PİRİFORMİS SENDROMU VE LOMBER DİSK HERNİSİ BİRLİKTELİĞİ OLAN HASTANIN NÖRALTERAPİ İLE TEDAVİSİ

Öz

Piriformis sendromu non-diskojenik siyataljinin nedenlerinden biridir. Piriformis sendromu lomber disk herniasyonu ile birlikte görülebilir. Bu durum dirençli bel ve bacak ağrısına yol açar ve bu durumda piriformis sendromu tanısı zorlaşabilir. Bu yazıda lomber disk herniasyonu ve piriformis sendromu birlikteliği sonucu dirençli ağrıları olan ve nöralterapi ile başarılı şekilde tedavi edilen olgu sunulmuştur

Anahtar Kelimeler

• Piriformis Sendromu, Lomber disk herniasyonu, Nöralterapi

COEXISTANCE OF PIRIFORMIS SYNDROME AND LUMBAR DISC HERNIATION TREATED WITH NEURAL THERAPY

Öz

Piriformis syndrome is one of the causes of the non-discogenic sciatica. This syndrome may be seen with lumbar disc herniation. Coexistence of piriformis syndrome and lumbar disc herniation leads to resistant back and leg pain, and in this condition, diagnosis of the piriformis syndrome may be difficult. In this report, we presented that a patient with resistant back and leg pain depend on coexistence of piriformis syndrome and lumbar disc herniation was successfully treated with neural therapy

Anahtar Kelimeler

• Piriformis syndrome, lumbar disc herniation, Neural therapy

Kaynakça

1. Foster MR. Piriformis syndrome. Orthopedics.2002;25:821–825.
2. Parlak A, Aytekin A, Develi S, Ekinci S. Piriformis syndrome: a case with non-discogenic sciatalgia. Turk Neurosurg. 2014;24:117-9.
3. Dere K, Akbas M, Luleci N. A rare cause of a piriformis syndrome. J Back Musculoskelet Rehabil. 2009;22:55-8.
4. Elmacıoğlu MA, Karakan M. Piriformis sendromu. Barnat 2013;1:35-39.
5. Grgic V. Piriformis muscle syndrome: e ology, pathogenesis, clinical ma- nifesta ons, diagnosis, diff eren al diagnosis and therapy. Lijec Vjesn. 2013;135:33-40.
6. Weinschenk S. Neural therapy—A review of the therapeu c use of local anesthe cs. Acupuncture and Related Therapies. 2012;1:5-9.
7. Stewart J.D. The piriformis syndrome is overdiagnosed. Muscle Nerve. 2003;28:644–649.
8. Niu CC, Lai PL, Fu TS, Chen LH, Chen WJ. Ruling out piriformis syndro- me before diagnosing lumbar radiculopathy. Chang Gung Med J. 2009;32:182-7.

9. Santamato A, Micello MF, Valeno G, Beatrice R, Cinone N, Baricich A, Picelli A, Panza F, Logroscino G, Fiore P, Ranieri M. Ultrasound-Guided Injec on of Botulinum Toxin Type A for Piriformis Muscle Syndrome: A Case Report and Review of the Literature. Toxins (Basel). 201510;7:3045-56.
10. Misirlioglu TO, Akgun K, Palamar D, Erden MG, Erbilir T. Piriformis syndrome: comparison of the eff ec veness of local anesthe c and cor- costeroid injec ons: a double-blinded, randomized controlled study. Pain Physician. 2015;18:163-71.