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Ph sical Medicine and Rehabilitation for Piriformis S ndrome

Ph sical Medicine and Rehabilitation for Piriformis S ndrome
A h : Mi J K ei , DO, MBA; Chief Edi :C e TL e , MD e... U da ed: Ma 31, 2010

Background
Pi if ca d i ic a di c e ca ei he d ei a i e ha bee a c e ia diag i i ce i i i ia de ge ic cia ica, a i ca ed b a e i i f he i iae c e he i a cia ic e e d e efe ed a e d cia ica, a e cia ica, a d hi c i i i 1928.[1] The c di i , i a cia ic e e. The i if i a a d/ c ac e. Pi if i c e e ah . hich

Pathoph siolog
The i if i e eb ae, he g ea e cia ic hi e e ded, bec e a hi he i age be c e i fa , a id- ha ed, a d b i be iga e , a d he e ch, he cei e he ei he i if i c e i he i a e e abd c . The i if i cei i e . ac e. Thi c e igi a e he a e i f he S2-S4 a gi f he g ea e cia ic f a e . Pa i g h gh he face f he g ea e cha e f he fe . Wi h he a a ; h e e , i h he hi f e ed, he ce a ed b b a che f L5, S1, a d S2, a de a ed i

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Ma de e e a a ia i f he e a i hi be ee he cia ic e e i he e i a d i if i ce ha e bee b e ed.[2, 3, 4] I a i a e 20% f he a i , he c e be i i, ih1 e a f he cia ic e e di idi g he c e be i e f. I 10% f he a i , he ibia / e ea di i i ae e c ed i a c hea h. U a , he e ea i i he i if i c e be , a h gh i a e ca e , he ibia di i i d e . I a d f 200 ai eigh ed ag e ic e i i ed ab e he i (25%) e e ca ed ab ha 190 S4 e e d ' a ie , he f ac a (100 a ie a ce i agi g (MRI) ca if i c e, hi e 150 e i . The i age a h (95%) e e be i . The ce a a e ica b e f h had i if i d e) b R e e a , T1e ea ed ha 199 f he S1 e e (99.5%) e e f he S2 e e (75%) a e ed he c e a d 50 f he ed ha 194 S3 e e (97%) a e ed he cea d i if i c e had a a e age i e f 1.9 c ; i 19% f he e ha 3 .[5]
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Mortalit /Morbidit P . $16 . DO. ) . B .A R D . MBA C V G H M E A O JK P A . . [6] : .A P .medscape. MBA .[7] A . : .com/article/308798-overview#showall . 90% 1 (LBP) . S ( . .11/25/11 Ph sical Medicine and Rehabilitation for Piriformis S ndrome I . DO.A 2/5 emedicine.A P . .A M M A A A O .A P A .T Se S 6:1 . Epidemiolog Frequenc United States G 6% . P P .. . -T . . Contributor Information and Disclosures A Milton J Klein. .N T H M F P O P B C T F V P . )-T .H V H S -S H O :A A M O M R C A .T ( ) : ( .

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