??? Primary or Secondary ???
If you have followed any of my recent Piriformis Syndrome Blog Posts, you already know WHAT IT IS, and that it is the SINGLE MOST COMMON SOURCE OF SCIATICA IN AMERICA --- even more so than DISC PROBLEMS. But the question remains, why doesn't it always respond to what I do, whether that be SCAR TISSUE REMODELING, or CHIROPRACTIC ADJUSTMENTS, or Custom Orthotics, or OXYGEN THERAPY, or COLD LASER THERAPY, or combinations thereof, etc, etc?
If you look at my TRACK RECORD, you will soon realize that I am probably getting as good of results with the Conservative Management of people with Piriformis Syndrome as anyone, anywhere --- period. But my goal is to see everyone get radically better --- AND WHEN THEY DO NOT, it is very frustrating to everyone involved. Understanding some of the underlying causes / contributing factors of Piriformis Syndrome goes a long way toward understanding why it is such a complex and difficult problem to effectively treat in certain individuals.
PRIMARY PIRIFORMIS SYNDROME
I certainly do believe that Piriformis Syndrome can be a primary problem of the Piriformis Muscle ---- particularly when a person has had severe trauma to their buttock region. One time I had a patient who was hit in the buttock by a front end loader. Another had a tree felled onto his rear end. Needless to say, these were classic Piriformis Syndromes that was directly related to the Piriformis Muscle itself. However, I think that in most cases of Piriformis Syndrome, the problem tends to be secondary. Allow me to explain.
Some of the more common underlying problems that can cause Piriformis Syndrome --- or just make it difficult to fix, include:
Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic. He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since. He and his wife Amy have four children (three daughters and a son).