Which specialist consultations are beneficial to patients with piriformis syndrome?

Updated: Dec 21, 2018
  • Author: Shishir Shah, DO; Chief Editor: Sherwin SW Ho, MD  more...
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Answer

See the list below:

  • Physical therapists are helpful in instructing the patient about the various maneuvers for stretching and pain relief.

  • Referral to an orthopedic surgeon is indicated when the diagnosis is not clear or when conservative therapy fails and a surgical evaluation is needed.

  • Referral to a neurologist and/or neurosurgeon is indicated for EMG studies and for an evaluation of associated disc herniation and spinal stenosis.

  • An osteopathic physician can perform manipulation techniques, along with primary conservative medical intervention. [5]

  • A gynecologist can also assist in differentiating causes of dyspareunia and pelvic pain in women with suspected piriformis syndrome. A gynecologist can assist in identifying trigger points for local injections in female patients via the vaginal route.


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