Piriformis Syndrome versus Sciatica Animation
Piriformis syndrome is a neuromuscular conditionwhere the piriformis muscle one of the deep gluteal muscles presses on and compressesthe sciatic nerve causing pain, tingling and numbness in the buttock area and down thepath of sciatic nerve to the thigh and leg. Sciatic nerve runs UNDER the piriformis muscleand may be irritated when the muscle is too tight or shortened due to spasms. Piriformissyndrome is to be differentiated from sciatica which shows similar symptoms but has differentcauses. Diagnosis is commonly done by EXCLUSION ofsciatica. Because sciatica usually associates with compression of sciatic nerve roots bya herniated disc, sciatic symptoms in the
ABSENCE of spinal disc herniation are indicativeof piriformis syndrome. Causes and risk factors of piriformis syndromeinclude: Anatomical abnormality of the nervemusclerelation. Some people are more likely to get piriformis syndrome than others. Tightness or spasm of the piriformis muscle due to overuse injury. This commonly happensin sport activities that put pressure on the piriformis muscle such as bicycling, runningwithout proper stretching, or any activity that involves repeated movements of the legsperformed in sitting position. Treatment options include: Stretching exercises, massage, avoidance
of causative activities. Antiinflammatory drugs, muscle relaxants for relief of symptoms. Physical therapy that strengthens the gluteus maximus, gluteus medius, and biceps femorisis usually recommended to reduce strain on the piriformis muscle.
What is Sciatica Can Acupuncture Help
Hi, my name is Katika and I'm an Acupuncturist at The Family Wellness Center on Sydney's Northern Beaches and in this tutorial I'm going to talk to you about Sciatica. Sciatica is the irritation of theSciatic Nerve and and this nerve is the thickest and longestnerve we have in our entire body
Its starts at the Spinal Nerves in the lower back and runsdown through the gluteal, the hamstring and into the calf. People who might experience Sciatica could be desk workers, people that spenda lot of time driving, so truck drivers or people in the car for several hours at a time. Manual labourers and even people who are infrequentlifters. They might have lifted something that was too heavy. Or theymay have lifted it incorrectly,
that will cause extra tension in thelower back and set off the irritation of the Sciaticnerve. The three major signs that come with Sciatica are back pain,referred pain and limited range of motion.When clients come into the with Sciatica they might be hobbling in, holdingtheir back because they're in a bit of pain. They will also find itdifficult to get comfortable so they might find it difficult to sit or stand.
They might find they wake up thatway in the morning, so overnight theirback has stiffened up or the muscles around the gluteal orhamstring have tightened and in the morning they wake up feeling quite sore and tense. So I would start with treating thelower back pain and just assessing what's going on in the lower back I would use acupuncture and massage to relax, release and soften the muscles in the lower back. Often there would be muscle guarding in
this area and guarding is when the muscles arecontracted really tight to protect that area and prevent furtherinjury. So I would use Acupuncture, massage to relax and release the trigger pointsand the tension along that referred pain pathway downthrough the back of the leg, if the sciatic pain is in the hamstring. Or if they'refeeling it more in the side of the
leg then I would check out the ITB, and look at the trigger points there.Thirdly, I'd look at prescribing some stretchesthat might help increase their range of motion and this will help free up the back andthe leg and relax the muscles that might be irritating or pinching the sciatic nerve. Ifyou'd like to know more about Sciatica and Acupuncture and you're in Sydney