What's Sciatica?

Continued...

Piriformis syndrome is a much less serious problem than an injured disc. It's almost always successfully treated with conservative techniques of stretching and physical therapy.

Your doctor can diagnose this syndrome and differentiate it from a damaged disc by a physical exam and history lab tests and X-ray will appear normal.

To prevent piriformis syndrome from recurring, use a cushion if you have to sit on a hard surface for a prolonged period of time, and stretch your hamstrings and piriformis as part of your warm-up for any activity.

Relief: It's a Stretch

After identifying the specific cause of piriformis syndrome, you can promote healing by avoiding overuse, taking anti-inflammatory medication, letting some time pass and stretching. A physical therapist can show you the best stretches.

Usually the therapist will emphasize stretching your hamstrings and hip extensors (the muscles you use when you extend your leg behind you).

For each session of stretching, do the stretches three to 10 times, holding each stretch for 10 to 20 seconds without bouncing. Your physical therapist also can use ultrasound and resistance stretching techniques (you push against the therapist's hand).

If you don't respond to physical therapy your physician can inject medication into your muscle. In particularly difficult cases, surgery to stretch and separate the piriformis from the nerve cord may help.

Since sciatica can develop from any of a variety of causes, it's important to see your physician ASAP so you can begin an appropriate course of treatment - and get rid of that pain in the rear.

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About the authors: Carol L. Otis, M.D., is Chief Medical Advisor to the Sanex WTA and UCLA student health physician. Roger Goldingay is a former professional soccer player. They are married and the co-authors of The Athletic Woman's Survival Guide.

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Foreword: Billie Jean King

Comments by Barb Harris
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