Piriformis syndrome, diagnosis and treatment

  title={Piriformis syndrome, diagnosis and treatment},
  author={Jonathan Kirschner and Patrick M. Foye and Jeffrey L. Cole},
  journal={Muscle \& Nerve},
Piriformis syndrome (PS) is an uncommon cause of sciatica that involves buttock pain referred to the leg. Diagnosis is often difficult, and it is one of exclusion due to few validated and standardized diagnostic tests. Treatment for PS has historically focused on stretching and physical therapy modalities, with refractory patients also receiving anesthetic and corticosteroid injections into the piriformis muscle origin, belly, muscle sheath, or sciatic nerve sheath. Recently, the use of… 
La sindrome del piriforme
Treatment for PS has historically been focused on stretching and physical therapy modalities, with refractory patients also receiving anesthetic and corticosteroid injections into the piriformis muscle origin, belly, muscle sheath, or sciatic nerve sheath.
Piriformis Syndrome: A Narrative Review of the Anatomy, Diagnosis, and Treatment
A narrative review highlights the relevant anatomy, history, physical exam maneuvers, electrodiagnostic findings, and imaging findings that are used to diagnose piriformis syndrome and outlines the different treatment options including conservative treatment, injections, and surgical treatment.
Surgical Treatment of Piriformis Syndrome
Background Piriformis syndrome (PS) is an uncommon disease characterized by symptoms resulting from compression/irritation of the sciatic nerve by the piriformis muscle. Uncertainty and controversy
Botulinum Toxin Treatment of Piriformis Syndrome
Two double-blind, placebo-controlled studies have strongly supported the efficacy of onabotulinumtoxinA in management of piriformis syndrome and limited open studies suggest that type B toxin (rimaB) is also effective.
The Diagnosis and Management of Piriformis Syndrome: Myths and Facts
  • T. Miller, K. White, D. Ross
  • Medicine
    Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
  • 2012
This article explores the various sources of controversy surrounding piriformis syndrome including diagnosis, investigation and management and a proposal for diagnostic criteria which include signs and symptoms, imaging, and response to therapeutic injections.
Piriformis Injection in Pain Management
The piriformis injection should be considered when symptoms persist after attempts have been made with conservative methods, and it is simple and fast and does not require a lot of needle manipulation.
Piriformis Syndrome is a condition that located in the buttock region may cause muscle spasms and buttock pain and must be considered in the variable diagnosis of low back pain,sacroiliac or hip joint pathologies.
Piriformis Syndrome: diagnosis and treatment
  • Fahad Tanveer
  • Medicine
    THE THERAPIST (Journal of Therapies & Rehabilitation Sciences)
  • 2021
The clinician’s review the clinical conditions and anatomical features of this condition, encapsulating the osteopathic medical approach to management and diagnosis, and an interdisciplinary evaluation is recommended for the optimization of diagnosis and treatment approach.
Piriformis Muscle Syndrome, Post Discectomy: a Comprehensive Review of its Diagnostic Process and Management, Illustrated with the Aid of a Case Report
  • E. Schembri
  • Medicine
    SN Comprehensive Clinical Medicine
  • 2018
This review, with the help of a case study, provides a detailed account of the possible biopsychosocial risk factors underlying piriformis muscle syndrome, post discectomy and evidence-based multidisciplinary management underlying this condition.
Piriformis syndrome: Does it bother your daily life?
Six key features of the piriformis syndrome are described: a history of trauma or direct fall to the buttock; difficulty walking; worsening with squatting or lifting; a sausage-like mass within the muscle; positive straight leg raising test (SLR test) and gluteal atrophy.


Diagnosis and treatment of piriformis syndrome.
[The piriformis syndrome].
A rare mentioned and therefore and often overlooked cause of low back pain with sciatica. The piriformis muscle arises from the anterior surface of the sacrum and inserts on the superior border of
BOTOX and Physical Therapy in the Treatment of Piriformis Syndrome
Injection with botulinum toxin A is an effective adjunct to physical therapy in the treatment of piriformis syndrome and is measured on the visual analog scale to assess treatment efficacy in relieving pain.
CT-guided injection of botulinic toxin for percutaneous therapy of piriformis muscle syndrome with preliminary MRI results about denervative process
The CT-guided BTX injection in the PMS is an emergent and feasible technique that obtains an excellent local therapeutic effect without risk of imprecise inoculation.
Botulinum Toxin Type A Use in Piriformis Muscle Syndrome: A Pilot Study
VAS data suggest that intramuscular piriformis injection with 100 units of botulinum toxin type A can reduce pain to a greater extent than similar injections with vehicle alone.
Electrophysiologic evidence of piriformis syndrome.
Nerve Entrapment Syndromes as a Cause of Pain in the Hip, Groin and Buttock
The clinical aspects of nerve entrapment syndromes related to sport are discussed and a regional approach is taken in order to provide a diagnostic framework for the general sports physician.
New indications for botulinum toxin in rheumatology.