x
77 Physicians Online

Question:

Nerve Compression Syndrome - Seeking Treatment

Dear Ask The Doctor:
Pain in lower back right side and right buttock and right side of right thigh. Docters said nerve compression syndrome. Please help with a good and suitable treatment and if possible exercises. Thank you very much.


Answer:

The piriformis muscle can either irritate or compress the proximal sciatic nerve due to spasm and/or contracture. The Piriformis Syndrome is also referred to as pseudosciatica, wallet sciatica, and hip socket neuropathy. The pain originates in the base of the buttock and may radiate to the hip. Nerve injury can occur with prolonged pressure on the nerve. It has been described bilateral Piriformis Syndrome due to prolonged sitting on a hard surface. Piriformis syndrome remains controversial because, in most cases, the diagnosis is clinical, and no confirmatory tests exist to support the clinical findings. Some reports suggest a 6:1 female-to-male ratio for piriformis syndrome. Approximately 50% of patients with piriformis syndrome have a history of trauma, with either a direct buttock contusion or a hip/lower back torsional injury. The remaining 50% of cases are of spontaneous onset. Diagnostic imaging of the lumbar spine (MRI) is mandatory to rule out associated diskogenic (bulging disk) and/or osteoarthritis. Usually the treatment is aimed to correct the following: tight piriformis muscle, tight hip rotator muscles, hip muscles weakness, and sacroiliac problems. The use of ultrasound previously the physical therapy session may be beneficial, and the proceed with a stretching routine for the piriformis and hip muscles, you should be provided with a home stretching program because the stretches every 2-3 hours (while awake) are critical for the treatment success.


Have a Question? Ask The Doctor Here.

Sign In to join in the conversation.

Related Answers:

Hi sir im naresh 29/M i hve pain in left side upper chest pain i consult physian and cordiolagy master health check u...

I have been having full body muscle twitches for about 3 months now. They have been in my arms, legs, neck, my abdomi...

Can prolonged anxiety cause nerve problems? I've been experiencing burning and some numbness in my feet and some in m...

5 years ago I went on vacation to Palestine. When I was there I was diagnosed with bell's palsy because half of my fa...

I'm a 42 year female with ongoing neuromuscular symptoms. Went to ER 2 days ago for greater symptoms and new numbnes...

Unexplained Muscle/nerve pain This is regarding my wife (F, 56y) NOT me My wife had had bad pains in her righ...

My little brother (10 years of age) has recently experienced partial paralysis effecting his feet, leg, side, arm, ha...

Hello doctor, my son age is 18 years male. He is suffering from foot odema with pains and slightly reddish. He is si...

Since October of 2010 I have had a strange sensation inside of my head. This sensation actually quite pleasant, I don...

Hi. I have been experiencing the symptoms below for the last year. They started off mild but are now getting worse...

You’re in good hands, meet ATD’s founding physicians.

Dr. Suneel Sharman M.D.

  • Board Certified GP
  • CMO ATD Health Network Inc.
  • Adjunct Professor at U Of T

Dr. Kunaal Jindal M.D.

  • Board Certified Plastic Surgeon
  • Director ATD Health Network Inc.
  • Fellowship Training Atlanta, GA