https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2017.104

DOWNLOAD PDF
Table of Contents

Type of Article:  Case Report

Volume 5; Issue 2 (April 2017)

Page No.: 1926-1929

DOI: https://dx.doi.org/10.16965/ijpr.2017.104

PIRIFORMIS SYNDROME: A CASE REPORT

Aggarwal Pawan Kumar *, Agarwal Nidhi.

Assistant Professor, Maharaja Agrasen College of Physiotherapy, Agroha District Hisar (India).

Address for Correspondence: Dr. Aggarwal Pawan Kumar, PT., Assistant Professor, Maharaja Agrasen College of Physiotherapy, Agroha District Hisar (India). E-Mail: drpawanaggarwal@yahoo.co.in

ABSTRACT

Piriformis syndrome is a clinical condition of non-discogenic sciatica caused by compression of the sciatic nerve by the piriformis muscle and its patho-physiology is not fully understood. It has variable etiologies. The major etiology known includes spasm, edema and inflammation of the piriformis muscle, and sciatic nerve compression by the muscle later on. Patients can be diagnosed immediately with a comprehensive clinical examination and early diagnosis which makes the treatment much easier. A case of piriformis syndrome diagnosed in a patient who presented with radicular low back pain is reported in this study. Differential diagnosis of the piriformis syndrome, a very rare cause of low back pain, should be thoroughly made with the exclusion of other conditions.

KEY  WORDS: Piriform muscle, Piriformis syndrome, Sciatica, Non-Discogenic Sciatica, Radiculer Back pain.

