All Injury Rehab of North Dallas

Piriformis syndrome is difficult to diagnose and can be resistant to physical rehabilitation. Although piriformis syndrome is quite common throughout the world it has been a topic for debate in the medical community for years. In some circumstances it is not even considered as a regualr diagnostic exam, and at times it can be ruled out completely by physicians and other medical professionals. Even more often the symptoms are ascribed to "sciatica" or some other cause, even if the piriformis is considered as a possible cause. It is not uncommon that the patient has considered the possibility of piriformis syndrome before the physicians or therapists.

Piriformis syndrome may overlap with a variety of other problems including "deep buttock" syndrome. This includes pain in the buttock region, possibly pain in the hamstrings, occasionally pain in the back of the leg that is difficult to locate.

These symptoms of the piriformis muscle dysfunction may be caused by other cllinical entities that include gluteus medius dysfunction, herniated or bulging disks, "sciatica" and other musculoskeletal problems in this area. The location of the muscle does not allow for surface EMG (electromyographical) study. It is quite difficult, if not impossible to place a deep electrode in the muscle for study purposes also. The anatomical position of the muscle leads one to conclude that it functions in some ways similar to that of the gluteus medius. The major portion of origin of the piriformis is the anterior lateral portion of the sacrum and the insertion is on the upper portion of the femur.

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