Piriformis Syndrome- Ayurvedic Treatment, Diet, Exercises, Research Papers,

Introduzione

Piriformis syndrome is an uncommon neuromuscular disorder that is caused when the piriformis muscle compresses the sciatic nerve. The piriformis muscle is a flat, band-like muscle located in the buttocks near the top of the hip joint. This muscle is important in lower body movement because it stabilizes the hip joint and lifts and rotates the thigh away from the body. This enables us to walk, run, shift our weight from one foot to another, and maintain balance. It is also used in sports that involve lifting and rotating the thighs — in short, in almost every motion of the hips and legs.

The sciatic nerve is a thick and long nerve in the body. It passes alongside or goes through the piriformis muscle, goes down the back of the leg, and eventually branches off into smaller nerves that end in the feet. Nerve compression can be caused by spasm of the piriformis muscle.

Segni e sintomi

Pain, tingling, or numbness in the buttocks.

Severe pain extending down the length of the sciatic nerve (called sciatica).

Tenderness of the muscles in the buttocks.

Difficulty in sitting comfortably.

Pain can be triggered when the piriformis muscle compresses the sciatic nerve, such as while climbing stairs, applying firm pressure directly over the piriformis muscle, or sitting for long periods of time.

Cause

Compression or contraction of piriformis muscle on sciatic nerve, which may happen due to trauma or a nearby growth or mass

Fisiopatologia

Piriformis syndrome is most often caused by micro or macrotrauma to the buttocks, leading to inflammation of soft tissue, muscle spasm, or both, with resulting nerve compression. Microtrauma may result from overuse of the piriformis muscle, such as in long-distance walking or running or by direct compression. Involvement of the superior gluteal nerve usually is not seen in cases of piriformis syndrome. This nerve leaves the sciatic nerve trunk and passes through the canal above the piriformis muscle. Blunt injury may cause hematoma formation and subsequent scarring between the sciatic nerve and short external rotators. Nerve injury can occur with prolonged pressure on the nerve or vasa nervorum.

Diagnosi

There is no definitive test for piriformis syndrome. In many cases, case history, revealing a trauma to the area, repetitive, vigorous activity such as long-distance running, or prolonged sitting will be enough. Diagnosis of piriformis syndrome is made by physical examination of nervous & locomotor systems.

Because symptoms can be similar in other conditions, radiologic tests such as MRIs may be required to rule out other causes of sciatic nerve compression, such as a herniated disc.

Trattamenti

Avoid positions that trigger pain.

Rest, ice, and heat pack may help relieve symptoms.

Exercises and stretches help reduce sciatic nerve compression.

Osteopathic manipulative treatment helps relieve pain and increase range of motion.

Anti-inflammatory medications, muscle relaxants, or injections with a corticosteroid.

Iontophoresis – which uses a mild electric current, and

Botox injections

Surgery may be recommended as a last resort.

Prognosi

The prognosis is good in most of the patients with piriformis syndrome. Once symptoms are managed, normal activities can be resumed. In some cases, a regular exercise routine is advised to avoid recurrence.

Complicazioni

Complications are usually due to surgery done for piriformis syndrome. They include:

Nerve injury
Sciatic nerve injury is the most common
Infezione
Bleeding

Malattie e Ayurveda

Khallwi/grdhrasi

Nidana

Dhaatukshaya (degeneration of tissues)

Aavarana (obstruction to channels in the body)

Purvaaroopa

Non menzionato

Samprapti

Due to the causative factors Vaata gets vitiated and gets lodged in the lower limbs, especially nerves & muscles, causing the signs & symptoms.

