Excellent Massage on Sciatica, Beautiful Technique. Female Massage ASMR Piriformis Syndrome
Pain in the tummy often appears as a result of pinched sciatic nerve the piriformis muscle, a group of muscle fibers that begin on rump within the pelvis and attached at the lower end of the femur to the tendon. This muscle is responsible for the external rotation of the hip and foot. Piriformis syndrome is often accompanied by degenerative changes in the discs of lumbosacral radiculitis. pattern formation
Causes of piriformis syndrome:
Buttock pain occurs when the sciatica-sciatic nerve irritation that often occurs with lumbosacral osteochondrosis and its implications-protrusion of the disk, disk rupture or struggle with osteophytes in the bodies of the vertebrae, as well as spondylosis and spondylolisthesis. Suddenly occurring pain causes reflex spasm of piriformis muscles, namely its thicker or under it is the sciatic nerve, which is formed by fibers of spinal nerves coming from the spinal canal.
Thus, the pain in the tummy can have two sources-the compression of nerve roots in the spinal cord and spinal nerves being pinched sciatic nerve trunk is the piriformis muscle. Among the other causes of piriformis syndrome include:
1. piriformis Injury-falling on the buttocks is bruised, the formation of hematoma, pain, spasm all contribute irritate the sciatic nerve in her column;
2. the effects of trauma-injury heals, but the muscle fibers in the zone of injury are replaced soedinitel′notkannym scar, which compresses the sciatic nerve-and again a pain syndrome;
3. Inflammation, Myositis piriformis muscle-can also cause pain in the buttock;
4. Neoplasm, bone tuberculosis, osteomyelitis, arthritis, or osteoarthritis of the hip joint may cause reactive inflammation of the piriformis muscle and the pain.
The pain often is unilateral in nature, but sometimes affects both sides. It is expressed, irradiiruet on the back surface of the thigh, Shin and foot. Violations of the sensitivity of the skin on the foot is usually not detected, can sometimes be a slight tingling. But the patient tries to keep pace, it is uncomfortable to sit on the patient side is usually the person keeps the foot in the raised position and is not able to sit up straight.
Diagnosis of piriformis syndrome
In addition to the inspection, verification of tendon reflexes, posture and gait, the doctor prescribes a patient instrumental research methods. Among them the most informative method is x-ray of the spine in the lower back and rump with pelvic bone joints. Complete results can be obtained with magnetic resonance scan of the lumbar and sacrum area. Radioisotope scanning is applied in case of suspicion on oncological process or infection in the piriformis muscle and nearby organs.
A clear demonstration of the piriformis muscle is diagnostic introduction anestetika in muscle that can be done under the supervision of x-ray or computed tomography. If the pain disappears after the injection, the diagnosis is, without a doubt.
Piriformis syndrome treatment
Treatment of pain in the buttock conservative and complex. You need to use drug therapy, which includes:
Anti-inflammatory medications nesteroidnogo series-diclofenac, indomethacin, ibuprofen, and others;
Acute pain syndrome can be lowered recruitment or analgesics;
Muscle relaxants are applied in the case expressed acute muscle;
Drugs that improve microcirculation to help reduce inflammation.
In addition to drug therapy is successfully used local methods of exposure:
Manual therapy-special techniques make it possible to restore the elasticity of the piriformis muscle;
Physiotherapy is needed for better removal of spasm, stretching the piriformis muscle, its development and strengthening;
Physical therapy-helps improve the trophism, relieve spasm, bring out the lactic acid and other products of pathological metabolism massage;
Acupuncture, Botox injection, and other techniques. Massage asmr