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Dr. Philip Di Filippo

Leg & Back Pain: Is It Sciatica? Part Two of a Two Part Series

Pain, stinging or burning that starts in the low back and travels, or ‘shoots’ down into the butt, knee, heel or toe is an incredibly common symptom for Sciatica. But, did you know that this symptom is a hallmark sign of Piriformis Syndrome as well?


Sciatica and Piriformis Syndrome are two conditions that can cause pain, numbness, tingling, or weakness in the lower back, hips, buttocks, and legs. While they share similar symptoms, they have distinct causes and risk factors.


What is Piriformis Syndrome? How can I tell the difference between it and Sciatica? These questions are what this blog series is dedicated to answering.


While writing this blog, I found it quite difficult to lay out the definitions, causes and treatment options in a simple and clear way that made sense. So, in order to make the most of out of this topic, I have decided to write a two-part blog. This weeks’ wrap up post will be dedicated to outlining and explaining Piriformis Syndrome.


Today we will discuss what Piriformis Syndrome is, what its’ symptoms are, and how to handle it. For a comparison to Sciatica, check out our previous post focused on that condition and how they relate to each other.


Part 2 Piriformis Syndrome


What Is Piriformis Syndrome?

Piriformis syndrome is characterized by tightness or irritation of the piriformis muscle, a small muscle located in the buttocks. It rests between your hip joint and your tailbone. When the piriformis muscle spasms or becomes inflamed, it can put pressure on the sciatic nerve, producing symptoms that feel a lot like sciatica.


Review our image here for an anatomical demonstration on where the piriformis is:


an image showing the piriformis muscle in the hip
image courtesy of Cleveland Clinic via Google Images


Some potential causes of this condition may be the following:


Overuse or repetitive activities: Engaging in activities that strain the piriformis muscle, such as long-distance running or cycling, can lead to piriformis syndrome.


Muscle imbalances or abnormalities: Biomechanical irregularities, leg length discrepancies, pelvic tilt, or abnormal gait patterns can contribute to the development of piriformis syndrome. If you walk while favouring one side of the hips, it can place a lot of stress on this muscle.


Previous trauma or injury: Direct trauma or injury to the buttocks, such as a fall or impact, can cause piriformis syndrome.


Sedentary lifestyle: Prolonged sitting, common in office workers or individuals with desk jobs, can contribute to piriformis syndrome by causing tightness and tension in the piriformis muscle.


How Can You Treat Piriformis Syndrome?


Piriformis syndrome can be complicated, so a thorough exam and diagnosis is key to a quick recovery. Our Doctors are Rosedale Chiropractic & Massage are specially trained to diagnose and treat these kinds of conditions.


Due to the several causes listed above, treatment options can vary greatly. Often times, soft tissue work on the muscle, Acupuncture, and other Chiropractic treatments will be utilized in most cases.


Conclusion


Sciatica and Piriformis Syndrome may manifest with similar symptoms like pain, numbness and tingling in the buttocks or leg, but their causes and risk factors differ.


Understanding these distinctions between Sciatica and Piriformis Syndrome is crucial for accurate diagnosis and effective treatment. While both conditions can cause discomfort and impact daily life, the underlying causes require different approaches for management and relief. At Rosedale Chiropractic & Massage we have successfully diagnosed and treated these cases, and many others, for over 70 years.


Remember, each individual is unique, and the risk factors mentioned serve as general guidelines. It's possible to experience a combination of factors or have other contributing elements specific to your situation.


If you suffer from the above symptoms or simply want more information, feel free to call or make an appointment with us!

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