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CASE REPORT
Year : 2015  |  Volume : 29  |  Issue : 2  |  Page : 115-117

A case of piriformis syndrome presenting as radiculopathy

Rammurthy Kulkarni1, Bhavna Borole2, Jaya Chaudhary3, Sushmitha Dev4
1 Department of Anaesthesiology and Pain, Yenepoya Medical College, Mangalore, Karnataka, India
2 Department of Anaesthesiology, Seth. G.S. Medical College (KEM Hospital), Parel, Mumbai, India
3 Department of Anesthesiology and Pain, Medica Superspeciality Hospital, Kolkata, West Bengal, India
4 Department of Anaesthesiology, Apollo Speciality Hospital, Old Mahabalipuram Road, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Rammurthy Kulkarni
"Yashasvi", House no# 6-17-685, Gandhi Nagar 3rd Cross, Mannagudda, Mangalore - 575 003, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-5333.155186

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Piriformis syndrome has always remained as a diagnostic dilemma because of its varied presentation. 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. The sciatic neuritis is due to compression of the nerve as it passes through the greater sciatic foramen. 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. 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). In this paper, we have reported a case of piriformis syndrome which mimicked S 1 radiculopathy, where diagnosis was confirmed by diagnostic piriformis injection.


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© Indian Journal of Pain | Published by Wolters Kluwer - Medknow
Online since 31 May, 2013