Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful Treatment

Piriformis syndrome is an underdiagnosed extraspinal association of sciatica. Patients usually complain of deep seated gluteal pain. In severe cases the clinical features of piriformis syndrome are primarily due to spasm of the piriformis muscle and irritation of the underlying sciatic nerve but thi...

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Published in:Case Reports in Rheumatology
Main Authors: Md Abu Bakar Siddiq, Moshiur Rahman Khasru, Johannes J. Rasker
Format: Article
Language:English
Published: Wiley 2014-01-01
Online Access:http://dx.doi.org/10.1155/2014/893836
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author Md Abu Bakar Siddiq
Moshiur Rahman Khasru
Johannes J. Rasker
author_facet Md Abu Bakar Siddiq
Moshiur Rahman Khasru
Johannes J. Rasker
author_sort Md Abu Bakar Siddiq
collection DOAJ
container_title Case Reports in Rheumatology
description Piriformis syndrome is an underdiagnosed extraspinal association of sciatica. Patients usually complain of deep seated gluteal pain. In severe cases the clinical features of piriformis syndrome are primarily due to spasm of the piriformis muscle and irritation of the underlying sciatic nerve but this mysterious clinical scenario is also described in lumbar spinal canal stenosis, leg length discrepancy, piriformis myofascial pain syndrome, following vaginal delivery, and anomalous piriformis muscle or sciatic nerve. In this paper, we describe piriformis and fibromyalgia syndrome in a 30-year-old young lady, an often missed diagnosis. We also focus on management of the piriformis syndrome.
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spelling doaj-art-e2267f149ba24513a4680e01ae87828e2025-08-20T01:29:26ZengWileyCase Reports in Rheumatology2090-68892090-68972014-01-01201410.1155/2014/893836893836Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful TreatmentMd Abu Bakar Siddiq0Moshiur Rahman Khasru1Johannes J. Rasker2Physical Medicine and Rehabilitation Department, Feni Diabetes Hospital (FDH), Feni 3900, BangladeshPhysical Medicine and Rehabilitation Department, BSMMU, Dhaka 1000, BangladeshRheumatology Department, Faculty of Behavioral Sciences, University of Twente, P.O. Box 217, 7500 AE Enschede, The NetherlandsPiriformis syndrome is an underdiagnosed extraspinal association of sciatica. Patients usually complain of deep seated gluteal pain. In severe cases the clinical features of piriformis syndrome are primarily due to spasm of the piriformis muscle and irritation of the underlying sciatic nerve but this mysterious clinical scenario is also described in lumbar spinal canal stenosis, leg length discrepancy, piriformis myofascial pain syndrome, following vaginal delivery, and anomalous piriformis muscle or sciatic nerve. In this paper, we describe piriformis and fibromyalgia syndrome in a 30-year-old young lady, an often missed diagnosis. We also focus on management of the piriformis syndrome.http://dx.doi.org/10.1155/2014/893836
spellingShingle Md Abu Bakar Siddiq
Moshiur Rahman Khasru
Johannes J. Rasker
Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful Treatment
title Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful Treatment
title_full Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful Treatment
title_fullStr Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful Treatment
title_full_unstemmed Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful Treatment
title_short Piriformis Syndrome in Fibromyalgia: Clinical Diagnosis and Successful Treatment
title_sort piriformis syndrome in fibromyalgia clinical diagnosis and successful treatment
url http://dx.doi.org/10.1155/2014/893836
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AT moshiurrahmankhasru piriformissyndromeinfibromyalgiaclinicaldiagnosisandsuccessfultreatment
AT johannesjrasker piriformissyndromeinfibromyalgiaclinicaldiagnosisandsuccessfultreatment