Document Detail

Diagnosis and treatment of piriformis syndrome.
MedLine Citation:
PMID:  11525209     Owner:  NLM     Status:  MEDLINE    
Piriformis syndrome remains a controversial diagnosis, despite its having first been described over 60 years ago. The controversy stems from several factors: variable and sometimes unclear cause, similarity to other more easily recognizable causes of sciatica, lack of consistent objective diagnostic findings, and relative rarity. Nevertheless, it is reasonable to infer that sciatic pain may be caused by compression anywhere along its length, from the spinal root level to the popliteal fossa, as is peripheral nerve entrapment elsewhere in the body. Pathologic changes at the greater sciatic notch may well be the source of sciatic pain and should be considered by the clinician. The diagnosis of piriformis syndrome remains one of exclusion, however, and in patients who present with sciatica, more common causes such as lumbar disease should be investigated and ruled out first. After excluding the most common causes of sciatica, physicians can use the criteria described here to investigate the possibility of piriformis syndrome. If properly diagnosed, it can often be treated effectively with either surgical or nonsurgical means.
T Rodrigue; R W Hardy
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Neurosurgery clinics of North America     Volume:  12     ISSN:  1042-3680     ISO Abbreviation:  Neurosurg. Clin. N. Am.     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-08-29     Completed Date:  2001-10-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9008004     Medline TA:  Neurosurg Clin N Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  311-9     Citation Subset:  IM    
Department of Neurosurgery, University Hospitals of Cleveland, Ohio, USA.
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MeSH Terms
Combined Modality Therapy
Decompression, Surgical
Magnetic Resonance Imaging
Nerve Compression Syndromes / diagnosis,  etiology,  surgery*
Neurologic Examination
Sciatica / diagnosis,  etiology,  surgery*
Treatment Outcome

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