Piriformis Syndrome

Where is the Piriformis Muscle?

Anatomically, the piriformis muscle lies deep to the gluteal muscles. It originates from the sacral spine and attaches to the leg where the big, bony "bump" is on the outside top part of the leg. The sciatic nerve usually passes underneath the piriformis muscle, but in approximately 15% of the population, it travels through the muscle. It is thought that acute or chronic injury causes swelling of the muscle and irritates the sciatic nerve, resulting in sciatica. Patients that have the sciatic nerve Incorporated inside the piriformis muscle are particularly predisposed to this condition.


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What is Piriformis Syndrome?

Piriformis syndrome is a neuromuscular disorder that occurs when the sciatic nerve is compressed or otherwise irritated by the piriformis muscle causing pain, tingling and numbness in the buttocks and along the path of the sciatic nerve descending down the lower thigh and into the leg.



What does the condition feel like?


Piriformis syndrome commonly causes pain that radiates down the back of the leg. The pain may be felt only on one side, though it is sometimes felt on both sides. The pain can radiate down the leg all the way to the foot and may be confused for a herniated disc in the lumbar spine. Changes in sensation and weakness in the leg or foot are rare. Some people say they feel a sensation of vague tingling down the leg. Sitting may be difficult. Usually people with piriformis syndrome do not like to sit.When they do sit down, they tend to sit with the sore side buttock tilted up rather than sitting flat in the chair.



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How can Chiropractic Help?



The chiropractic treatment is aimed at restoring the function of the pelvic and spinal joints, which is often the cause. Some of the more common reasons for the irritation of the Piriformis muscle are the following:




- Weak hip abductors
- Tight adductor muscle group
- Tightness of anterior portion of ITBand (tensor fascia lata)
- Limb length difference (long side compensates by pronation, short side needs more abduction strength)
- Tight medial hamstrings
- Pronation of foot (Fallen Arches) may cause rotation of the leg, which can put extra stain on the muscles.


What kind of treatment can I expect?



Our office will start with a computerized scan of the spinal area. This scan is designed to locate any areas of decreased nerve function to allow our office to identify any areas of concern. Next our doctors will perform an exam to identify areas of postural or orthopedic concern. If necessary, our office has full x-ray capabilities to evaluate your condition. After the main reason for your condition is determined, a chiropractic adjustment will be performed to decrease any bio-mechanical defects. This will be followed by trigger point therapy, stretching and strengthening exercises. Postural and ergonomic advice is given and you will be given core muscle exercises that you can continue to perform at home to help to prevent future problems. Our office does offer Acupuncture for pain management as well to speed the recovery process.




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Our office is located at: 7701 E Indian School Rd Suite H Scottsdale, AZ 85251

Phone Number: 480-990-2663

Email: theboneandjoint@yahoo.com

http://www.boneandjointwellness.com/

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