Overview
What is the prevalence of piriformis syndrome?
What is the anatomy of the pelvis relevant to piriformis syndrome?
What is the pathophysiology of piriformis syndrome?
Presentation
Which clinical history findings are characteristic of piriformis syndrome?
Which physical findings are characteristic of piriformis syndrome?
What are the cardinal features of piriformis syndrome?
How is the pain of piriformis syndrome reproduced during the physical exam?
What causes piriformis syndrome?
DDX
Which conditions are included in the differential diagnoses of piriformis syndrome?
What are the differential diagnoses for Piriformis Syndrome?
Workup
What is the role of CT scanning in the workup of piriformis syndrome?
What is the role of MRI in the workup of piriformis syndrome?
What is the role of EMG in the workup of piriformis syndrome?
What is the role of injections in the workup and treatment of piriformis syndrome?
Treatment
What is the role of physical therapy (PT) in the treatment of acute piriformis syndrome?
What is the role of occupational therapy (OT) in the treatment of acute piriformis syndrome?
What is the role of surgery in the treatment of acute piriformis syndrome?
Which specialist consultations are beneficial to patients with piriformis syndrome?
How is pain managed in acute piriformis syndrome?
Medications
What is the role of medications in the treatment of piriformis syndrome?
Which medications in the drug class Anesthetics are used in the treatment of Piriformis Syndrome?
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Nerve irritation in the herniated disk occurs at the root (sciatic radiculitis). In piriformis syndrome, the irritation extends to the full thickness of the nerve (sciatic neuritis).