All Injury Rehab of North Dallas

Patients with piriformis syndrome typically complain of sciatic pain, tenderness in the lower back and buttock, and more difficulty sitting than standing. Piriformis syndrome pain is typically due to overuse from athletics, heavy work, or prolonged sitting, though accident injury causes are also highly common, including automobile accidents and slip / falls. Diagnostic findings include tenderness of the buttock region, increased pain with adduction, internal rotation and flexion of the affected thigh while the patient is in the contralateral decubitus position, weakened abduction of the flexed thigh, and iliotibial band syndrome.

When properly diagnosing piriformis syndrome the patient should be lying in contralateral decubitus, face toward the chiropractor or physician. Although this can be painful, the physician or chiropractor should flex, adduct and internally rotate the affected leg by grasping the ankle with one hand, and holding back the hip (to prevent the patient turning prone) with the other. It is also necessary that the patient's navel is facing above the horizontal, to avoid the patient inadvertently lying prone, and ending up in abduction instead of adduction.

The treatment of piriformis syndrome is relatively general and is a difficult synrome to recover from. Your chiropractor or physician should focus on tretching and strengthening the hip rotator muscles. The patient should focus on rest for several weeks and staying away from activities which cause pain. Over the counter anti inflammatory medication to decrease inflammation and deep tissue massage to help relieve pressure.

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