Piriformis syndrome is a common disease that causes acute and chronic sciatica. When various reasons cause damage to the piriformis muscle, congestion, edema, spasm, adhesion and contracture, the muscle space or the upper and lower holes of the muscle become narrower, squeezing the nerves and blood vessels that penetrate it, which will cause a disease with pain as the main clinical manifestation.
The pain of patients is mainly on the buttocks and can radiate to the lower limbs. In severe cases, they cannot walk or have severe pain after walking for a distance. They need to rest for a while before continuing to walk. The patient may feel the pain in a deep position. When radiating, it mainly goes to the back or posterior side of the lower limbs on the same side. Some may also be accompanied by numbness on the outer side of the calf and discomfort in the perineum. In severe cases, the hips will have "cut cut" or "burning" pain, difficulty flexing the legs, kneeling on both knees, and difficulty sleeping at night. The increase in abdominal pressure during urine, coughing, and sneezing makes the pain and sensation worsen.
straight leg elevation test and piriformis muscle tension test can be used to diagnose the occurrence of this disease. Acupuncture treatment can be very effective in alleviating the pain of piriformis syndrome, loosening adhesion contractures of piriformis muscle, and treating both symptoms and root causes. It is an effective way to treat piriformis syndrome in clinical treatment.
