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What is sciatica? Sciatica and Pyriformis syndrome are related conditions that often afflict Athletes of Aging. Dr. Sullivan discusses the relevant sciatic nerve anatomy, symptoms of sciatica and pyriformis, treatment options, and why you should not despair.
Sciatica can result in compression of the sciatic nerve--the largest nerve in the body--or one of its component nerve roots, while pyriformis squeezes the nerve trunk between muscles of the "rotator cuff of your ass." Symptoms can be similar but are wide-ranging, and call for a history, physical exam, and sometimes imaging. Treatment options depend on the individual case, but will almost always require analgesics, rehabilitative exercises, and possibly injections or surgery.
The most important thing is to KEEP MOVING. Physical therapy, individualized light training with barbell movements you can tolerate, appropriate but aggressive use of analgesics, massage, stretching, heat therapy and cryotherapy, and a positive attitude are essential. If you are an athlete afflicted by one of these syndromes, just know that you WILL come back. Movement is medicine: keep moving and you will prevail.
WRITTEN AND PRODUCED by Jonathon Sullivan MD, PhD, SSC
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