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Sciatica or Piriformis Syndrome - Which is It?
A large amount of confusion and misunderstanding exists concerning the conditions sciatica and piriformis syndrome. There are some who insist that the two conditions are actually the same thing, but even though they can have symptoms that are very much alike, the underlying causes differ.
But since the most effective treatment for the two conditions varies signficantly, it is important to determine the correct diagnosis if at all possible. In most cases there is an easy way to distinguish between sciatica and piriformis syndrome. This is the counterpart to our previous paragraph on sciatica surgery. Please read that paragraph to get a better understanding to this paragraph.
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The second maneuver is done in two parts. First, from the sitting position one bends the leg and pulls the knee on the painful side towards the same-side shoulder. In all but the most severe cases, there is usually no major increase in pain in this position. The second part of the maneuver is to pull the knee toward the opposite side shoulder. An increase in the sciatica-like symptoms is a strong indication of piriformis syndrome. It was with great optimism that we started out on writing this composition on sciatica surgery. Please don't let us lose this optimism.
Piriformis syndrome, also known as "pseudo-sciatica" (meaning "false sciatica"), is actually referral pain and other symptoms (tingling, numbness, etc.) caused by tightness and knots of contraction in the piriformis muscle, which runs from the upper femur bone to the edge of the sacrum, the triangular pelvic bone that is below the lumbar spine. The symptoms of piriformis syndrome are very similar and may be indistinguishable from true sciatica.
In some cases, piriformis syndrome may cause true sciatic nerve irritation, as the sciatic nerve may run underneath or even through the middle of the piriformis, so contraction of the piriformis may produce sufficient compression of the sciatic nerve to produce actual nerve symptoms. This is one of the main sources of confusion when it comes to distinguishing true sciatica from piriformis syndrome. Patience was exercised in this article on sciatica surgery. Without patience, it would not have been possible to write extensively on sciatica surgery.
Sciatica refers to irritation of the sciatic (often mis-spelled as syatic or psyatic) nerve, that arises from nerve roots in the lumbar spine. The most common cause of sciatic nerve irritation, or "true" sciatica is compression of one or more of its component nerve roots due to disc herniation or spinal degeneration in the lower lumbar region. Sciatica usually begins in the buttock area and, depending on the severity of the underlying nerve comression and inflammation, may extend down the entire leg to the ankle and foot.
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Two simple maneuvers will distinguish sciatica from piriformis syndrome in the majority of cases (when the problem is one versus the other and not both conditions at the same time). First, in a seated position, if one straightens the leg on the painful side (so that the leg is parallel to the floor), and the sciatica symptoms increase, this is usually a sign of true sciatic nerve irritation. We have actually followed a certain pattern while writing on sciatica surgery. We have used simple words and sentences to facilitate easy understanding for the reader.
As mentioned earlier, the symptoms of true sciatica are very similar to piriformis syndrome. Both cause pain, tingling, burning, "electrical shock" sensations, and/or numbness down the leg, often all the way to the foot. In addition, both sciatica and piriformis syndrome tend to be at least partially related to biomechanical functional problems in the joints of the back and pelvis and they may even be present simultaneously in the same person, so it an be difficult to tell them apart. Penetration into the world of sciatica surgery proved to be our idea in this article. Read the article and see if we have succeeded in this or not!
About the Author:
Dr. George Best is in private practice in San Antonio, Texas. For more information, check out Dr. Best's free e-book and online video course to assist in understanding and treating sciatica and piriformis syndrome, including in-depth instruction on sciatica exercises at http://www.SciaticaSelfCare.com .
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Learn More about
Natural Sciatica Back Pain Treatments
Sciatica, I'm sure you know, is a real "pain in the butt". It affects your day to day life and stops you enjoying your work and leisure times.
At times pin is constant and you may even get numbness in your legs. You may be frustrated that you can't even tie your own shoe laces, or play with your kids, let alone perform totally at work.
You may have fears that it will become worse... 
Many people live with back pain in one form or another. Fortunately, there is some hope for those who are suffering with it. With discipline and the desire to feel better, exercising for sciatica can bring some relief and some people claim healing.
The quality of life decreases dramatically, family life suffers, and sometimes a feeling of hopelessness and depression can overwhelm the sufferer...
What is Sciatica?
It is important to understand just what exactly sciatica pain is although it is often confused with other medical conditions and sometimes even used as an umbrella term for anything else that is not easily diagnosed! Sciatica is a set of symptoms rather than a diagnosis in itself. Sometimes sciatica pain can be confused with other serious medical conditions such as a tumour...
Are you one of the countless thousands of adults with sciatica? Do you wake up in the morning with back pain that ravels down your leg? Are there activities that make you sweat, as your sciatica gives you that stab in the buttocks?
Would you love to be like so many others and move around pain free? Being able to do everything you wish to do, not restricted as sciatica rules your life. Just...
Sciatica is scary, the pain travels down your leg and stops you performing you daily tasks. You once could jump out of bed and do everything you wanted to do, from putting in 100% effort at work to playing with your children.
The scariest thing now is your sciatica may never disappear. You may need up needing surgery or spend a life time with that nagging back pain. You may be worried now...
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