J Korean Pain Soc.
1996 Jun;9(1):120-125.
Studies on the Piriformis Syndrome
- Affiliations
-
- 1Yoido pain clinic, Seoul, Korea.
- 2Dr. Lee's Pain Clinic, Seoul, Korea.
- 3Bo-kang Hospital, Tae-Ku, Korea.
- 4Department of Anesthesiology, Chosun University, Kwangju, Korea.
Abstract
- It has been reported by some authors that caudal block with local anesthetic and steroid is the most effective therapeutic modality for piriformis syndrome; and the incidence ratio of female to male being 6 to l. We treated 89 patients with piriformis syndrome in 1995. From those clinical experiences and anatomical studies we have arrived at several conclusions different from other authors. Our results indicate the following: 1) Piriformis syndrome does not provoke lower back pain. 2) Our rate of incidence showed a very different profile as results showed a female to male ratio of 33: 56. 3) Releasing the compressed nerves (gluteal,sciatic) with spasmolytic treatment on the piriformis muscle itself is thought to be the only therapeutic modality for piriformis syndrome.
