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Piriformis syndrome is a condition which is believed to result from nerve compression at the sciatic nerve by the piriformis muscle. [ 2][ 5] It is a specific case of deep gluteal syndrome. [ 6] The largest and most bulky nerve in the human body is the sciatic nerve. Starting at its origin it is 2 cm wide and 0.5 cm thick.
Deep gluteal syndrome describes the non- discogenic extrapelvic entrapment of the sciatic nerve in the deep gluteal space. [1] In simpler terms this is sciatica due to nerve irritation in the buttocks rather than the spine or pelvis. It is an extension of non-discogenic sciatic nerve entrapment beyond the traditional model of piriformis ...
Nerve decompression. A nerve decompression is a neurosurgical procedure to relieve chronic, direct pressure on a nerve to treat nerve entrapment, a pain syndrome characterized by severe chronic pain and muscle weakness. In this way a nerve decompression targets the underlying pathophysiology of the syndrome and is considered a first-line ...
Sciatica is pain going down the leg from the lower back. [ 1] This pain may go down the back, outside, or front of the leg. [ 3] Onset is often sudden following activities like heavy lifting, though gradual onset may also occur. [ 5] The pain is often described as shooting. [ 1] Typically, symptoms are only on one side of the body. [ 3]
The inferior gluteal nerve entered the deep surface of gluteus maximus very inferiorly. 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. The nerve may also send a branch to the posterior femoral cutaneous nerve.
Plan of sacral and pudendal plexuses. (Superior gluteal labeled at upper left.) The superior gluteal nerve is a mixed (motor and sensory) nerve of the sacral plexus that originates in the pelvis. It provides motor innervation to the gluteus medius, gluteus minimus, tensor fasciae latae, and piriformis muscles; it also has a cutaneous branch.
The piriformis muscle (from Latin piriformis ' pear-shaped ') is a flat, pyramidally-shaped muscle in the gluteal region of the lower limbs. It is one of the six muscles in the lateral rotator group . The piriformis muscle has its origin upon the front surface of the sacrum, and inserts onto the greater trochanter of the femur.
Piriformis nerve. Diagram of sacral plexus and pudendal plexus. (Label "to piriformis" is at center left.) The piriformis nerve, also known as the nerve to piriformis, is the peripheral nerve that provides motor innervation to the piriformis muscle .
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