Surgical and Non-surgical Treatment Options for Piriformis Syndrome: A Literature Review

@article{Vij2021SurgicalAN,
  title={Surgical and Non-surgical Treatment Options for Piriformis Syndrome: A Literature Review},
  author={Neeraj Vij and Hayley Cornwall Kiernan and Roy U Bisht and Ian M Singleton and Elyse M. Cornett and Alan David Kaye and Farnad Imani and Giustino Varrassi and Maryam Pourbahri and Omar Viswanath and Ivan Urits},
  journal={Anesthesiology and Pain Medicine},
  year={2021},
  volume={11}
}
Context Piriformis syndrome is a solely clinical diagnosis that often eludes the practitioner and goes underdiagnosed. PS is a pain syndrome and for those it affects, causes persistent pain and limits daily activity and work capacity. It is a form of deep gluteal syndrome that needs to be considered on the differential of low back pain as it comprises between 0.3% - 6% of all low back pain cases and is frequently underdiagnosed. Piriformis syndrome may be primary due anatomic anomalies or… 

Overview of the anatomical basis of the piriformis syndrome-dissection with magnetic resonance correlation

TLDR
Clear osseous landmarks are established that may help evaluate associations and possible nerve compressions on pelvic MRI examination to identify the piriformis syndrome and to differentiate it from other causes of internal pudendal neuralgia.

Effectiveness of Hydro-Dissection of the Piriformis Muscle Plus Low-Dose Local Anesthetic Injection for Piriformis Syndrome: A Report of 2 Cases

TLDR
Hydro-dissection by ultrasound-guided injection of a very low concentration of local anesthetic is effective and has lower risk of adverse effects, thus making it more convenient for the treatment of piriformis syndrome than conventional treatments, such as local anesthetics, steroids, and botulinum toxin injection.

Trigger Point Injections.

References

SHOWING 1-10 OF 70 REFERENCES

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 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

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.

Conservative management of piriformis syndrome.

TLDR
Treatment protocols stressing exercises that promote strength, flexibility, and functional activities are believed to be essential in restoring the athlete's ability to return to pain-free competition.

Diagnosis and Management of Piriformis Syndrome: An Osteopathic Approach

TLDR
The authors note that several nonpharmacologic therapies, including osteopathic manipulative treatment, can be used alone or in conjunction with pharmacotherapeutic options in the management of piriformis syndrome.

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

TLDR
It is important not only to evaluate treatment outcomes based on associated pain relief, but also to investigate the functional and anatomical return that patients experience from these studied treatments in order to fully explore the most effective form of therapy for piriformis syndrome.

Deep gluteal syndrome as a cause of posterior hip pain and sciatica-like pain.

TLDR
This comprehensive review aims to provide the latest information about the epidemiology, aetiology, pathology, clinical features, diagnosis, and treatment of deep gluteal syndrome.

Piriformis Syndrome and Wallet Neuritis: Are They the Same?

TLDR
It would not be wise to use piriformis syndrome and wallet neuritis terminology interchangeably as depicted in many published papers.

The Diagnosis and Management of Piriformis Syndrome: Myths and Facts

  • T. MillerK. WhiteD. Ross
  • Medicine
    Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
  • 2012
TLDR
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.

Prevalence of piriformis syndrome among the cases of low back/buttock pain with sciatica: A prospective study

TLDR
Piriformis syndrome is one of the differential diagnoses of low back/buttock pain with Sciatica and individuals of all activity levels can be affected.
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