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Piriformis syndrome is often left undiagnosed and mistaken with other pains due to similar symptoms with back pain, quadriceps pain, lower leg pain, and buttock pain. These symptoms include tenderness, tingling and numbness initiating in low back and buttock area and then radiating down to the thigh and to the leg. [ 72 ]
Piriformis syndrome occurs when the piriformis irritates the sciatic nerve, which comes into the gluteal region beneath the muscle, causing pain in the buttocks and referred pain along the sciatic nerve. [8] This referred pain is known as sciatica. Seventeen percent of the population has their sciatic nerve coursing through the piriformis muscle.
Where sciatic nerve irritation in the buttocks was once thought of as only piriformis muscle, it is now recognized that there are many other causes. Symptoms are pain or dysthesias (abnormal sensation) in the buttocks, hip, and posterior thigh with or without radiating leg pain. Patients often report pain when sitting. [1]
Habitually sitting or standing with the legs wide or turned outward or resting an ankle on the opposite knee in a seated position can be a contributing factor to this type of piriformis syndrome ...
Muscles and ligaments surround and attach to the SI joint in the front and back, primarily on the ilial or sacral surfaces. These can all be a source of pain and inflammation if the SI joint is dysfunctional. [9] [2] The sacroiliac joint is highly dependent on its strong ligamentous structure for support and stability. [9]
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