scholarly journals Ct-guided piriformis muscle injection for the treatment of piriformis syndrome

2013 ◽  
Author(s):  
Pinar Ozisik ◽  
Mustafa Toru ◽  
Cem Denk ◽  
Ozden Taskiran ◽  
Begum Gundogmus
Keyword(s):  
Piriformis Syndrome ◽  
Piriformis Muscle ◽  
Ct Guided

Manual therapy and visual color-impulse therapy in the rehabilitation of patients with piriformis syndrome

2020 ◽  
pp. 95-101
Author(s):  
V. A. Frolov ◽  
M. S. Akopyan
Keyword(s):  
Manual Therapy ◽  
Muscle Tone ◽  
Randomized Study ◽  
Integrated Approach ◽  
Medical Rehabilitation ◽  
Piriformis Syndrome ◽  
Piriformis Muscle ◽  
Group I ◽  
Combined Use ◽  
Visual Color

Introduction. Piriformis syndrome (PS) is a condition accompanied by tension of the piriformis muscle and followed then by compression of the sciatic nerve passing through the piriformis muscle. According to statistics, PS occurs in 6–35 % of patients with lower back pain. Practitioners still face difficulties in treating patients with PS, and it necessitates the searching of new therapy methods and assessment of their compatibility.The goal of research — to study the clinical efficacy of the combined use of manual therapy and visual colorimpulse therapy in patients with piriformis syndrome.Materials and methods. A prospective, controlled, randomized study was conducted in 2019 at the Department of Sports Medicine and Medical Rehabilitation of I. M. Sechenov First Moscow Medical State University. In accordance with the inclusion criteria, 40 patients participated in the study. All participants, depending on the used treatment methodology, were divided by the method of simple randomization using envelopes into two equal groups. In the main group (group I), an integrated approach to treatment was tested: manual therapy in combination with visual color-impulse therapy (CIT); and in the other group (group II) only manual therapy was used.Results. The combined use of manual therapy and CIT in patients with piriformis syndrome leads to a significantly more pronounced decrease in the pain degree and normalization of impaired muscle tone. Also, an integrated approach helps to eliminate existing angiospastic disorders of the lower extremities.Conclusion. The study shows a clear positive dynamics in the integrated use of manual therapy methods in combination with visual color-impulse therapy in the treatment of patients with piriformis syndrome. It is planned to continue the study and assess the possibilities of using the combined technique in different groups of patients (athletes, pregnant women) with this syndrome. 

Piriformis Syndrome and Other Nerve Entrapments of the Posterior Pelvis

2018 ◽  
Author(s):  
Aaron G. Filler
Keyword(s):  
Peripheral Nerve Injury ◽  
Pudendal Nerve ◽  
Cauda Equina ◽  
Piriformis Syndrome ◽  
Piriformis Muscle ◽  
Spinal Nerves ◽  
Nerve Entrapments ◽  
Obturator Internus ◽  
Surgical Options ◽  
Obturator Internus Muscle

Not every case of neurologically based pelvic/genital numbness/incontinence is due to cauda equina syndrome. Pelvic pain, incontinence, and sexual dysfunction can result from treatable peripheral nerve injury or entrapment affecting the pudendal nerves or impar ganglion. Learning the signs, physical exam findings, tests, and surgical options greatly expands a neurosurgeon’s range. The pudendal nerve and nerve to the obturator internus muscle arise after S2, S3, and S4 spinal nerves traverse the piriformis muscle. They exit the sciatic notch with the sciatic nerve but then re-enter the pelvis, where the pudendal nerve then gives off bladder, rectal, and genital branches.

scholarly journals THE EFFECTIVENESS OF MYOFASCIAL RELEASE OVER STRETCHING ON PAIN AND RANGE OF MOTION AMONG FEMALE COLLEGE STUDENT WITH PIRIFORMIS SYNDROME

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Shenbaga Sundaram Subramanian
Keyword(s):  
College Students ◽  
Range Of Motion ◽  
Pain Score ◽  
Neuromuscular Disorder ◽  
Female College Student ◽  
Female College Students ◽  
Piriformis Syndrome ◽  
Piriformis Muscle ◽  
Female College ◽  
Myofascial Release

