ORTHOPAEDIC PHYSICAL THERAPY

https://www.facebook.com/share/p/171xMUjjan/

https://www.facebook.com/share/16Jhttps://www.facebook.com/share/16JEDz8sTg/EDz8sTg/

https://www.sportsmedreview.com/blog/medial-plica-syndrome/

Medial Plica Syndrome - Sports Medicine Review Medial Plica Syndrome is a knee condition causing pain, clicking, and catching, often triggered by overuse or injury, with treatment ranging from physical therapy to surgery.

Course of the sciatic nerve and potential sites of affection leading to sciatica as illustrated by Ropper & Zafonte
https://pubmed.ncbi.nlm.nih.gov/25806916/

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But important to know:

👉85% of cases of sciatica are associated with a disk disorder. https://pubmed.ncbi.nlm.nih.gov/12015843/

👉 The term ‘deep gluteal syndrome’ instead of ‘piriformis syndrome’ is now preferred to describe a non-discogenic sciatic nerve disorder with entrapment in the deep gluteal space. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4718497/, https://pubmed.ncbi.nlm.nih.gov/32349600/, https://pubmed.ncbi.nlm.nih.gov/32246173/. Nevertheless, such a diagnosis is controversial and the exact diagnostic criteria remain uncertain. https://pubmed.ncbi.nlm.nih.gov/32246173/

👉 The structures that can be involved in sciatic nerve entrapment within gluteal space might include the piriformis muscle [https://pubmed.ncbi.nlm.nih.gov/15739520/], fibrous bands containing blood vessels, gluteal muscles [https://pubmed.ncbi.nlm.nih.gov/21071168/], hamstring muscles [https://pubmed.ncbi.nlm.nih.gov/3189686/ , https://pubmed.ncbi.nlm.nih.gov/18818432/], the gemelli-obturator internus complex [https://pubmed.ncbi.nlm.nih.gov/16182029/, https://pubmed.ncbi.nlm.nih.gov/19396428/], vascular abnormalities [https://pubmed.ncbi.nlm.nih.gov/19135832/, https://pubmed.ncbi.nlm.nih.gov/2222250/] and space-occupying lesions [https://pubmed.ncbi.nlm.nih.gov/9199390/].

👉 Berthelot et all further describe that a wide variety of pathophysiological events leading to venous congestion around roots/spinal ganglia or spinal venous plexuses can contribute to radicular symptoms. https://pubmed.ncbi.nlm.nih.gov/34653602/