Use of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Piriformis Syndrome: A Review for Rehabilitation Providers

Piriformis Syndrome (PS) is a neuromuscular condition caused by the entrapment of the sciatic nerve at the level of the piriformis muscle (PM) and can cause significant discomfort and disability. PS is often misdiagnosed due to its overlapping symptoms with other lumbar and sciatic issues and as suc...

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Main Authors: Robert C. Manske, Chris Wolfe, Phil Page, Michael Voight, Beth Bardowski
Format: Article
Language:English
Published: North American Sports Medicine Institute 2024-06-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.118145
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author Robert C. Manske
Chris Wolfe
Phil Page
Michael Voight
Beth Bardowski
author_facet Robert C. Manske
Chris Wolfe
Phil Page
Michael Voight
Beth Bardowski
author_sort Robert C. Manske
collection DOAJ
description Piriformis Syndrome (PS) is a neuromuscular condition caused by the entrapment of the sciatic nerve at the level of the piriformis muscle (PM) and can cause significant discomfort and disability. PS is often misdiagnosed due to its overlapping symptoms with other lumbar and sciatic issues and as such, diagnosing PS remains challenging despite recent invasive and non-invasive diagnostic methods. Diagnostic musculoskeletal ultrasound (MSK US) offers a non-invasive, cost-effective alternative for the identification and evaluation of PS, providing dynamic, real-time imaging of the PM and adjacent structures. This article reviews the applications, advantages, and procedural insights of MSK US in the diagnosis of PS, emphasizing its relevance in rehabilitation settings. We discuss the technical aspects of ultrasound use, interpretation of findings, and integration into clinical practice, aiming to enhance the diagnostic accuracy and therapeutic outcomes for patients with suspected PS.
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institution Kabale University
issn 2159-2896
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publisher North American Sports Medicine Institute
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series International Journal of Sports Physical Therapy
spelling doaj-art-431e2e0748224ac6904ca0e3c318d8592025-02-11T20:27:15ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-06-01196Use of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Piriformis Syndrome: A Review for Rehabilitation ProvidersRobert C. ManskeChris WolfePhil PageMichael VoightBeth BardowskiPiriformis Syndrome (PS) is a neuromuscular condition caused by the entrapment of the sciatic nerve at the level of the piriformis muscle (PM) and can cause significant discomfort and disability. PS is often misdiagnosed due to its overlapping symptoms with other lumbar and sciatic issues and as such, diagnosing PS remains challenging despite recent invasive and non-invasive diagnostic methods. Diagnostic musculoskeletal ultrasound (MSK US) offers a non-invasive, cost-effective alternative for the identification and evaluation of PS, providing dynamic, real-time imaging of the PM and adjacent structures. This article reviews the applications, advantages, and procedural insights of MSK US in the diagnosis of PS, emphasizing its relevance in rehabilitation settings. We discuss the technical aspects of ultrasound use, interpretation of findings, and integration into clinical practice, aiming to enhance the diagnostic accuracy and therapeutic outcomes for patients with suspected PS.https://doi.org/10.26603/001c.118145
spellingShingle Robert C. Manske
Chris Wolfe
Phil Page
Michael Voight
Beth Bardowski
Use of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Piriformis Syndrome: A Review for Rehabilitation Providers
International Journal of Sports Physical Therapy
title Use of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Piriformis Syndrome: A Review for Rehabilitation Providers
title_full Use of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Piriformis Syndrome: A Review for Rehabilitation Providers
title_fullStr Use of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Piriformis Syndrome: A Review for Rehabilitation Providers
title_full_unstemmed Use of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Piriformis Syndrome: A Review for Rehabilitation Providers
title_short Use of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Piriformis Syndrome: A Review for Rehabilitation Providers
title_sort use of diagnostic musculoskeletal ultrasound in the evaluation of piriformis syndrome a review for rehabilitation providers
url https://doi.org/10.26603/001c.118145
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