Piriformis syndrome: implications of anatomical variations, diagnostic techniques, and treatment options

@article{Cassidy2012PiriformisSI,
  title={Piriformis syndrome: implications of anatomical variations, diagnostic techniques, and treatment options},
  author={Lindsey Cassidy and Andy Walters and Kathleen Bubb and Mohammadali M. Shoja and R Shane Tubbs and Marios Loukas},
  journal={Surgical and Radiologic Anatomy},
  year={2012},
  volume={34},
  pages={479-486}
}
Details of piriformis syndrome, including the proper diagnosis and most effective form of treatment, continue to be controversial. While the cause, diagnosis, and treatment of piriformis syndrome remain elusive, many studies have been conducted to investigate newly developed diagnostic techniques as well as various treatment options for piriformis-induced sciatica. Despite the quantity of literature, few studies have demonstrated statistically significant results that support one form of… 
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56 Citations
Highly Influential Citations
5
Background Citations
23
Methods Citations
3

56 Citations

Piriformis Syndrome: A Narrative Review of the Anatomy, Diagnosis, and Treatment
TLDR
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.
Brief review: Piriformis syndrome: etiology, diagnosis, and management
TLDR
The pathophysiology and diagnostic criteria of the piriformis syndrome is provided, an underdiagnosed cause of buttock and leg pain that can be difficult to treat and frequencies of clinical features are estimated in patients reported to have PS.
Surgical and Non-surgical Treatment Options for Piriformis Syndrome: A Literature Review
TLDR
Clinicians should consider medical management and conservative management in the initial treatment plan for piriformis syndrome, and the preference of the endoscopic approach over the open approach due to improved outcomes and decreased complications.
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…
[New treatment options for piriformis syndrome].
TLDR
Modern approaches to the diagnosis and management of patients with piriformis syndrome are discussed, and new possibilities of treating this syndrome using a fixed combination of diclofenac and orphenadrine registered in the Russian Federation as a drug for intravenous infusion neodolpasse are discussed.
Diagnosis and Management of Piriformis Syndrome: A Rare Anatomic Variant Analyzed by Magnetic Resonance Imaging
TLDR
A female presented with left-sided lower back and buttock pain with radiation down the posterior leg and an uncommon sciatic anatomical form was identified.
Injection for Piriformis Syndrome
TLDR
Clinicians should be aware that there are many etiological factors involved, which it may be possible to modify or treat, and most patients respond to conservative measures, including nerve blocks.
Four symptoms define the piriformis syndrome: an updated systematic review of its clinical features
TLDR
Piriformis syndrome is at a stage previously encountered with herniated intervertebral disc: its prevalence among low back pain and sciatica sufferers and the diagnostic accuracy of clinical features requires cross-sectional studies free of incorporation and verification biases.
Epidemiology and etiology of secondary piriformis syndrome: A single-institution retrospective study
A minimally invasive open surgical approach for piriformis syndrome. A case report and literature review
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References

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TLDR
The use of botulinum toxin (BTX) to treat piriformis syndrome supports the prevailing pathoanatomic etiology of the condition and suggests a promising future for BTX in the treatment of other myofascial pain syndromes.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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