedics)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
Content updated on Jan 19, 2024
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The sciatic nerve is responsible for muscle control and sensation of the leg. Sometimes, it can be compressed by the piriformis muscle in the buttocks. This can result in symptoms that are often similar to a slipped disc or nerve compression in the spine.
Your doctor may ask these questions to check for this disease:
Most treatments are aimed at decreasing compression on the nerve. The majority of times this can be achieved with rest, physical therapy, activity modifications, and sometimes use of medications. Rarely injections or surgery is indicated to address severe nerve compression not resolved with other methods
Probst D, Stout A, Hunt D. Piriformis Syndrome: A Narrative Review of the Anatomy, Diagnosis, and Treatment. PM R. 2019 Aug;11 Suppl 1:S54-S63. doi: 10.1002/pmrj.12189. Epub 2019 Jul 22. PMID: 31102324.
https://onlinelibrary.wiley.com/doi/10.1002/pmrj.12189Kirschner JS, Foye PM, Cole JL. Piriformis syndrome, diagnosis and treatment. Muscle Nerve. 2009 Jul;40(1):10-8. doi: 10.1002/mus.21318. PMID: 19466717.
https://onlinelibrary.wiley.com/doi/10.1002/mus.21318Hicks BL, Lam JC, Varacallo M. Piriformis Syndrome. 2022 Apr 21. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 28846222.
https://www.ncbi.nlm.nih.gov/books/NBK448172/Cass SP. Piriformis syndrome: a cause of nondiscogenic sciatica. Curr Sports Med Rep. 2015 Jan;14(1):41-4. doi: 10.1249/JSR.0000000000000110. PMID: 25574881.
https://journals.lww.com/acsm-csmr/Fulltext/2015/01000/Piriformis_Syndrome__A_Cause_of_Nondiscogenic.12.aspxBoyajian-O'Neill LA, McClain RL, Coleman MK, Thomas PP. Diagnosis and management of piriformis syndrome: an osteopathic approach. J Am Osteopath Assoc. 2008 Nov;108(11):657-64. doi: 10.7556/jaoa.2008.108.11.657. PMID: 19011229.
https://www.degruyter.com/document/doi/10.7556/jaoa.2008.108.11.657/htmlThis symptom checker site is a great resource to either get an idea of what is happening inside your body or even get a second opinion without incurring another huge bill. It also provides a way to connect with a professional if needed. I really enjoy this site.
Aug 30, 2024 (Female, 40s)
Reviewed By:
Kent C Doan, MD (Orthopedics)
Dr Doan Graduated from the University of Missouri Kansas City School of Medicine and completed residency training in Orthopedic Surgery at the University of Colorado. He completed additional fellowship training in Orthopedic Sports Medicine at the prestigious Steadman Clinic and Steadman Philippon Research Institute in Vail, Colorado. He is a practicing Orthopedic Surgeon who specializes in complex and revision knee and shoulder surgery at the Kansas City Orthopedic Institute. He also holds an assistant professorship at the University of Kansas City.
Tomohiro Hamahata, MD (Orthopedics)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
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