Dr. Laiba the physiotherapist

     Piriformis syndrome WHAT IS PIRIFORMIS SYNDROME? Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms or becomes tightened due to any reason thus causing the compression or pressure on the SCIATIC NERVE passing through the piriformis muscle. WHAT ARE THE CAUSES/ RISK FACTORS OF PIRIFORMIS SYNDROME? The main causes or factors that may lead to piriformis syndrome include the following: Overuse of piriformis muscle (prolonged walking, running, climbing stairs, sitting etc) Prolong abnormal posture like placing on leg on another, men sitting with their wallets in the back pocket due to which piriformis syndrome is also called POCKET SYNDROME. Trauma of the buttock area, causing inflammation and spasm of the surrounding area. Fracture of the pelvis, leading to spasm of the piriformis muscle which may cause piriformis syndrome. Abnormal spine alignment eg. scoliosis, marked by abnormal pelvic tilt, causing the muscle...

       ISCHIAL BURSITIS Case:  A women of age 40, named Ruksana khairbano came to the clinic with the complain of severe pain in the left buttock region (cheek line) and sometimes travel down the lower leg. She is a tailor by profession and spends 6-8 hours by sitting and sewing on ground. Pain is aggravated by prolonged sitting and there is tenderness over the cheek line of the hip. The patient is unable to sleep on the left hip and there is marked swelling and reduced range of motion of the left hip.  Examination:  The practitioner assessed the patient by performing SLR (straight leg raise) and it showed increase in symptoms.  Active resisted extension of the affected hip reproduces the pain. Palpation of the affected region showed SOFT TISSUE MASS described as well defined, non-mobile and slightly tender. Investigation:   The practitioner asked the patient to get an X-ray or MRI of the buttock region. This is the MRI, which shows ischial b...