Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 19168
  Title Diagnosis and management of posttraumatic piriformis syndrome: a case study [case report]
Journal J Manipulative Physiol Ther. 2006 Jul-Aug;29(6):486-491
Peer Review Yes
Publication Type Case Report
Abstract/Notes OBJECTIVE: The aim of this study is to describe the clinical management of a young male patient with sciatica symptoms that developed after an avulsion of the ischial tuberosity. This is a rare injury, but complications may occur.

CLINICAL FEATURE: A 19-year-old patient developed sciatica 6 months after a football injury. The patient described his symptoms as a shooting pain from the buttock to the lateral part of the foot, along the back of his thigh and calf, sometimes accompanied by paresthesia. Physical examination showed restricted hip range of motion and a positive Bonnet's test. X-ray analysis revealed a bony overgrowth of the right ischial tuberosity.

INTERVENTION AND OUTCOME: A treatment plan was designed to decrease the pain level, increase sacroiliac and lumbar joint mobility, and augment muscular extensibility. The patient received 20 treatments over a period of approximately 3 months. Complete recovery was observed 5 months later.

CONCLUSION: Although many differential diagnoses were contemplated, it is most likely that changes in muscular tension and gait pattern, resulting from the ischial tuberosity avulsion, contributed to overuse of the piriformis muscle leading to a piriformis syndrome.

Click on the above link for the PubMed record for this article; full text by subscription. This abstract is reproduced with the permission of the publisher. DOI Link

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