- #1 [audiofan], 21-10-13 08:54
- #2 [alexanderkoo], 21-10-13 09:08Discussed a few times on R33 over the years. If it were sciatica(needs further diagnosis, can be easily confused with inflammation at hip muscle), there was no cure. Only treatment to relief pain. Basically, the inter-vertebra disc slips and pinches the hind leg nerve. Surgery is to remove part of the concerned disc using high pressure water knife.(less intrusive) Try to sleep with chest down to prove it's sciatica.(would relieve pain) My two ex-colleagues suffered from the same due to heavy lifting with bending waists. Stand/walk more.(sitting on soft sofa is worst) Get well soon.
Quoted from the web.
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Home » Blog » Sciatica vs. Piriformis Syndrome: What Are the Main Differences?
Sciatica vs. Piriformis Syndrome: What Are the Main Differences?
Published on 18th September 2020
Posted by Majid Ghauri
SAPNA
What is the Sciatic Nerve?
What is Sciatica?
What is Piriformis Syndrome?
What is the Difference between Sciatica and Piriformis Syndrome?
Differentiating Piriformis Syndrome from Other Sciatic Nerve Conditions
There are differences between piriformis syndrome vs. sciatica, even though the symptoms are similar. The reason they are similar is due to the fact the piriformis muscle may irritate or compress the sciatic nerve, causing pain similar to sciatica pain that is due to other medical conditions, like disc herniation or spinal stenosis. It usually takes a physician’s assessment to determine the specific diagnosis.
Yoga stretch exercise fit Asian woman stretching lower back for spine health on city outdoor fitness class in park. Seated spinal twist.
What is the Sciatic Nerve?
The sciatic nerve is a large nerve that branches out at the lower back. It runs through each hip and buttock and down the thigh and leg to the foot. When the sciatic nerve is compressed, inflamed, irritated, or injured, pain frequently radiates down the nerve. The pain originates in the lower spine (lumbar spine) where the nerve begins.
What is Sciatica?
Sciatica is a set of symptoms that occur when the sciatic nerve is irritated, compressed, or inflamed. It is usually caused by the compression or impingement of nerve roots due to spinal degeneration. The degeneration could be due to conditions that include but are not limited to:
Herniated spinal disc
Bulging disc
Bone spur
Spinal stenosis (narrowing of the spine canal)
Tumor
Spondylolisthesis
Injury to the spine
Infection
The pain experienced depends on the specific nerve root impacted. It can be intermittent or constant but often feels like a sharp pain shooting down the leg from the lower back. Other symptoms include weakness in the leg and foot, numbness, or tingling in the leg’s back.
What is Piriformis Syndrome?
Piriformis syndrome is a condition in which the piriformis muscle compresses the sciatic nerve. The piriformis muscle is in each buttock and attaches the sacrum to the top of the thigh bone. The piriformis muscle and the sciatic nerve are in close alignment.
Due to the contractions or spasms of the piriformis muscle, sciatic nerve pain can begin. When the muscle contracts, spasms, or experiences other issues, it can compress or irritate the sciatic nerve. The pain associated with piriformis syndrome is typically felt more in the buttock and hip.
What is the Difference between Sciatica and Piriformis Syndrome?
The main differences between sciatica versus piriformis syndrome are:
Where the pain is typically felt – buttock and hip for piriformis syndrome, while leg pain may radiate down to the toes for sciatica
What causes the pain – the piriformis muscle is causing the pain by impacting the sciatic nerve in piriformis syndrome, while the pain of sciatica is one symptom of a particular medical condition creating a set of symptoms
What causes more pain – pain increases while sitting for a prolonged period in piriformis syndrome, while raising the leg (the one impacted) while lying down may cause pain with sciatica"
最後修改時間: 2021-10-13 09:14:22 - #3 [BowieFUNG], 21-10-13 09:18我又係,不過右腳,情況比你好,食住止痛消炎藥,免勉強幫到手,但藥力一過又痛,唯一要躺臥先唔痛,但一轉身又痛,我試過物理治療,情況有改善,不過維持唔耐,亦試咗好多療法,都無大幫助,我都想知有乜好治療方法!
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- #4 [BowieFUNG], 21-10-13 09:27睇完alexander兄編文,我似梨狀肌綜合症!
- #5 [rumorguy], 21-10-13 09:45睇完師兄 的症狀好有感觸!
覺得: 擁有金錢唔係最重要, 健康先至真係最寶貴!
腳底筋膜炎 都已經有十年以上,都唔能夠徹底根治, 間中都要食消炎止痛藥 無奈 都要接受! - #6 [alexanderkoo], 21-10-13 10:18Analgesic (pain relief) is also important for one's well being before taking more vigorous means. It's better to take Celebrex@6 each since it's less harmful to stomach due to newer generation of NSAID. (no stomach pill required) It's over the counter drug, no prescription required. Wife had chest pain(flu incoming), got relieved in 2-3 days. Me too when the situation calls for it.
