| >> PERIFORMIS SYNDROME/LOW BACK-LEG PAIN
>> Looking for any information on low back pain radiating into legs. Have
hi,
i don't have a clue what PERIFORMIS is... however...
i had severe low back pain into my leg only on the right side...
doctor said it was sciatica, but no amount of anti inflammatories worked...
paid lots of $$ to see a chiropracter, whose exercises and therapy did not do
much...
i was living with it when i went to see a fascia specialist for plantar
fachitis, and mentioned it... she gave me 1 exercise that has helped
greatly, though some pain is still there...
she said it was probably disk material pushing out the back side on a nerve....
the disks work like hydrolics, so you heve to work on the other side to
suck the material back in...
now, every morning, i lie on my stomach (pillow under stomach to get
a reverse curve in spine) w/ arms streched straight over head, and legs
straight...
1-at-a-time, lift each limb by itself off the ground only about 6 inches
for a count of 2 (i do 3 sets of 8 lifts per limb)
then do opposite arm/leg at the same time, then both arms, then both
legs, then all 4 (again, i do 3 sets of 8 lifts per group)...
this takes 5-7 minutes, and has worked for me...
good luck.
sarah
BTW... i was poking in here to see if there wer any notes to differentiate
the pain of a cracked rin vs a pulled muscle under the rib cage...
if anyone has any info on that, it would be greatly appreciated.
thanxk,
sarah
|
| I stated looking yesterday morning. The word Periformis was not in any
of my reference books or known to the medical note file. However Alta
Vista did have two references, neither of which was much use.
However this morning one of the two did actually prove to be useful as
it was a bit about anatomy. Tracing the nerve back to my anatomy book I
found the correct spelling for the muscle was pyriformis.
Your neurologist is quite right it is a rare condition I could only
find 3 references with abstracts attached in the entire database.
I have included them here and added at the end the names and location
of 2 doctors who seem to have some experience on the subject which I
dug up from the web using Alta Vista..
The information may be of more use to your neurologist than it will be
to you.
Jamie.
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ANDERSON,JAMIE
COMPUSERVE, INC.
WED JAN 29,1997 3:11 AM
PaperChase provides 9,380,751 references -- all references found in the
following databases of the National Library of Medicine and the National
Cancer Institute*. You are searching all four databases simultaneously.
Database Indexing Began Updated Current through
MEDLINE 1966 weekly March 1997 Update, Part 3
HealthSTAR 1975 monthly December 1996 Update
AIDSLINE 1980 monthly December 1996 Update
*CANCERLIT 1980 monthly January 1997 Update
LIST REFERENCES
A) PYRIFORMIS 1037
B) SYNDROME 169281
C) ABSTRACT ONLINE 4545302
E) *ON A&B&C 3
*** <IN PaperChase Core Journals> ***
*****ARCHIVES OF SURGERY*****
(REFERENCE 1 OF 3)
76205056
Mizuguchi T
Division of the pyriformis muscle for the treatment of sciatica.
Postlaminectomy syndrome and osteoarthritis of the spine.
In: Arch Surg (1976 Jun) 111(6):719-22
<Muscles/SU> <Osteoarthritis/SU> <Sciatica/ET/SU> <Spine/SU>
<Adult> <Aged> <Human> <Laminectomy/AE> <Lumbar Vertebrae/RA>
<Middle Age> <Myelography> <Postoperative Complications/SU>
<Sciatic Nerve/PA> <Spinal Diseases/SU> <Syndrome> <Medline File>
Division of the pyriformis muscle at its tendinous insertion was
employed for the treatment of sciatica in 14 patients with
postlaminectomy syndrome and osteoarthritis of the spine. Of these
patients, 85% had satisfactory results. It is logical that the
pyriformis muscle can play an important role in the production of
sciatic associated with intraspinal lesions. Tension on the sciatic
nerve, which passes in close approximation to the pyriformis muscle
anteriorly, can be relieved by division of the pyriformis muscle.
*** <NOT IN PaperChase Core Journals> ***
*****CLINICAL AND EXPERIMENTAL NEUROLOGY*****
(REFERENCE 2 OF 3)
88027956
Synek VM
The pyriformis syndrome: review and case presentation.
