Piriformis Syndrome Case Study

Phasic spasms disrupt the balance of the patient and can cause severe pain. Steady increases in muscle tone inhibits ambulatory abilities, forcing patients to rely on walkers and wheelchairs for transportation (Sibley, 106).

     Many people do not realize what effects your body can get when it does not have the proper physical needs to stay strong and healthy. One of the effects is a rheumatic syndrome called FIBROMYALGIA, also known as Fibrositis and Myofasical pain syndrome. This syndrome is diagnosed with a history of at least three months of widespread pain and tenderness in eleven to eighteen of tender-point sites. These points include: the neck, the shoulders, the chest, the rib cage, the lower back, the thighs, the knees, the arms(mainly the elbows), and the buttocks. The pain in these areas is defined as an overwhelming characteristic of FIBROMYALGIA and is long standing. These points are the trigger points,

The patient that I have chosen for my diagnostic reasoning paper is a 47-year-ol-Hispanic female. The presenting problem that I have chosen to use as my patient’s chief complaint is back pain. The only other clues that I have to use in order to help narrow my focus is that she is a female, she is 47-years-old, and she is Hispanic. I do not know how long she has been experiencing pain or how severe her pain is. Given these parameters, I will “cast a wide net” as I evaluate my patient and create my list of differential diagnoses.

Per the medical report dated 03/29/2016 by Dr. Waghmarae, the patient believes that her left buttock pain has increased over the last month. She describes her pain as aching, throbbing and stabbing. She rates her pain symptoms as 8/10. Pain is relieved by medication, heat, ice and use of a Transcutaneous Electrical Nerve Stimulator (TENS) unit, and is increased by movement and standing for long periods of time. She states that her bilateral legs have also increased in pain severity over the last month. She believes because she is doing a lot of standing and trying to clean up her house. She states that pain is increasing in her left buttock. She is not involved in physical therapy, chiropractic, massage therapy or acupuncture. Palpation of the lumbosacral spine reveals abnormalities along the bilateral facet joints. There is pain in her axial lower back in all planes of lumbar motion that is

Sciatic nerve pain is frequently seen as a a tingling sensation, sharp pain or numbness down the lower limb or even in one region on the leg, often only on the one hand. It is additionally ordinarily a pain that is certainly quite hard to eliminate as it's a result of sciatica, which can be attributable to a variety of things. However sciatica pain is usually crippling.

This condition is typically caused by tight tendons or muscles around the hip. This often happens from overuse.

Sciatica is continual pain along the sciatic nerve (American Chiropractic Association, 2015). Sciatica has been discovered in 1 to 10 percent of the United States of America’s population. Mostly in people around the ages of 25 to 45 years (Atkins et al. 2015). The sciatic nerve is the thickest and longest nerve in the human body, running from the fourth lumbar vertebrae to the second sacral vertebrae. As the sciatic nerve makes its way toward the popliteal fossa, it divides into the tibial and fibular nerves, this explains why patients suffering from sciatica have reported that the pain is prominent in their lower back, through the buttock, and into the lower leg. The semimembranosus, semitendinosus

At today's visit she is home alone. She is awake and alert. She complains of burning, Shooting pain in right Buttocks and hip area that radiates down her leg. Severity 10 out of 10, she currently takes OxyContin 40 mg every 12 hours and Percocet 10/325 every four hours as needed. She states that her pain is very debilitating and prevents her from leaving the house. She ambulate's short distances with a walker but has to take frequent rest periods.She states that this pain regimen is not helping much. She was going to resolute for outpatient pain management but at the moment she's unable to get out to her appointments due to her sciatica pain. She complains of chronic constipation.

even the spinal cord itself resulting in pain and interfering with nerve function such as numbness, lack of mobilization of an extremity due to interference with a nerve serving a limb. In my case I have secondary issues with my sciatic nerve and legs when it becomes severe from prolong sitting and even standing. Symptoms are local and regional pain and can limit your activities. The pain is exacerbated by twisting, bending and reaching up. It can be gradual and get worse depending on if you aggravate the problem or continue to be active in causing the pain to

80% of the population worldwide will suffer from a nerve pain called sciatica, and the remaining percent will know someone with sciatica (Cichoke 3). Sciatica is a pain that affects the back, hips, and legs, caused by compression of a spinal nerve root in the lower back, “often owing to deterioration of an intervertebral disk, hernias, and tissues injuries” (Cichoke 3). It is most known as lower back pain because the sciatica nerve connects the lower spine with the feet by running all the way down the legs and its muscles. It can affect our lifestyle, daily activities, every instant you are awake or sleeping. Sciatica can also appear from a physical injury, disease, emotional pressure, poor posture,

On examination of the lumbar spine, there is tenderness at L4-S1, with spasms noted. Straight leg raise (SLR) is positive on the left side. As of this report, a urine drug screen was consistent with prescribed medications.

Sciatica is the compression of sciatic nerve described as persistent pain which keeps running from the lower back, down through the buttocks, and into the lower leg. The sciatic nerve is the longest and widest nerve in the body, running from the lower back through the posterior end and down the back of every leg. It controls the muscles of the lower leg and gives sensation to the thighs, legs, and the soles of the feet.

Based on the latest follow-up physiatric evaluation report dated 01/11/16, the patient complains of lower back pain which improves temporarily with PT but continues to radiate to his left leg with numbness, tingling and weakness. He attends PT three days per week and participates in a daily home exercise program.

In 15% of the population, the sciatic nerve runs via, or underneath the piriformis muscle rather than beneath it. while the muscle shortens or spasms because of trauma or overuse, it is posited that this reasons compression of the sciatic nerve. It has colloquially been referred to as 'pockets sciatica' seeing that a wallet carried in a rear hip pocket compresses the buttock muscular tissues and sciatic nerve when the bearer sits down. Piriformis syndrome motive sciatica while the nerve root is

A 37 year-old female presents to the ER indicating she is experiencing pain in the anterior portion of the groin. She is unable to bear weight when walking and you observe an antalgic gait (stance phase of the gait cycle is abnormally shortened). When asked if there are any factors that alleviate or aggravate the pain, she says it hurts more when she goes for her evening walk and feels better after lying supine. The patient has a temperature of 37°C (98.6°F), heart rate of 115 BPM, and a blood pressure of 120/80 mmHg. The patient also reports generalized fatigue, epistaxis (nose bleeds), and weight loss. You visually observe alopecia of the eyebrows and hair thinning during the examination. An x-ray is ordered in addition to a complete