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How to get rid of Piriformis Syndrome and Back Pain fast?

Piriformis syndrome is a painful condition resulting from excessive tightening or spasm of the piriformis muscle, causing impingement and irritation of the sciatic nerve, leading to pain, numbness, and tingling in the buttocks or lower limbs. In essence, a piriformis syndrome is a form of sciatica, and we must differentiate it from back-related disorders such as posterior facet syndromes and slip-discs (slipped discs).

Piriformis syndrome is treatable without injections or surgery, and the best treatment for patients with piriformis syndrome is a combination of chiropractic with physiotherapy. Chiropractic Specialty Center® (CSC) offers the most holistic therapy for piriformis syndrome in Kuala Lumpur, Malaysia; contact our main center at 03 2093 1000 to learn more about your non-invasive therapy options for lasting relief.

The Piriformis Muscle

The piriformis is a muscle located deep in the buttocks. The origin of this muscle is the front part of the sacrum, and the insertion is the greater trochanter of the femur. The piriformis muscle is innervated by the spinal nerve that emerges from L5 to S2 segments of the spine. The main action of this muscle is to lift and externally rotate the leg at the hip joint, lift the leg sideways (away from the body), and limited the extension of the hip.

Piriformis assists with walking by shifting weight from one foot to another while maintaining balance. The sciatic nerve passes beneath the piriformis, or part of the nerve, pierces through this muscle, and travels down the thigh. Piriformis muscle tightness or spasm will irritate the sciatic nerve and cause a painful neuromuscular condition called piriformis syndrome. Typical symptoms of piriformis syndrome include:

  • Tenderness or pain in the buttocks
  • Radiating pain or numbness down the back of the thigh.
  • Leg pain
  • Back pain

What Are The Common Causes Of Sciatica?

Sciatica is another painful condition that causes pain in the back, buttocks, or down the legs. Sciatica can be caused by several disorders that compress, pinch, or impinge the sciatic nerve. The static nerve is the longest nerve containing nerve fibers from the L4, L5, S1, S2, and S3 (lumbosacral nerves). Several health conditions cause impingement of the sciatic nerve at the spine or as it traverses or passes through the buttocks under or through the piriformis muscle. Common conditions that cause sciatica include:

  • Slip discs in the lower back (bulging, protruded, prolapse, ruptured, herniated, excluded, and fragmented discs)
  • Spinal bone spurs
  • Posterior facet syndrome
  • Degenerated discs
  • Spondylolisthesis with or without spondylolisthesis
  • Spinal canal stenosis or spinal foraminal stenosis
  • And of course, performer syndrome

The first step to recovery from piriformis syndrome or sciatica-like conditions is an accurate diagnosis that rules out other disorders with similar signs and symptoms. Contact CSC today for a thorough assessment and holistic treatments that target the actual cause of performers syndrome and sciatica-like pain sensations.

What Makes It Worse?

 Symptoms of this condition may be aggravated by prolonged sitting or driving, activities involving rowing in a seated position, running, lunging, and cycling. Any action that could compress or stretch the Sciatic nerve would cause pain in the buttocks and referred pain down the leg. Muscle imbalances between the hip abductors and hip adductors also increase the risk of developing piriformis syndrome. Females are more susceptible to Piriformis syndrome due to differences in pelvic structure, greater Q-angle, and hormonal changes during pregnancy. All of these will affect the joints, muscles, and nerves around the pelvis. 

What Makes It Bett Better?

Most causes of piriformis syndrome are chronic repetitive stresses on the muscle. Try to avoid activities that will trigger the pain. Avoidance of prolonged sitting is recommended, and take a short break every half hour. Pain-free gentle stretching exercises for tight muscles and strengthening exercises for weak muscles around the hip joints are recommended. Proper warm-up and cool-down sessions are recommended.  

How To Difference Piriformis Syndrome From A Slipped Disc?

As mentioned, slipped discs or slip-discs are common causes of sciatica and sciatica-like sensations. Slipped discs are more dangerous than posterior facet or piriformis syndromes. What makes them dangerous is their ability to progress and cause serious issues, including paralysis and loss of bowel and bladder control.

As such, it is imperative to thoroughly rule out a slip-disc whenever patients present with sciatica-like symptoms. The critical difference between the piriformis syndrome patient and the slip disc patient is a pain when coughing and sneezing. Coughing and sneezing are the most straightforward test we can advise you to do in the privacy of your own home to see if your pain is due to a slipped disc or if you have piriformis syndrome. If coughing or sneezing causes discomfort in the back or down the legs, you have a slipped disc. However, this test is not edged on stone, as it can be negative and mild or moderate slip-disc conditions. 

Differentiating a piriformis from a slip-disc with certainty requires a specialized set of skills, experience, and knowledge. Contact CSC today on 0320931000 to schedule a detailed assessment of your spine, joints, discs, and muscles to identify the root causes of your pain or sciatica-like sensations.

How To Difference Piriformis Syndrome From A Posterior Facet Syndrome?

A posterior facet syndrome is a condition where spinal joints are hypertrophied (facet hypertrophy) Due to injury or premature wear and tear. Posterior facet sydrome is caused by facet hypertrophy (thickening of spinal joints), a painful condition of the spine resulting from injuries or degenerative changes and ligaments and cartilaginous surfaces of the spinal joints. Posterior facet syndrome patients will often experience varying degrees of pain during sitting, standing, or wind shifting positions—symptoms of the posterior facet syndrome or similar and even identical to piriformis syndrome and slip- discs. Therefore, you will need accurate diagnosis and focused treatment that repairs damaged tissue without injections or surgery to recover. 

Differentiating a piriformis syndrome from a posterior facet syndrome is essential to recovery. If your back or leg pain worsens when you internally rotate the leg at the hip joint, you have piriformis syndrome. In posterior facet syndrome or posterior facet pain, patients often experience discomfort or pain when they change positions from a seated position into a standing. It’s also important to note that posterior facet syndrome mimicking a piriformis syndrome usually accompanies slipped disc (slip-discs) or spinal canal stenosis. Because mild posterior facet syndrome does not cause radicular pain or sciatica-like sensations unless accompanied by spinal canal stenosis or a slipped disc. 

CSC Provides the best treatment for slip-disc, posterior facet syndrome, and piriformis syndrome. Our clinical teams of physiotherapists and chiropractors in Kuala Lumpur are the experts you need for accurate diagnosis and holistic treatments that target the root cause of your pain without injections or surgery; contact us to schedule a consultation today. We’re open seven days a week.

What Is The Best Treatment For Piriformis Syndrome?

If you are experiencing the symptoms mentioned above, and you suspect theirs is a problem, we are here to help as many as possible with pain. Our goal is for a healthier community, and we have the skills, knowledge, and advanced technology. Call or visit one of our centers to truly experience a non-surgical world-class spine and joint treatment center in Malaysia. 

CSC’s methods of back treatments for slipped discs, posterior facet syndrome, sciatica, and piriformis syndrome are precise and personalized to the therapeutic needs of each patient. Our clinical

teams of chiropractors and physiotherapists can get rid of piriformis syndrome and other sciatica-like symptoms without injections or surgery. Get the best treatment for piriformis syndrome in KL, Malaysia, for fast and lasting relief of back and leg pain; contact CSC’s main office in Kuala Lumpur on 3 2093 1000 for more information on our services and locations. 

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