Pyramidal syndrome: what are the causes?

Pyramidal syndrome: what are the causes?

rony 26.08.2018

Also known as “piriformis syndrome”, the pyramidal syndrome is caused by the trigger point or compression of the sciatic nerve. Pain, tingling and numbness are the main symptoms.

Find out more about this condition in the following article.

What is the pyramidal syndrome?

First of all, we need to talk about the pyramidal muscle, which is flat and pyramid-shaped (hence the name). It is connected to the gluteal region, the anterior part of the sacrum and with the ischial notch. The great sciatic nerve is deeply firm to the pyramidal, as it passes through it completely.

This syndrome occurs when the sciatic nerve compresses or crushes through the piriformis muscle. One of the main causes is a lesion of the gluteal muscle, but it can also occur in case of anatomical anomalies in the structure of this muscle, injuries due to overtraining or strain.

Furthermore, it was confirmed that pyramidal syndrome originates from hypotrophy or reduction in muscle volume. This occurs when a person suffers from a disorder or performs exercises that are too intense to lose weight.

Even those who perform weight lifting can suffer from the pyramidal syndrome, and this is due to the increased volume of the muscles surrounding the pyramid and exerting greater pressure on this part of the body.

In addition, certain abnormalities such as the presence of tumor masses, an inferior gluteal artery aneurysm or sciatic nerve abnormalities can help compress the nerve against the muscle and trigger this syndrome.

What are the symptoms of pyramidal syndrome?

The signals that warn us of the appearance of pyramidal syndrome begin as a slight tingling or numbness of the buttock and upper rear thigh. Thus, these disorders turn into pain that expands to the lower thigh or lower part of the leg.

Pain may also occur in the upper part of the foot – the instep – or pelvis, due to the fact that the subject will walk with a limp or a hunched back. Furthermore, it can manifest itself with the weakness of the affected leg and tingling or burning sensation.

Due to its symptoms, pyramidal or piriformis syndrome can be confused with other pathologies associated with the sciatic nerve.

Is there a treatment for pyramidal syndrome?

In many cases, this syndrome is diagnosed after discarding other diseases, including lumbar spinal stenosis, lumbar disc disease or another type of pelvic problem, since the symptoms are similar.

The diagnosis is very often difficult to make, although a study called “nuclear magnetic resonance” has been started recently, which is fairly precise solitude. Another option can be an MRI neurography, which explores the peripheral nerves and visualizes their general state.

Treatment of the pyramidal syndrome may include rest, taking non-stroke or anti-inflammatory drugs or muscle relaxants and physiotherapy. Among the main methods, we find passive kinesitherapy exercises, active muscle stretching, and post isometric relaxation. Patients are also advised to swim or treat with water to improve the picture.

Other treatments

In addition to the previous methods, there are some exercises to do at home, including deep thigh and buttock stretching before getting out of bed. Massages performed by a professional can also help.

If it hurts a lot, the person can look up and position a tennis or ping pong ball on the painful buttock. Therefore, the weight of the body must be used to move the ball back and forth, as well as laterally.

Another method to alleviate pain is to apply a hot water bag to the affected area or take an analgesic.

In some more serious cases, the doctor can prescribe bites of botulinum toxin or corticosteroids, in order to reduce the muscle spasms of the affected part. The surgery is chosen in the final analysis and in the event that no previous options have given results.

The pyramidal syndrome is a more common contracture than we think; since it affects the sciatic nerve, it cannot be neglected. Before any pain, tingling or numbness in the leg, thigh or buttock, consult a doctor and undergo the prescribed tests.

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