Diagnosis and treatment of false sciatica in Madrid

Piriformis syndrome is due to the condition of the piriformis muscle, located in the region of the buttocks, so that the sciatic nerve can cause pain that extends to the area of the legs and foot, which is why it usually be confused with sciatica. In this post we tell you everything you need to know about piriformis syndrome.

What is the piriformis muscle?

The piriformis muscle is a small pyramidal muscle of the pelvis, which is located in the back of the gluteus maximus, whose shape is flattened triangular with an external vertex. This muscle begins at the bottom of the spine.

It is located within the group of short external rotator muscles of the hip, which are known as pelvitronchanteric.

Function of the piriformis muscle

Due to its position in the gluteal region, The piriformis muscle is responsible for assisting in external rotation of the hip., in addition to intervening in the abduction of the hip, in a way that allows the leg to be moved away from the midline of the body.

Origin and insertion of the piriformis muscle

This muscle originates in the first three vertebrae of the sacrum, also heading towards the head of the femur, inserting into the upper edge of the greater trochanter.

Diagnóstico y tratamiento del síndrome del piriforme

What is piriformis syndrome?

Piriformis syndrome is a condition in which The piriformis muscle causes some pain in the buttock area. The piriformis muscle can also compress the sciatic nerve, which is why it is also known as “false sciatica”, and its symptoms are very similar to sciatica.

It can also be called driver's syndrome, since professional drivers sit for long periods of time.

Piriformis syndrome largely affects women, while in men it is rare to find this condition. In this form, it usually occurs between 40 and 50 years of age.

Symptoms of piriformis syndrome

As mentioned above, many of the symptoms of piriformis syndrome They are similar to sciatica. That is, a pain that goes down the back along with pain in the back of the thigh, calf and foot.

Piriformis syndrome also presents symptoms of continuous pain in the buttock area.

In the case of professional drivers or people who sit for long periods of time, the pain appears after sitting, improving when lying on the back.

Additionally, patients with piriformis syndrome are affected by reduced hip motion.

Qué es el síndrome del piriforme

Causes of pelvic pyramidal syndrome

The causes that cause the appearance of pyramidal syndrome are diverse.

First of all, it must to shortening of the piriformis muscle, but there are others. Sitting for prolonged periods of time is another cause of piriformis syndrome, which is why it is common to find this pathology in professional drivers.

Similarly, sitting on hard surfaces for long periods of time It is another of the main causes of piriformis syndrome.

When sports are practiced, and repetitive trauma appears, piriformis syndrome arises. It is common to find this pathology in patients who exercise excessively and practice activities such as running, walking, climbing stairs and lifting too much weight when training.

On the other hand, biomechanical alterations such as lumbar hyperlordosis It causes the appearance of piriformis syndrome, due to the stiffness that exists in the lower back. Other causes may be lower limb dysmetria, pelvic floor dysfunction or knee valgus.

Finally, another cause of piriformis syndrome, although less common, is due to trauma caused by falls and sudden movements of the hip.

Causas del síndrome piramidal de la pelvis

Diagnosis and treatment of piriformis syndrome

In order to know if the patient has piriformis syndrome, a series of diagnostic tests are performed, such as magnetic resonance imaging.

As maneuvers to diagnose pyramidal syndrome, you can find a great variety. The Freiberg maneuver aims to perform a forced internal rotation of the hip.

At the same time, the Pace and Nagle maneuver allows evaluation of piriformis syndrome, which consists of achieving external rotation of the hip.

Beauty's maneuver, for its part, consists of keeping the hip flexed for a few seconds.

All of them help diagnose piriformis syndrome, and thus be able to eliminate other pathologies such as false sciatica.

It is recommended, in any case, to avoid prolonged sitting, always trying to take short walks every half hour.

As another cause is due to excessive training, it is advisable to avoid sports activities that require excessive efforts.

On the other hand, hip mobility exercises can help restore hip position.

For the treatment of piriformis syndrome, we recommend having trusted traumatologists so that they can make the most accurate diagnosis, so that the patient's earliest recovery is achieved.

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At Elgeadi Traumatología we are committed to our community and open to advise and answer any question whenever possible.

To offer an accurate diagnosis to the patient, a personalized evaluation and a thorough review of their medical history will always be necessary. Once the case has been studied individually, the most appropriate treatment will be recommended to the patient according to their pathology and/or illness.

Furthermore, at Elgeadi Traumatology, we would like to remind you that no medication will be prescribed without prior consultation.

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