Title: The Effectiveness of Myofascial Release over Stretching on Pain and Range of Motion among Female College Students with Piriformis Syndrome.Background & Aim: Piriformis syndrome is a painful neuromuscular disorder that occurs when the piriformis muscle irritates and/or compresses the proximal sciatic nerve. Prolonged sitting position is the foremost cause of piriformis tightness in sedentary population that may eventually leads to piriformis syndrome. The incidence of piriformis has been reported to be six times more prevalent in female than in males. Piriformis tightness will cause reduced in range of motion as well as limitations in walking, sitting and even running. Moreover, individuals will also feel pain at their butt muscles which could be frustrating. Thus, the aim of this study is to determine the effectiveness of myofascial release over stretching on pain and range of motion among female college students with piriformis syndrome.Methods: twenty subjects aged between 19 to 25 years old with tight piriformis muscle for 4 weeks will make a part of the study based on the inclusion and exclusion criteria. Subjects are divided and will undergo myofascial release and stretching treatment for 4 weeks twice in a week. At the beginning before the session the pain score and goniometer measurements will be recorded.Conclusion: Group 1 and Group 2 are beneficial in reducing pain and range of motion. Therefore, there are no significant effect of myofascial release over stretching between the two groups.Keywords: Myofascial release, college students, piriformis syndrome, stretching, goniometer, pain score.

scholarly journals Ultrasound-Guided Measurement of Piriformis Muscle Thickness to Diagnose Piriformis Syndrome

2021 ◽  
Vol 12 ◽  
Author(s):  
Yusak Mangara Tua Siahaan ◽  
Pamela Tiffani ◽  
Amanda Tanasia
Keyword(s):  
Healthy Subjects ◽  
Characteristic Curve ◽  
Delayed Diagnosis ◽  
Muscle Thickness ◽  
High Sensitivity ◽  
Diagnostic Methods ◽  
Piriformis Syndrome ◽  
Piriformis Muscle ◽  
Ultrasound Guided ◽  
History Of

Background: Piriformis syndrome (PS) is a neuromuscular condition caused by the entrapment of the sciatic nerve at the level of the piriformis muscle (PM). Diagnosing PS remains challenging despite recent invasive and non-invasive diagnostic methods. Response to invasive nerve block is still one of the most reliable diagnostic modalities because there is no gold standard test for PS. As early diagnosis may prevent delayed diagnosis that results in chronic somatic dysfunction and muscle weakness, a screening test with high sensitivity could guide clinicians in performing the next appropriate step in diagnosing PS.Aim: The purpose of this study is to determine the sensitivity, specificity, and best cut-off point of ultrasound-guided PM thickness in PS.Method: This case-control study was conducted in a general hospital in Tangerang during a 3-month period. We recruited 58 patients clinically diagnosed with PS and 58 healthy patients (without a history of hip and buttock pain) during their visits to the outpatient clinic. All patients underwent ultrasound assessment to measure bilateral PM thickness. Sex, age, body mass index, history of micro-/macro-trauma, and prolonged sitting duration were recorded. Statistical analyses were performed using the Statistical Package for the Social Sciences version 25.Result: The PS and control groups predominantly comprised female subjects, with mean ages of 51.79 ± 14.10 and 50.09 ± 13.26 years on PS and healthy subjects, respectively. The mean ultrasound-guided PM thickness was higher in PS subjects compared to healthy subjects with mean thicknesses of 1.16 ± 0.13 and 0.85 ± 0.11 cm, respectively (p < 0.05). The area under the receiver operating characteristic curve of the PM was 0.970 (95% confidence interval 0.943–0.998, p < 0.05). The best cut-off point defined by Youden's J index was 0.9950 cm for all PS subjects.Conclusion: We propose 0.9950 cm as the cut-off point for diagnosing PS by ultrasound, which has the sensitivity and specificity of 94.8 and 87.9%, respectively.

