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Sciatica or Piriformis Syndrome - Which is It?
A large amount of confusion and misunderstanding exists concerning the conditions sciatica and piriformis syndrome. There are some who insist that the two conditions are actually the same thing, but even though they can have symptoms that are very much alike, the underlying causes differ.
Sciatica refers to irritation of the sciatic (often mis-spelled as syatic or psyatic) nerve, that arises from nerve roots in the lumbar spine. The most common cause of sciatic nerve irritation, or "true" sciatica is compression of one or more of its component nerve roots due to disc herniation or spinal degeneration in the lower lumbar region. Sciatica usually begins in the buttock area and, depending on the severity of the underlying nerve comression and inflammation, may extend down the entire leg to the ankle and foot.
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Piriformis syndrome, also known as "pseudo-sciatica" (meaning "false sciatica"), is actually referral pain and other symptoms (tingling, numbness, etc.) caused by tightness and knots of contraction in the piriformis muscle, which runs from the upper femur bone to the edge of the sacrum, the triangular pelvic bone that is below the lumbar spine. The symptoms of piriformis syndrome are very similar and may be indistinguishable from true sciatica.
The second maneuver is done in two parts. First, from the sitting position one bends the leg and pulls the knee on the painful side towards the same-side shoulder. In all but the most severe cases, there is usually no major increase in pain in this position. The second part of the maneuver is to pull the knee toward the opposite side shoulder. An increase in the sciatica-like symptoms is a strong indication of piriformis syndrome. Using great confidence in ourselves, we endeavored to write such a long article on sciatic nerve neuropathy advice. Such is the amount of matter found on sciatic nerve neuropathy advice.
As mentioned earlier, the symptoms of true sciatica are very similar to piriformis syndrome. Both cause pain, tingling, burning, "electrical shock" sensations, and/or numbness down the leg, often all the way to the foot. In addition, both sciatica and piriformis syndrome tend to be at least partially related to biomechanical functional problems in the joints of the back and pelvis and they may even be present simultaneously in the same person, so it an be difficult to tell them apart. The sources used for the information for this article on sciatic nerve neuropathy advice are all dependable ones. This is so that there be no confusion in the authenticity of the article.
But since the most effective treatment for the two conditions varies signficantly, it is important to determine the correct diagnosis if at all possible. In most cases there is an easy way to distinguish between sciatica and piriformis syndrome. It was with great relief we ended writing on sciatic nerve neuropathy advice. There was just too much information to write, that we were starting to lose hopes on it's completion!
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In some cases, piriformis syndrome may cause true sciatic nerve irritation, as the sciatic nerve may run underneath or even through the middle of the piriformis, so contraction of the piriformis may produce sufficient compression of the sciatic nerve to produce actual nerve symptoms. This is one of the main sources of confusion when it comes to distinguishing true sciatica from piriformis syndrome. We have also translated parts of this composition into French and Spanish to facilitate easier understanding of sciatic nerve neuropathy advice. In this way, more people will get to understand the composition.
Two simple maneuvers will distinguish sciatica from piriformis syndrome in the majority of cases (when the problem is one versus the other and not both conditions at the same time). First, in a seated position, if one straightens the leg on the painful side (so that the leg is parallel to the floor), and the sciatica symptoms increase, this is usually a sign of true sciatic nerve irritation. Dwelving into the interiors of sciatic nerve neuropathy advice has led us to all this information here on sciatic nerve neuropathy advice. sciatic nerve neuropathy advice do indeed have a lot to tell!Dwelving into the interiors of sciatic nerve neuropathy advice has led us to all this information here on sciatic nerve neuropathy advice. sciatic nerve neuropathy advice do indeed have a lot to tell!
About the Author:
Dr. George Best is in private practice in San Antonio, Texas. For more information, check out Dr. Best's free e-book and online video course to assist in understanding and treating sciatica and piriformis syndrome, including in-depth instruction on sciatica exercises at http://www.SciaticaSelfCare.com .
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Learn More about
Natural Sciatica Back Pain Treatments
In the past, a patient suffering from Disc problems may have been prescribed Pain killers / Medications, Instructed to refrain from physical activities, referred for Physiotherapy, received Steroidal Shots or Injections, and when they weren't progressing, they were sent for Spinal Surgery. Frankly speaking only 5% of Back pains require Surgeries, the other 95% can be dealt with Conservative &... 
Does this scenario sound familiar?
You bend over to pick a Kleenex off the floor. Your back locks up. You begin to experience lower back pain radiating into the buttocks and down the leg. You consult with your doctor who orders an MRI. The MRI report identifies a herniated disc.
Bad news?
Maybe but in all likelihood, it's not as bad as you may think.
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Chiropractor, Tampa: Low Back Pain and Sciatica. Sciatica refers to pain that comes from the sciatic nerve. It is usually experienced in the legs or buttock but can also affect the feet. The origin of sciatica is from irritation to the nerve roots that exit from the lumbar spine and sacroiliac area. Occasionally it can be caused by a muscle that is pressing against the nerves. The leading cause...
Before we look at a few exercises for sciatica it is important to understand what sciatica is. Often misused and not clearly defined, sciatica is not a diagnosis in itself but in actuality sciatica is a set of symptoms being caused by another medical issue, most often a slipped or herniated disk. The term sciatica refers to the pain caused when one ore more of the nerves exiting the lower spine...
Why Exercise is Important
Many doctors, physical therapists and other health practitioners recommend exercises for sciatica treatment and prevention. While bed rest or inactivity might be advised for the first day or so, extended activity allows the muscles to weaken and the pain can become worse. Sciatica exercises help to strengthen and stretch the muscles that support the back,...
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