Piriformis syndrome
Erauso, T.; Pégorie, A.; Gaveau, Y.-M.; Tardy, D.
La Revue du Praticien 60(7): 900-904
2010
ISSN/ISBN: 0035-2640 PMID: 21033479 Document Number: 646494
Sciatic pain is often misleading and establishing the link with a local muscular cause can be difficult and lead to errors, especially when faced with a young sportsman, with typical discogenic pain. Simple, specific and reproducible tests enable a better identification and treatment of a muscular cause or canal syndrome. Physiotherapy, or local infiltrations are generally very efficient, and sufficient. Surgery may be considered only in a very limited number of cases, lack of response to the first line treatment and then only if it is the absolute diagnosis, diagnosis which must remain a diagnosis of exception, more so of exclusion.