Piriformis syndrome and walking

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Piriformis syndrome is a pain in the buttocks - literally. This condition is caused by compression of the sciatic nerve, which can cause pain and numbness in the buttocks and back of the legs. Walking may aggravate the pain.

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span= "article-image inner caption-class">piriformis syndrome often has more severe pain when walking. (picture: dirima/istock/gettyimages)

What is the piriformis muscle? The pyriform muscle is a small muscle that extends from the sacrum at the base of the spine to the top of the thigh and femur. It is a very important muscle, contributes to the external rotation of the hip joint, provides stability for the sacrum and sacroiliac joint during exercise, and is essential for walking.

What is piriformis syndrome? Piriformis syndrome occurs when the piriformis muscle compresses the sciatic nerve. The sciatic nerve - you have two - is the longest and largest nerve in the body, running from your lower spine through your buttocks, from your legs to your feet. The function of the sciatic nerve is to transmit signals between the muscles and skin of the legs and feet. Like any muscle, the piriformis tends to shorten and tighten, causing it to squeeze or squeeze the sciatic nerve. This can lead to nerve stimulation and inflammation.

According to Medlineplus's study, piriformis syndrome is not common in the general population. It affects more women than men.

Piriformis syndrome is not the same as sciatica, although according to spinal health, the terms of piriformis syndrome are often used interchangeably. Sciatica itself is not a medical diagnosis, but a collection of symptoms, similar to piriformis syndrome, caused by another problem, such as lumbar disc herniation, which affects the sciatic nerve. Sciaticalgia or lumbar radiculopathy originated in the lumbar spine, while piriformis syndrome originated in the buttocks. The location of the sciatic nerve

in most people, the sciatic nerve passes below the piriformis muscle. In some people, however, nerves pass through or across muscles. After examining the lower limbs of 102 cadavers, researchers in the 2016 Anatomical Translation Study found that 89% of the people had normal anatomical positions of the sciatic nerve and 8.8% had abnormal anatomy of the nerve passing through the muscle. Of the remaining 2.9%, the sciatic nerve passes through the piriformis muscle.

According to New York Dynamic Neuromuscular Rehabilitation and Physical Therapy, the etiology of piriformis syndrome

automatically increases the risk of nerve compression and piriformis syndrome through the sciatic nerve of piriformis muscle. Overwork is the main cause of this syndrome. When the piriformis muscle has dysfunction, weakness or dysmechanics in other parts of the body connected to it, it will be overtired. For example:

UL>li>sacroiliac(si) or hip dysfunctionli>deep stabilizing muscle weakness of buttock li>excessive rotation of foot or collapse of arch of foot

muscle can also be overworked due to long-term physical activity (such as marathon). Other causes of piriformis syndrome include:

  • stimulation of piriformis muscle or adjacent structures such as silicon joint or hip joint < injury of piriformis muscle
  • stimulation < assuming that your legs rotate outside for a long period of time < protrusion of lumbar spine, or lumbar curvature of lumbar spine. According to the best-selling author, doctor and surgeon Dr. Joseph Mokola, the effect of piriformis syndrome on women is greater than that on men, because human mechanics is different from the wider quadriceps femoris muscle angle on the hip, which leads to wider joint angle. The main symptom of piriformis syndrome was hip pain. You may also have pain extending from the back of your thighs to your calves and feet. This may be accompanied by buttock tingling and numbness.

Any exercise involving hip joint activity can aggravate pain, which is why walking can be challenging and uncomfortable when you have piriformis syndrome. Piriformis muscle pain may be more severe when you walk, when you & 39; Re-climb stairs or slopes.

Other symptoms and signs include:

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  • difficulty in gaining weight to affected buttocks
  • When the hip rotates outward to resist resistance, pain will occur in the buttocks and hind legs

diagnosis of piriform syndrome

a direct result The cause is always certain, and there is no piriformis syndrome test. Your doctor will record the medical history and ask for any injury that may cause symptoms or intensity and duration of exercise.

Your doctor will also have a physical examination to assess the pain caused by certain exercises. Radiological examinations, such as magnetic resonance imaging, can be performed to exclude other causes of symptoms.

Sports therapy for piriformis syndrome is a physiotherapy plan, including targeted exercise and stretching exercise. These exercises should help ease the pain of walking.

Because the etiology of piriformis syndrome varies from person to person, the recommended exercise methods by doctors or physiotherapists are for you. However, some common examples include:

piriformis stretch: supine, knee bent, feet flat on the floor. Straighten your right knee and hold your hands around the top of your tibia. Pull your knees to your shoulders and hold them for 30 seconds. Loosen and switch sides.

< p> < strong > hamstring stretching: supine, legs straight. Lift one leg and wrap the soles of your feet with a towel or strap. Keep your legs stretched and pull them in until you feel a slight stretch in the back of your legs. Hold for 30 seconds, then switch sides.

bracket: supine, forearm flat on the ground. Put your toes up and your hips up so that your body is in a straight line. Hold for 15 seconds, up to 60 seconds. Repeat three times.

< p> < strong > lateral plate: lateral, elbow support. The feet are overlapped and the buttocks are raised to form a straight line. Hold for 15 seconds, up to 60 seconds. Change sides. Repeat three times. In addition to exercise,

ice on inflamed muscles can also help to relieve swelling and piriform muscle pain during walking. Place an ice bag in the area every 2 to 4 hours for 20 minutes.

You can also use alternate therapies of heat and cold. Lie on your back and place the heating pad on the piriformis muscle for 20 minutes at a time.

Your doctor may also advise you to take over-the-counter anti-inflammatory drugs. These can be especially helpful if you know how many more steps you will take one day.

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