All Injury Rehab of North Dallas

Piriformis syndrome is caused by a pinching, or even built up pressure surrounding, of the sciatic nerve. When piriformis syndrome occurs, piriformis muscle is either irritating or compressing the sciatic nerve and causing spasm in the lower back or contraction of the lower back muscles, and often resembles sciatica.

Although piriformis syndrome is generally not recognized as a cause of lower back pain and sciatica, piriformis syndrome is due to a compression of the sciatic nerve by the piriformis muscle and is identical to lower back pain surrounding the L5, S1 radiculopathy due to lower lumbar facet degeneration and spinal stenosis (or spinal narrowing). Not uncommonly, patients demonstrate both of these clinical entities simultaneously. The diagnosis of piriformis syndrome highlights the need for patients with lower back pain and associated radicular pain to undergo a complete history and physical examination.

Many chiropractic patients diagnosed with piriformis syndrome have experienced some type of trauma, through car accidents or from working injuries. However there are many cases where the syndrome has occured spontaneously. It is important that the treating physician or chiropractor have a complete medical history coupled with a diagnostic exam.

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