Diagnosis and management of piriformis syndrome: An osteopathic approach

Journal of the American Osteopathic Association

Volumn 108, Issue 11, 2008, Pages 657-664

  Boyajian O'Neill, Lori A ^a   McClain, Rance L ^a   Coleman, Michele K ^b   Thomas, Pamela P ^a  

^a KANSAS CITY UNIVERSITY OF MEDICINE AND BIOSCIENCES   (United States)

^b ST JOHN S EPISCOPAL HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BOTULINUM TOXIN A; LIDOCAINE; MUSCLE RELAXANT AGENT; NARCOTIC ANALGESIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; PARACETAMOL; PLACEBO; STEROID;

CLINICAL FEATURE; DIAGNOSTIC TEST; DIFFERENTIAL DIAGNOSIS; DIZZINESS; DROWSINESS; HOLISTIC CARE; HUMAN; ISCHIALGIA; MEDICAL ASSESSMENT; MUSCULOSKELETAL PAIN; OSTEOPATHIC MEDICINE; PHYSIOTHERAPY; REVIEW; SACRAL SPINAL CORD; SCIATIC NERVE; XEROSTOMIA;

EID: 56449090071     PISSN: 00986151     EISSN: 00986151     Source Type: Journal    
DOI: 10.7556/jaoa.2008.108.11.657     Document Type: Review

References (48)

