The Predisposing Factors of Piriformis Syndrome: Study in a Referral Hospital

Abstract

Background: Piriformis syndrome is a neuromuscular condition characterized by hip and gluteal pain caused by abnormality of piriformis muscle. In clinical practice, this syndrome is usually misdiagnosed with other spinal disorders. There is no specific test in diagnosing piriformis syndrome, therefore by understanding the characteristics and predisposing factors, clinicians may be more aware in diagnosing this syndrome. Objective: To investigate the characteristics and predisposing factors of piriformis syndrome. Methods: A descriptive study was conducted on patients with gluteal pain in a referral hospital. Diagnosis was established by block injection on piriformis muscle and showed clinical improvement afterwards. Demographic characteristics, predisposing factors, and physical examination were analyzed. The data is collected and processed by SPSS 20.0. Results: The total of 65 patients were evaluated, with a male to female ratio 1:3. As much as 47.7% of patients were > 60 years old. Average weight was 60 kg and BMI (Body Mass Index) was within normal range (58.9%). Most subjects were housewives (55.4%) and the majority of subjects had history of microtrauma such as sitting on rigid surfaces (36.9%), walking or running long distances (18.5%), and cross-legged sitting (10.8%). Average sitting per day was approximately 5 hours. In 56.9% of subjects, exercises were conducted. There was no history of back pain in 81.5% of subjects. Conclusion: Our study showed age and housewives characteristics differ with other studies. The most predisposing factors were history of microtrauma, female, age, and normal BMI.

Normal Plantar Fascia Thickness in Adult

“…The use of ultrasonography is superior to other diagnostic tools (MRI, scintigraphy) since it is cheaper, faster and safer in terms of radiation. 12,13,14 A number of studies indicate that patients with thickness of more than 4 mm on ultrasonography supports the diagnosis of plantar fasciitis. 5 In this study, we intend to determine the thickness of plantar fascia in asymptomatic subjects in hope to achieve a normal value of fascia thickness.…”

Penggunaan Toksin Botulinum-a Dengan Panduan Ultrasonografi Sebagai Terapi Sindrom Piriformis Rekuren: Serial Kasus

“…Secara epidemiologi, SP umumnya didapati pada usia dekade 4 sampai 5, dengan rasio perempuan dibandingkan laki-laki sebesar 6:1. 1 Hingga saat ini, prevalensi SP sulit ditentukan karena sindrom ini masih sering salah didiagnosis dengan penyebab NPB lainnya. Salah satu studi observasi di Indonesia, mencatat sebanyak 3,2% (6 dari 152) pasien dengan SP berkunjung ke poli fisioterapi RS Moch Ansari, Banjarmasin pada tahun 2017-2018.…”

“…2 Sindrom piriformis didefinisikan sebagai sindrom klinis dengan keluhan nyeri bokong menjalar ke kaki sisi unilateral yang disebabkan penekanan saraf skiatik oleh otot piriformis. 1,[3][4] Nyeri yang mendasari SP meliputi komponen nyeri somatik, neuropatik, atau keduanya. Nyeri somatik disebabkan oleh nyeri miofasial dari otot piriformis, sedangkan nyeri neuropatik berasal dari saraf skiatik yang terjepit akibat in amasi dan hipertrofi otot piriformis.…”

Efficacy of Piriformis Block Using Intravenous Steroids with Bupivacaine versus Botox in Piriformis Syndrome

“…Piriformis syndrome is a condition that predominantly affects females, with an incidence ratio of 6:1 compared to males (1,2). It is associated with significant morbidity and a substantial impact on the quality of life, with a global prevalence ranging from 1.8% to 17.2% among patients presenting to pain clinics with symptoms of low back pain (3).…”