Pseudosciatic pain can also be caused by compression of peripheral sections of the nerve, usually from soft tissue tension in the piriformis or related muscles.
22.
Image guided injections carried out in an open MRI scanner, or other 3D image guidance can accurately relax the piriformis muscle to test the diagnosis.
23.
The pudendal nerve passes between the piriformis muscle and coccygeus ( ischiococcygeus ) muscles and leaves the pelvis through the lower part of the greater sciatic foramen.
24.
At the lower border of the piriformis muscle, the nerve turns backward and divides into upward and downward diverging branches, which enter the gluteus maximus.
25.
Thus, disproportionately weak hip abductors / gluteus medius muscles, combined with very tight adductor muscles, can cause the piriformis muscle to shorten and severely contract.
26.
Also, this sports-related explanation is useless for understanding piriformis syndrome in those who are not unusually physically active ( which is often the case ).
27.
The sciatic nerve ( L4 to S3 ), the largest nerve of the body, immediately leaves the pelvis through the greater sciatic foramen, below the piriformis.
28.
Piriformis syndrome ( PS ) data is often confused with other conditions This causes a lack of group harmony about the diagnosis and treatment of PS, affecting its epidemiology.
29.
There were two to three divisions of the inferior gluteal nerve under the piriformis that would further divide close to the insertion of the nerve into the actual muscle belly.
30.
This determines the name of the vessels and nerves in this region the nerve and vessels that emerge superior to the piriformis are the superior gluteal nerve and superior gluteal vessels.
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