1. DiGiovanna EL, Schiowitz S, Dowling DJ, eds. An Osteopathic Approach to Diagnosis and Treatment. 3rd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2005.
2. Centers for Disease Control and Prevention. Prevalence of disabilities and associated health conditions among adults - United States, 1999 [published correction appears in MMWR Morb Mortal Wkly Rep. 2001;50:149]. MMWR Morb Mortal Wkly Rep. 2001;50:120-125.
3. Pace JB, Nagle D. Piriformis syndrome. West J Med. 1976;124:435-439.
4. Papadopoulos EC, Khan SN. Piriformis syndrome and low back pain: a new classification and review of the literature. Orthop Clin North Am. 2004;35:65-71.
5. Hallin RP. Sciatic pain and the piriformis muscle. Postgrad Med. 1983;74:69-72.
6. Chaitow L. Soft Tissue Manipulation: A Practitioner's Guide to the Diagnosis and Treatment of Soft-Tissue Dysfunction and Reflex Activity. 3rd ed. Rochester, Vt: Healing Arts Press; 1988.
7. Beaton LE, Anson BJ. The sciatic nerve and the piriformis muscle: their interrelation a possible cause of coccygodynia. J Bone Joint Surg Am. 1938;20:686-688. Available at: http://www.ejbjs.org/cgi/reprint/20/3/686. Accessed September 9, 2008.
8. Benson ER, Schutzer SF. Posttraumatic piriformis syndrome: diagnosis and results of operative treatment. J Bone Joint Surg Am. 1999;81:941-949.
9. TePoorten BA. The piriformis muscle. J Am Osteopath Assoc. 1969;69:150-160.
10. Brown JA, Braun MA, Namey TC. Pyriformis syndrome in a 10-year-old boy as a complication of operation with the patient in a sitting position. Neurosurgery. 1988;23:117-119.
11. Foster MR. Piriformis syndrome. Orthopedics. 2002;25:821-825.
12. Beatty RA. The piriformis muscle syndrome: a simple diagnostic maneuver. Neurosurgery. 1994;34:512-514.
13. Williams PL, Warwick R. Gray's Anatomy. 36th ed. Philadelphia, Pa: WB Saunders Co; 1980.
14. Hollinshead HW. Buttock, hip joint and thigh. In: Anatomy for Surgeons: The Back and Limbs. Vol 3. 2nd ed. New York, NY: Hoeber Medical Division, Harper and Row; 1969:663-666.
15. Beason LE, Anson B.J. The relation of the sciatic nerve and its subdivisions to the piriformis muscle. Anat Record. 1937;70:1-5.
16. Pecina M. Contribution to the etiological explanation of the piriformis syndrome. Acta Anat (Basel). 1979;105:181-187.
17. Benzon HT, Katz JA, Benzon HA, Iqbal MS. Piriformis syndrome: anatomic considerations, a new injection technique, and a review of the literature. Anesthesiology. 2003;98:1442-1448.
18. Bergman RA, Afifi AK, Miyauchi R. Illustrated Encyclopedia of Human Anatomic Variation. 1995-2008. Anatomy Atlases Web site. Available at: http://www.anatomyatlases.org/AnatomicVariants/AnatomyHP.shtml. Accessed September 9, 2008.
19. Freiberg AH, Vinke TH. Sciatica and the sacro-iliac joint. J Bone Joint Surg Am. 1934;16:126-136. Available at: http://www.ejbjs.org/cgi/ reprint/16/1/126. Accessed September 9, 2008.
20. Beauchesne RP, Schutzer SF. Myositis ossificans of the piriformis muscle: an unusual cause of piriformis syndrome: a case report. J Bone Joint Surg Am. 1997;79:906-910.
21. Retzlaff EW, Berry AH, Haight AS, Parente PA, Lichty HA, Turner DM, et al. The piriformis muscle syndrome. J Am Osteopath Assoc. 1974;73:799-807.
22. Steiner C, Staubs C, Ganon M, Buhlinger C. Piriformis syndrome: pathogenesis, diagnosis, and treatment. J Am Osteopath Assoc. 1987;87:318-323.
23. Hughes SS, Goldstein MN, Hicks DG, Pellegrini VD. Extrapelvic compression of the sciatic nerve. An unusual cause of pain about the hip: report of five cases. J Bone Joint Surg Am. 1992;74:1553-1559. Available at: http://www.ejbjs.org/cgi/reprint/74/10/1553. Accessed September 9, 2008.
24. Robinson DR. Pyriformis syndrome in relation to sciatic pain. Am J Surg. 1947;73:355-358.
25. Magee DJ. Orthopedic Physical Assessment. 3rd ed. Philadelphia, Pa: WB Saunders Co; 1997.
26. Grant JH. Leg length inequality in piriformis syndrome. J Am Osteopath Assoc. 1987;87:456.
27. Fishman LM, Dombi GW, Michaelsen C, Ringel S, Rozbruch J, Rosner B, et al. Piriformis syndrome: diagnosis, treatment, and outcome - a 10-year study [review]. Arch Phys Med Rehabil. 2002;83:295-301.
28. Fishman LM, Zybert PA. Electrophysiologic evidence of piriformis syndrome. Arch Phys Med Rehabil. 1992;73:359-364.
29. Solheim LF, Siewers P, Paus B. The piriformis muscle syndrome. Sciatic nerve entrapment treated with section of the piriformis muscle. Acta Orthop Scand. 1981;52:73-75.
30. Fishman LM, Schaefer MP. The piriformis syndrome is underdiagnosed. Muscle Nerve. 2003;28:646-649.
31. McCrory P, Bell S. Nerve entrapment syndromes as a cause of pain in the hip, groin and buttock [review]. Sports Med. 1999;27:261-274.
32. Hochman MG, Zilberfarb JL. Nerves in a pinch: imaging of nerve compression syndromes. Radiol Clin North Am. 2004;42:221-245.
33. Read MT. The "piriformis syndrome" - myth or reality? Br J Sports Med. 2002;36:76.
34. Prather H. Sacroiliac joint pain: practical management. Clin J Sport Med. 2003;13:252-255.
35. Meknas K, Christensen A, Johansen O. The internal obturator muscle may cause sciatic pain. Pain. 2003;104:375-380.
36. De Andres J, Cerda-Olmedo G, Valia JC, Monsalve V, Lopez-Alarcon, Minguez A. Use of botulinum toxin in the treatment of chronic myofascial pain. Clin J Pain. 2003;19:269-275.
37. Harwood MI, Smith BJ. Low back pain: a primary care approach. Clin Fam Pract. 2005;7:56-59.
38. van Tulder MW, Scholten RJ, Koes BW, Deyo RA. Nonsteroidal anti-inflammatory drugs for low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine. 2000;25:2501-2513.
39. Browning R, Jackson JL, O'Malley PG. Cyclobenzaprine and back pain: a meta-analysis. Arch Intern Med. 2001;161:1613-1620. Available at: http://archinte.ama-assn.org/cgi/content/full/161/13/1613. Accessed September 9, 2008.
40. Schnitzer RJ, Gray WL, Paster RZ, Kamin M. Efficacy of tramadol in treatment of chronic low back pain. J Rheumatol. 2000;27:772-778.
41. Biasi G, Manca S, Manganelli S, Marcolongo R. Tramadol in the fibromyalgia syndrome: a controlled clinical trial versus placebo. Int J Clin Pharmacol Res. 1998;18:13-19.
42. Koes BW, Scholten RJ, Mens JM, Bouter LM. Efficacy of epidural steroid injections for low-back pain and sciatica: a systematic review of randomized clinical trials. Pain. 1995;63:279-288.
43. Yelland MJ, Mar C, Pirozzo S, Schoene ML, Vercoe P. Prolotherapy injections for chronic low-back pain [review]. Cochrane Database Syst Rev. 2004(2):CD004059.
44. Kuchera WA, Kuchera ML. Osteopathic Principles in Practice. 2nd ed. Columbus, Ohio: Greyden Press; 1994.
45. Ward RC, ed. Foundations for Osteopathic Medicine. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2002.
46. Fishman LM, Anderson C, Rosner B. BOTOX and physical therapy in the treatment of piriformis syndrome. Am J Phys Med Rehabil. 2002;81:936-942.
47. Klein MJ. Piriformis syndrome. eMedicine Web site. Available at: http://www.emedicine.com/pmr/topic106.htm. Accessed June 14, 2004.
48. Meidan VM, Michniak BB. Emerging technologies in transdermal therapeutics. Am J Ther. 2004;11:312-316.