The piriformis syndrome is the compression of the sciatic nerve by the Piriformismuskel in the back pool, which sometimes leads to pain in the buttocks and sciatica. The diagnosis is made clinically, treatment is symptomatic.

The piriformis muscle extends from the pelvic surface of the sacrum to the upper edge of the greater trochanter of the femur. When running or sitting this muscle can the sciatic nerve there compress where it appears under the piriformis muscle to pull on the hip rotators. The piriformis syndrome is rare.

The piriformis syndrome is the compression of the sciatic nerve by the Piriformismuskel in the back pool, which sometimes leads to pain in the buttocks and sciatica. The diagnosis is made clinically, treatment is symptomatic. The piriformis muscle extends from the pelvic surface of the sacrum to the upper edge of the greater trochanter of the femur. When running or sitting this muscle can the sciatic nerve there compress where it appears under the piriformis muscle to pull on the hip rotators. The piriformis syndrome is rare. Symptoms and signs A chronic nagging pain with tingling and numbness starts in the buttocks and can extend over the entire course of the sciatic nerve on the thigh and lower leg back and sometimes into the foot in it. The pain increases when the piriformis against the sciatic nerve presses (eg. As when sitting on the toilet, in the car, on a small bicycle seat or running). Diagnosis Physical examination and provocative testing The diagnosis is made because of the physical examination. The following tests confirm the diagnosis: pain in powerful internal rotation of the flexed thigh (Freiberg test), abduction of the affected leg while sitting (Pace) test, lifting the knee off the table by several centimeters while lying on the unaffected side (Beatty test) , pressure on the buttocks where the sciatic nerve of the piriformis crosses while the patient slowly bends towards the bottom (Mirkin test). Imaging techniques are useful only to exclude other causes of compression of the sciatic nerve. Unlike the piriformis pain, lumbar intervertebral disc compression of the sciatic nerve (sciatica, sciatica) can lead to a radiation of pain in the lower limb below the knee and is often associated with back pain. The distinction between a lumbar disc injury can be difficult and require the referral to a specialist. Treatment change the motion sequence expansions patients should no longer temporarily, cycle or engage in other activities that cause pain. Patients who get the pain while sitting should immediately get up or if that is not possible, change the position to bring the painful area from the seat. Special stretching exercises for the posterior hip and piriformis muscle can be helpful. The surgical intervention is rarely justified. A carefully applied Kortikosteroidinjektion at the point where the nerve crosses the sciatic piriformis muscle, is helpful for a short time. NSAIDs can also bring temporary pain relief. External hip rotation in a lateral position (clamshell exercise) Courtesy of the Tomah Memorial Hospital, Department of Physical Therapy, Tomah, WI; Elizabeth CK Bender, MSPT, ATC, CSCS; and Whitney Gnewikow, DPT, ATC. var model = {videoId: ‘3901990738001’, playerId ‘SyAEZ6ptl_default’, imageUrl ‘http://f1.media.brightcove.com/8/3850378299001/3850378299001_3902038952001_vs-546e5465e4b0de73aed0fe82-782203290001.jpg?pubId=3850378299001&videoId=3901990738001’ title: ‘External hip rotation in a lateral position (clamshell exercise)’ description: ‘ u003Ca id = “v37898641 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003e1. Lie on the affected side. U003c / p u003e u003c / div u003e u003Ca id = “”v37898642 “” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “” para “” u003e u003cp u003e2. Keep shoulders and hips slightly bent in a line with his knuckles behind the body and the knees about 90 degrees. U003c / p u003e u003c / div u003e u003Ca id = “”v37898643 “” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “” para “” u003e u003cp u003e3. Keep the feet together and lift your left knee toward the ceiling. U003c / p u003e u003c / div u003e u003Ca id = “”v37898644 “” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003e4. Lower the knee and repeat. U003c / p u003e u003c / div u003e u003Ca id = “”v37898645 “” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “” para “” u003e u003cp u003e5. Repeat the exercise on the non-affected side lying. U003c / p u003e u003c / div u003e u003Ca id = “”v37898646 “” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003e6. Perform 3 rounds of 10 repetitions

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