The Diagnosis and Management of Piriformis Syndrome: Myths and Facts
Piriformis Syndrome (PS) is an uncommon, controversial neuromuscular disorder that is presumed to be a compression neuropathy of the sciatic nerve at the level of the piriformis muscle (PM). The diagnosis is hampered by a lack of agreed upon clinical criteria and a lack of definitive investigations...
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| Veröffentlicht in: | Canadian journal of neurological sciences 2012-09, Vol.39 (5), p.577-583 |
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| container_end_page | 583 |
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| container_title | Canadian journal of neurological sciences |
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| creator | Miller, T. A. White, K. P. Ross, D. C. |
| description | Piriformis Syndrome (PS) is an uncommon, controversial neuromuscular disorder that is presumed to be a compression neuropathy of the sciatic nerve at the level of the piriformis muscle (PM). The diagnosis is hampered by a lack of agreed upon clinical criteria and a lack of definitive investigations such as imaging or electrodiagnostic testing. Treatment has focused on stretching, physical therapies, local injections, including botulinum toxin, and surgical management. This article explores the various sources of controversy surrounding piriformis syndrome including diagnosis, investigation and management. We conclude with a proposal for diagnostic criteria which include signs and symptoms, imaging, and response to therapeutic injections. |
| doi_str_mv | 10.1017/S0317167100015298 |
| format | Article |
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| ispartof | Canadian journal of neurological sciences, 2012-09, Vol.39 (5), p.577-583 |
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| language | eng |
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| source | MEDLINE; Cambridge University Press Journals Complete |
| subjects | Biological and medical sciences Botulinum toxin Compression Diagnostic Imaging Electrodiagnosis Humans Malformations of the nervous system Medical sciences Muscles Neurology neuromuscular system Neuropathy Piriformis Muscle Syndrome - diagnosis Piriformis Muscle Syndrome - therapy Sciatic nerve |
| title | The Diagnosis and Management of Piriformis Syndrome: Myths and Facts |
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