Piriformis syndrome
Er et neuromuskulært problem, hvor piriformis-musklen (placeret i glutealregionen, mellem korsbenet og den store trochanter af lårbenet) komprimerer passagen af ischiasnerven.
This syndrome is often been associated with other problems (such as disc pathologies, myofascial retractions or vertebral blocks) and is a very frequent condition, above all due to an excessively sedentary lifestyle.
Piriformis syndrome is a condition in which this muscle is inflamed (or shortened), creating an area of stenosis that can affect both the sciatic nerve and the entire hip joint.
In this condition, a spasm of the piriformis muscle can:
- Entrap the sciatic nerve
- Block the hip by reducing its movement
- Create wrong adaptations of the plantar supports, of the pelvis or of the column
Symptoms of piriformis syndrome affect the buttock and back of the thigh.
These are mainly of a neurological and muscular nature, such as:
- tingling and numbness along the back of the thigh, calf and foot
- deep pain and/or stiffness in the buttock
- difficulty in sports, walking or climbing stairs
- Difficulty maintaining a seated position for a long time (e.g. in a car)
In some cases, when the symptoms are neglected for a long time, the pudendal nerve, which controls the muscles of the bladder, may also be affected, with related groin pain and urinary incontinence.
Osteopatisk behandling for piriformis syndrom
After a careful evaluation and excluding a possible sciatica syndrome, the osteopath:
- look for and treat joint blocks in the pelvis, lumbar spine or foot
- performs manipulations to relax the piriformis muscle, the pelvic floor and the thoracic diaphragm
- performs manipulations to work on the alignment between the piriformis and the leg
- verifies and treats the relationships between the pelvis, back and plantar supports
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