In: Clin Exp Neurol (1987) 23:31-7
<Nerve Compression Syndromes/PP> <Sciatic Nerve/IN/PP> <Sciatica/PP>
<Adult> <Buttocks/IR> <Case Report> <Electromyography>
<Evoked Potentials, Somatosensory> <Female> <Human> <Syndrome>
<Wounds, Nonpenetrating/PP> <Medline File>
The pyriformis syndrome is a rare entrapment neuropathy in which the
sciatic nerve is compromised by the pyriformis muscle or other local
structures. It usually presents with sciatic pain and hypoaesthesia
and a limp caused by weakness of the gluteus maximus muscle. Peroneal
nerve innervated muscles and hamstrings are also usually affected.
The diagnosis relies on the clinical presentation and the EMG
findings. Other causes of symptoms should be excluded by careful
examination, detailed x-ray studies of the lumbosacral spine
(including myelogram), sacro-iliac and hip joints. A case of this
syndrome occurring in a previously healthy 42 year old woman and her
follow-up investigations are reported.
Institutional address:
Department of Clinical Neurophysiology
Auckland Hospital
New Zealand.
*****NEUROSURGERY*****
(REFERENCE 3 OF 3)
89015018
Brown JA Braun MA Namey TC
Pyriformis syndrome in a 10-year-old boy as a complication of
operation with the patient in the sitting position.
In: Neurosurgery (1988 Jul) 23(1):117-9
<Astrocytoma/SU> <Cerebellar Neoplasms/SU> <Muscular Diseases/ET/PP>
<Nerve Compression Syndromes/ET> <Postoperative Complications>
<Posture> <Sciatic Nerve/PP>
<Case Report> <Child> <Human> <Male> <Syndrome> <Medline File>
<Cancerlit File>
We present a case of sciatic neuropathy due to the pyriformis
syndrome after operation in the sitting position. Neither sciatic
nerve injury nor the pyriformis syndrome has been reported after
operation in the sitting position, although a low incidence of common
peroneal nerve injury has been reported as a complication of
operation on patients who are in the sitting position. The clinical
findings of sciatic neuropathy, external rotation of the ipsilateral
foot in the position of comfort, and a therapeutic response to local
anesthetic injection into the pyriformis muscle are diagnostic of the
syndrome. Nerve conduction studies should be performed to aid in the
differentiation between a common peroneal and sciatic neuropathy. The
syndrome may occur because of extreme flexion of the hips and
prolonged pressure while in the sitting position, leading to
pyriformis muscle trauma, resultant spasm, and sciatic compression.
The prognosis is for complete recovery after symptomatic treatment
with nonsteroidal antiinflammatory medication and physical therapy.
Institutional address:
Department of Neurological Surgery
Medical College of Ohio
Toledo.
Here is the list of doctors
Dr. Brown
Department of Neurological Surgery
Medical College of Ohio
Toledo, OH 43699-0008
E-MAIL: [email protected]
[419] 381-3547
[419] 381-4172
Scientific Papers
Brown JA, Braun MA, Namey TC: Pyriformis syndrome in a 10-year-old boy as a
complication of operation in the the sitting position. Neurosurgery 23:
117-119, 1988
----------------------------------------------------------------------------
Angela McLoughlin, M.D. of the University of Michigan Department of
Anesthesiology of the University of Michigan Medical School in Ann
Arbor, Michigan, USA.
* Usefulness of caudal injections as an adjunct to physical therapy in
the treatment of pyriformis syndrome.
Last Updated: August 03, 1996
|
| FWIW, I had siactic nerve problems when I was pregnant four years ago.
My son would sit on the nerve, so my OB told me and my leg on that side
would go numb and I would have lower back pain and some leg pain.
His solution was to go swimming. It did wonders for me. It didn't
hurt when I was in the water and I always felt better after doing some
laps. I started out with 20 laps and increased to 40 laps in a normal
20x40 pool. If I didn't do it everyday I would try for everyother day.
If I went two days in a row without doing swimming, the numbness and
pain would immediately come back.
Something to think about if you have a membership to a health club with
a pool. I was fortunate enough to have this pain in August and
September so I used my in-laws pool each afternoon. I even got a doctor
note to leave work early to go swimmin because it helped so much and I
was useless if I didn't continue the exercises.
cj
|