REFERENCES

  1. Hopayian K, Song F, Riera R, Sambandan S. The clinical features of the piriformis syndrome: a systematic review. Eur Spine J 2010;19:2095–109.
  2. Hugues SS, Goldstein MN, Hicks DG, Pellegrini VD. Extrapelvic compression of the sciatic nerve. J Bone Joint Surg Am 1992;74:1553–9.
  3. Jroundi L, El Quessar A, Chakir N, El Hassani MR, Jiddane M. The piriformis syndrome: a rare cause of non-discogenic sciatica. A case report. J Radiol 2003;84:715–7.
  4. Kirschner JS, Foye PM, Cole JL. Piriformis syndrome, diagnosis and treatment. Muscle Nerve 2009;40:10–8.
  5. Michel F, Decavel P, Toussirot E, Tatu L, Aleton E, Monnier G, et al. The piriformis muscle syndrome: an exploration of anatomical context, pathophysiological hypotheses and diagnostic criteria. Ann Phys Rehabil Med 2013. http://dx.doi.org/10.1016/j.rehab.2013.03.006.
  6. Michel F, Decavel P, Toussirot E, Tatu L, Aleton E, Monnier G, et al. The piriformis muscle syndrome: diagnostic criteria and treatment of a monocentric series of 250 patients. Ann Phys Rehabil Med 2013;56:371-383.
  7. Bard H, Demondion X, Vuillemin V. Entrapment syndromes of gluteal area and lateral side of the hip. Rev Rhum 2007;74:393–400.
  8. Beauchesne RP, Schutzer SF. Myositis ossificans of the piriformis muscle: an unusual cause of piriformis syndrome. A case report. J Bone Joint Surg Am 1997;79:906–10.
  9. Benson ER, Schutzer SF. Post-traumatic piriformis syndrome: diagnosis and results of operative treatment. J Bone Joint Surg Am 1999;81:941–9.
  10. Brown JA, Braun MA, Namey TC. Piriformis syndrome in a 10-year-old boy as a complication of operation with the patient in the sitting position. Neurosurgery 1988;23:117–9.
  11. Chantraine A, Gauthier C. Le syndrome du muscle pyramidal. Ann Readapt Med Phys 1990;33:347–53.
  12. Chung TS, Diffily J. Piriformis syndrome: myth or fact? Arch Phys Med Rehabil 1987;68:641.
  13. Durrani Z. ‘‘Sciatic radicular pain’’ or piriformis muscle syndrome? Anesth analg 1989;69:260.
  14. Picco AG, Parajua Pozo JL. The piriformis muscle syndrome due to pyomyositis. Med Clin 1993;100:436–7.
  15. Robinson DR. Piriformis syndrome in relation to sciatic pain. Am J Surg 1947;73:355–8.
  16. Beaton LE, Anson BJ. The sciatic nerve and the piriformis muscle: their interrelation a possible cause of coccygodynia. J Bone Joint Surg Am. 1938;20:686-688. Available at: http://www.ejbjs.org/cgi/reprint/20/3/686.Accessed September 9, 2008.
  17. Beatty RA. The piriformis muscle syndrome: a simple diagnostic maneuver.Neurosurgery. 1994;34:512-514.
  18. Boyajian-O’Neill Lori A.,McClain Rance L., et al. Diagnosis and management of piriformis syndrome: an osteopathic approach. JAOA 2008;108:657-64.
  19. Foster MR. Piriformis syndrome. Orthopedics. 2002;25:821-825.
  20. TePoorten BA. The piriformis muscle. J Am Osteopath Assoc. 1969;69:150-160.
  21. Pace JB, Nagle D: Piriform syndrome. West J Med 124: 435-439, 1976.
  22. Bernard Jr TN, Kirkaldy-Willis WH: Recognizing specific characteristics of nonspecific low back pain. Clin Orthop 217: 266-280, 1987.
  23. Papadopoulos EC, Khan SN. Piriformis syndrome and low back pain: a new classification and review of the literature. Orthop Clin North Am. 2004;35:65-71.
  24. Parziale JR, Hudgins TH, Fishman LM: The piriformis syndrome. Am J Orthop 25: 819-823, 1996.
  25. Chaitow L. Soft Tissue Manipulation: A Practitioner’s Guide to the Diagnosis and Treatment of Soft-Tissue Dysfunction and Reflex Activity. 3rd ed.Rochester, Vt: Healing Arts Press; 1988.
  26. DiGiovanna EL, Schiowitz S, Dowling DJ, eds. An Osteopathic Approach to Diagnosis and Treatment. 3rd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2005.
  27. Retzlaff EW, Berry AH, Haight AS, Parente PA, Lichty HA, Turner DM, et al. The piriformis muscle syndrome. J Am Osteopath Assoc. 1974;73:799-807.
  28. Steiner C, Staubs C, Ganon M, Buhlinger C. Piriformis syndrome: pathogenesis, diagnosis, and treatment. J Am Osteopath Assoc. 1987;87:318-323.
  29. Fishman LM, Dombi GW, Michaelsen C, Ringel S, Rozbruch J, Rosner B, et al. Piriformis syndrome: diagnosis, treatment, and outcome—a 10-year study [review]. Arch Phys Med Rehabil. 2002;83:295-301.
  30. Prather H. Sacroiliac joint pain: practical management. Clin J Sport Med. 2003;13:252-255.
  31. Benzon HT, Katz JA, Benzon HA, Iqbal MS. Piriformis syndrome: anatomic considerations, a new injection technique, and a review of the literature. Anesthesiology. 2003;98:1442-1448.
  32. De Andres J, Cerda-Olmedo G, Valia JC, Monsalve V, Lopez-Alarcon, Minguez A. Use of botulinum toxin in the treatment of chronic myofascial pain. Clin J Pain. 2003;19:269-275.
  33. Magee DJ. Orthopedic Physical Assessment. 3rd ed. Philadelphia, Pa: WB Saunders Co; 1997.
  34. Pecina M. Contribution to the etiological explanation of the piriformis syndrome. Acta Anat (Basel). 1979;105:181-187.

Cite this article: Aggarwal Pawan Kumar, Agarwal Nidhi. PIRIFORMIS SYNDROME: A CASE REPORT. Int J Physiother Res 2017;5(2):1926-1929. DOI: 10.16965/ijpr.2017.104
Post Views: 0