Patient had consulted a general physician earlier and was prescribed pregabalin 75 mg once a day, which he discontinued after taking for 6 months without any relief. There was no history of other comorbidities, trauma, infection, or significant weight loss. The patient was a known diabetic for the past 15 years and was on regular oral hypoglycemics.
The pain intensity was 7 out of 10 on numerical rating scale (NRS). He also gave the history of tingling and numbness in the area of leg pain. The back pain was aggravated on sitting and leg pain aggravated on walking and was comfortable on lying down. He had predominant back pain which was radiating down the posterior aspect of the left side thigh, leg, up to the lateral foot. Available from: Ī 60-year-old elderly gentleman visited our clinic with complaints of back pain and left leg pain since 3years. A case of piriformis syndrome presenting as radiculopathy.
TRAVELL AND SIMONS PIRIFORMIS HOW TO
How to cite this URL: Kulkarni R, Borole B, Chaudhary J, Dev S. How to cite this article: Kulkarni R, Borole B, Chaudhary J, Dev S. Keywords: Electromyography, nerve conduction velocity, piriformis syndrome, radiculopathy In this paper, we have reported a case of piriformis syndrome which mimicked S 1 radiculopathy, where diagnosis was confirmed by diagnostic piriformis injection.
Electromyography (EMG) and nerve conduction velocity (NCV) studies can help differentiating these two conditions and can eliminate the need for the magnetic resonance imaging (MRI). The symptoms of sciatic nerve entrapment caused by the piriformis syndrome can be easily mistaken for radiculopathy as the nerve entrapment causes pain which radiates down below the knee and can go up to the foot. The sciatic neuritis is due to compression of the nerve as it passes through the greater sciatic foramen. Piriformis syndrome is myofascial dysfunction syndrome which causes pain not only because of trigger points within the muscle but also due to peripheral neuritis of the sciatic nerve. Piriformis syndrome has always remained as a diagnostic dilemma because of its varied presentation.
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