CT-guided injection of botulinic toxin for percutaneous therapy of piriformis muscle syndrome with preliminary MRI results about denervative process

2001 ◽  
Vol 11 (12) ◽  
pp. 2543-2548 ◽  
Author(s):  
Ezio Fanucci ◽  
Salvatore Masala ◽  
Giulio Sodani ◽  
Viviana Varrucciu ◽  
Andrea Romagnoli ◽  
...  
Keyword(s):  
Piriformis Muscle ◽  
Ct Guided ◽  
Percutaneous Therapy ◽  
Botulinic Toxin ◽  
Piriformis Muscle Syndrome

Sciatica of nondisc origin and piriformis syndrome: diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment

2005 ◽  
Vol 2 (2) ◽  
pp. 99-115 ◽  
Author(s):  
Aaron G. Filler ◽  
Jodean Haynes ◽  
Sheldon E. Jordan ◽  
Joshua Prager ◽  
J. Pablo Villablanca ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Mr Imaging ◽  
Nerve Root ◽  
Piriformis Syndrome ◽  
Piriformis Muscle ◽  
Mr Neurography ◽  
Content Type ◽  
Interventional Mr ◽  
Interventional Mr Imaging ◽  
Fine Print

Object. Because lumbar magnetic resonance (MR) imaging fails to identify a treatable cause of chronic sciatica in nearly 1 million patients annually, the authors conducted MR neurography and interventional MR imaging in 239 consecutive patients with sciatica in whom standard diagnosis and treatment failed to effect improvement. Methods. After performing MR neurography and interventional MR imaging, the final rediagnoses included the following: piriformis syndrome (67.8%), distal foraminal nerve root entrapment (6%), ischial tunnel syndrome (4.7%), discogenic pain with referred leg pain (3.4%), pudendal nerve entrapment with referred pain (3%), distal sciatic entrapment (2.1%), sciatic tumor (1.7%), lumbosacral plexus entrapment (1.3%), unappreciated lateral disc herniation (1.3%), nerve root injury due to spinal surgery (1.3%), inadequate spinal nerve root decompression (0.8%), lumbar stenosis (0.8%), sacroiliac joint inflammation (0.8%), lumbosacral plexus tumor (0.4%), sacral fracture (0.4%), and no diagnosis (4.2%). Open MR—guided Marcaine injection into the piriformis muscle produced the following results: no response (15.7%), relief of greater than 8 months (14.9%), relief lasting 2 to 4 months with continuing relief after second injection (7.5%), relief for 2 to 4 months with subsequent recurrence (36.6%), and relief for 1 to 14 days with full recurrence (25.4%). Piriformis surgery (62 operations; 3-cm incision, transgluteal approach, 55% outpatient; 40% with local or epidural anesthesia) resulted in excellent outcome in 58.5%, good outcome in 22.6%, limited benefit in 13.2%, no benefit in 3.8%, and worsened symptoms in 1.9%. Conclusions. This Class A quality evaluation of MR neurography's diagnostic efficacy revealed that piriformis muscle asymmetry and sciatic nerve hyperintensity at the sciatic notch exhibited a 93% specificity and 64% sensitivity in distinguishing patients with piriformis syndrome from those without who had similar symptoms (p < 0.01). Evaluation of the nerve beyond the proximal foramen provided eight additional diagnostic categories affecting 96% of these patients. More than 80% of the population good or excellent functional outcome was achieved.

scholarly journals Diagnostic Methods in Piriformis Syndrome

2013 ◽  
Vol 6 (11) ◽  
pp. 22-28 ◽  
Author(s):  
Mariana Bârzu
Keyword(s):  
Financial Support ◽  
Neuromuscular Disorder ◽  
Diagnostic Methods ◽  
Piriformis Syndrome ◽  
Functional Tests ◽  
Resonance Imaging ◽  
Piriformis Muscle ◽  
Buttock Pain ◽  
Special Means ◽  
Magnetic Resonance Imaging Mri

Abstract An uncomon cause of sciatica is piriformis syndrome, that involves deep buttock pain reffered to the leg. Piriformis syndrome is usually discribed as a neuromuscular disorder caused by compression or irritation of the sciatic nerve by the piriformis muscle. There are a lot of means to diagnose Piriformis syndrome, and to distinguish it from other pain inducing conditions. Unfortunatelly not every practitioner has the opportunity to use special means, and not every patient has the financial support to beneficiate of the same special means, represented by Computed tomography (CT), Magnetic resonance imaging (MRI), Electromyography (EMG) and Neurography. For this reason, the present paper gathered the most popular functional tests used in the practice to diagnose the piriformis syndrome

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