Lakshana

Severe pain in the lower limb

Difficulty to raise the lower limb

Divisioni

Non menzionato

Prognosi

Saadhya when the disease is new

Krichrasadhya when the disease is chronic

Chikithsa

Samana

Lepana with soolaharadravyas

Parisheka with warm soolahara-sothahara dravyas

Upanaha with Vaataharadravyas

Sirodhara, kateevasti, kateepichu with Vaatahara taila(once there is no aama)

Sodhana

Sneha (Abhyanga)

Sweda (Potalisweda)

Vasti

Virechana

Raktamokshana

Daahakarma

Farmaci di uso comune

Maharasnadi kashayam

Sahacharadi kashayam

Rasnerandadi kashayam

Rasnasaptakam Kashayam

Sundeebaladi kashayam

Dasamoolarasnadi Kashayam

Yogarajaguggulu

Balaatailam

Guggulutiktakaghrutam

Marche disponibili

AVS Kottakal

AVP Coimbatore

SNA Oushadhasala

Vaidyaratnam oushadhasala

Rimedi casalinghi

Medical professionals suggest the following to ease pain & other disturbances in the legs:

Stop the activity that caused the pain.
Stretch and massage the muscle.
Hold the leg in the stretched position until the pain is relieved.
Apply heat to muscles that are tight or tense.
Use cold packs on tender muscles.

Dieta

Da evitare

Drink enough liquids. Ensure enough hydration.

I pasti pesanti e gli alimenti difficili da digerire causano indigestione.

Cibi spazzatura: causano disturbi della digestione e riducono la biodisponibilità del farmaco.

Bevande gassate: rendono lo stomaco più acido e disturbano la digestione.

Cibi refrigerati e congelati - causano una digestione debole e lenta indebolendo Agni (fuoco digestivo).

Milk and milk products – increase kapha and cause obstruction in channels

Cagliata - causa vidaaha e quindi molte altre malattie

Da aggiungere

Pasti leggeri e alimenti facilmente digeribili

Green gram, soups, sesame oil.

Cibo fresco e caldo trattato con semi di cumino, zenzero, pepe nero, ajwain, ecc.

Comportamento:

Protect yourself from very hot & cold climates.

È meglio evitare l'esposizione a luce solare eccessiva, pioggia o polvere.

Evitare il sollevamento di pesi pesanti e altre attività fisiche vigorose.

Mantenere un programma alimentare e di sonno regolare.

Avoid sedentary lifestyle. Be active.

Evitare di trattenere o forzare gli stimoli come urina, feci, tosse, starnuti ecc.

lo yoga

Vigorous exercises are not allowed in painful conditions.

Only stretching, moderate walking, and mild cardio exercises are advised. Also, specific yogacharya including bhujangaasana, salabhasana, vajrasana is recommended. Caution must be there to consider the range of movement and flexibility.

L'esercizio fisico regolare aiuta a migliorare la biodisponibilità dei farmaci e degli alimenti ingeriti e porta a una salute positiva.

Lo yoga può mantenere l'armonia all'interno del corpo e con il sistema circostante.

Salabhasana

vajrasana

Bhujangasana

exercises for leg pain

Tutti gli esercizi e gli sforzi fisici devono essere decisi ed eseguiti esclusivamente sotto la supervisione di un medico esperto.

Articoli di ricerca

https://www.ncbi.nlm.nih.gov/books/NBK448172/

Queste dichiarazioni non sono state valutate dalla Food and Drug Administration degli Stati Uniti. Questo prodotto non è destinato a diagnosticare, trattare, curare o prevenire alcuna malattia. Consultare il proprio medico di famiglia prima dell'assunzione.

Scrittore:
Il dottor Rajesh Nair, cofondatore e consulente capo di Ayurvedaforall.com, si è laureato presso il prestigioso Vaidyaratnam Ayurveda College (affiliato all'Università di Calicut), in Kerala, India. Inoltre, ha conseguito un diploma post-laurea in Yoga Terapia presso l'Università di Annamalai.

Il Dr. Nair offre consulenze in due cliniche molto frequentate a Haripad e dintorni, Alleppey, Kerala, lo stato meridionale famoso in tutto il mondo per gli autentici trattamenti ayurvedici e per i medici. Oltre a offrire consulenze su tutti gli aspetti dei trattamenti ayurvedici, il Dr. Nair ha un interesse particolare per il Panchkarma, lo Yoga e il Massaggio.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Il Dr. Nair partecipa regolarmente a conferenze sull'Ayurveda e ha visitato la Germania per diffondere l'Ayurveda. Potete scrivere direttamente a lui
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