Piriformis Syndrome and Deep Gluteal Pain

How clinicians distinguish deep gluteal sciatic irritation from spinal, hip, and other causes of buttock and leg pain.

The sciatic nerve can be irritated in the deep gluteal space, but the piriformis is only one possible structure. “Deep gluteal syndrome” is often a more useful umbrella term. Diagnosis is difficult because lumbar radiculopathy, hip disorders, proximal hamstring problems, sacroiliac-region pain, and other conditions can overlap.

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