Steroid, sometimes,yes if the benefits outweigh the side effects. Having dermititis on face for some time after wearing mask. Tried natural treatment for a month, old patch gone but new ones came.(70% success, blame all those hot foods, goose, prawn, beef) Have been taking oral 地塞米松 Dexamethasone starting from two days ago, 3 times/day, 0.5 mg/pill. Much better after 2 doses. Of course, prolonged intake would lead to serious side effects, thin skin, pot belly, even diabetes. Small dosage is probably ok.
最後修改時間: 2021-10-13 10:29:14 - #7 [nogoldear], 21-10-13 10:23早幾個月, 同你有差不多情況, 人生第一次感受到痛可不欲生.
做左五次中醫針灸, 好番. 做頭兩次後已大有好轉, 第4次已基本好得9成.
是否同骨刺有關或椎間盤突出. 要照片.
該醫師在青衣區. - #8 [alexhifi], 21-10-13 10:27
It actual cures my pain several times, once in back pain after dropping on snow ground, then my left heel, and now still curing my right heel.
- #9 [alexanderkoo], 21-10-13 10:37Have been taking enteric coated serrapeptase for a few months, kid too, extract from silk worm. Very useful as digestive aid wrt GERD and burping. Claimed to have pain relief effect similar to Wobenzyme (expensive) due to less inflammatory byproducts. Reducing allergy due to indigested protein entering blood stream.
For disease with pathological background, no actual experience. Even bromelin, extract from pineapple can work in relieving pain, tried Joint pain before. MSM can be even better, yet cheap.
最後修改時間: 2021-10-13 10:44:36 - #10 [河粉], 21-10-13 10:46每日用亞洲踎方法睇R33,睇佢十零廿分鐘,中意做幾多次都得,兩三星期後會改善
- #11 [jreso], 21-10-13 10:51我剛做完手術約10天,是spinal stenosis, 移除了L4/5 的骨刺,術前的痛苦冇晒,非常感激醫生們
- #12 [Dlbf], 21-10-13 11:03我服侍過嘅老人家有兩個試過坐骨神經痛,照咗証實生骨剌,初期都係唔想開刀,物理治療,中醫針救,兜兜轉轉玩咗一年半載,最後都係捱一刀先舒服晒,兩個事後都話早知一早做手術。
- #13 [lb1i], 21-10-13 11:08#10 ,師兄,你介紹這個動作如果每日做對身體好的。我的經驗是坐細硬木櫈仔。
但樓主似乎幾嚴重下,可能要治好才可以了。祝樓主早日康復。 - #14 [徐福], 21-10-13 11:15樓主咁年青都坐骨神經痛、一定是長期交差腳坐、坐姿問題!
建議看脊醫、再慢慢改善坐姿先會好! - #15 [cornercube], 21-10-13 11:30有親人幾十年前痛過, 痛到唔郁得.
煲中藥飲好番 &
期間(十幾個月) 都要 搽跌打酒, 戒口e.g. 寒涼 熱氣 發/毒 etc..
;
回想病因
罪魁祸首 應該
麵包 當 飯 食
最後修改時間: 2021-10-13 11:34:44 - #16 [BB1668], 21-10-13 11:37梨狀肌綜合食普通止痛葯係無作用,因為係梨狀肌發炎腫脹掂到神經線引致症狀,我果時睇西醫check唔到,只係俾止痛消炎葯,後來轉睇跌打,師傅一聽完症狀就知係梨狀肌發炎,做左一個月理療+用葯後有明顯好轉
最後修改時間: 2021-10-13 11:37:59 - #17 [cypw], 21-10-13 11:45坐骨神經痛會唔會係因為平時太少做運動引至根骨退化, 應該要多做出力運動或者可改善, 從未聽聞做運動多會加快身體退化的.
- #18 [audiofan], 21-10-13 12:11幾乎每天步行往返公園做柔軟體操,轉腰,弯腰, 压腿, 踢腳,蹬腿及拉筋,之後再打兩套太極拳。真系唔知乜原因 trigger 咗坐骨神經痛! 從未試過咁痛,坐卧不安!已十多天! 只感覺好少少,但仍然很難行到二三十多步路!
- #19 [jreso], 21-10-13 12:16如果係骨刺,運動似乎幫助不大
- #20 [RCA073], 21-10-13 12:18十多年前試過有坐骨神經痛,條腰一路扯到落臀部至大腿,不過就冇你哋所描述咁嚴重,都行得返得工,最後係睇物理治療好返冇再痛過
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至今已痛咗十幾天,請問各師兄有冇如此经歴? 如何治疗? 睇邊科医生? 謝。