Pelvic Pain Syndrome

PIRIFORMUS SYNDROME

Piriformus syndrome is an entrapment neuropathy that presents as pain, numbness, paresthesias (tingling), and associated weakness in the distribution of the sciatic nerve.

Piriformus syndrome is caused by compression of the sciatic nerve by the piriformus muscle as it passes through the sciatic notch.

Signs and Symptoms:

  • Pain
  • Numbness
  • Tingling (Paresthesias)

Testing:

  • Electromyography
  • Plain X-rays
  • Lab Work
  • MRI

Diagnosis:

A targeted history and physical examination combined with appropriate testing should help the clinician identify and properly treat this condition.

Treatments:

  • Drug Therapy
  • Application of Heat and Cold
  • Piriformus Muscle Injection

Coccydynia is a common pain syndrome that is characterized by pain localized to the coccyx (tailbone) that radiates into the lower sacrum and perineum.

Signs and Symptoms:

  • Deep ache around the coccyx
  • Sensitivity to finger pressure on the tip or edges of the coccyx
  • Shooting pains down the leg
  • Pain during bowel movements, and sometimes before
  • Pain during sexual intercourse, either in men or women.

Testing:

  • Plain X-rays
  • Lab Work
  • MRI
  • Bone Scan

Diagnosis:

A targeted history and physical examination combined with appropriate testing should help the clinician identify and properly treat this condition.

Treatments:

  • Drug Therapy
  • Epidural Steroid Injection
  • Sacroiliac Joint Injection
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