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Pelvis and sciatica

This is a discussion on Pelvis and sciatica within the Spine-Related Conditions & Conservative Spine Treatment forums, part of the General Spine Discussion Forums category; Hey guys I have heard about SI Joint sciatica usually being from the piriformis. I was wondering if anyone has ...

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    Default Pelvis and sciatica

    Hey guys I have heard about SI Joint sciatica usually being from the piriformis. I was wondering if anyone has heard in the case of a rotated pelvis the actual pelvic bone itself pressing up on the nerve and irritating it? thanks

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    Founder / Administrator Justin's Avatar
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    Default Re: Pelvis and sciatica

    Quote Originally Posted by espplayer7 View Post
    Hey guys I have heard about SI Joint sciatica usually being from the piriformis. I was wondering if anyone has heard in the case of a rotated pelvis the actual pelvic bone itself pressing up on the nerve and irritating it? thanks
    Theoretically, yes. Also, there are a number of muscles in close relation to sciatic nerve.

    Justin Averna
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    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
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    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
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    Default Re: Pelvis and sciatica

    Thanks for getting back to me Justin. There are other muscles than the piriformis that can cause sciatica?

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    Founder / Administrator Justin's Avatar
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    Default Re: Pelvis and sciatica

    Quote Originally Posted by espplayer7 View Post
    Thanks for getting back to me Justin. There are other muscles than the piriformis that can cause sciatica?
    Here's some great illustrations that show the course of the sciatic nerve down the leg:

    Piriformis Syndrome -- Spine Patient Society Educational Materials

    There are many other muscles in close relation to the piriformis muscle...a Google search can help pull up pictures of the muscles in the leg.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

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    Default Re: Pelvis and sciatica

    thanks justin ive looked at numerous different pictures. So there is a possibility that if someone had the piriformis release operation they could have a different muscle still impinging on the nerve? I have only heard of the piriformis doing this

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    Senior Member KanRunMo's Avatar
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    Default Re: Pelvis and sciatica

    When I was having fairly serious pain down my buttocks and leg, I was told by a physical therapist that it was the piriformis muscle. As this was probably true, it is also a symptom (at least for me) that there were problems in my lower back (lumbar). No matter what exercises I tried for the piriformis, the pain always. An MRI, showed that I had DDD (disintegrated Discs) in the lower back.
    I have since found relief from a steroid shot in my back and from easing my exercises (giving up running and step aerobics) and taking up aqua jogging. I still play tennis and golf without too much problem.
    Diagnosis:
    Degenerative disc disease throughout spine
    Generalized disc bulging with mild narrowing of thecal sac in L2-L3, L3-L4, L4-L5, L5-S1.
    Moderate spinal stenosis L4-L5
    Foraminal narrowing
    Recent compression Fx at T10,T11.
    Treatment:
    Spinal decompression 2007
    Cortisone injection in lower back in 2010
    Relieved of pain for now
    Hope for ADR

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