L C M E D S O C .O R G Piriformis Syndrome by ELISA GIUSTO D.O., Family Medicine PGY-2 P iriformis syndrome is often overlooked in clinical settings since its presentation may be similar to that of lumbar radiculopathy, primary sacral dysfunction, or innominate dysfunction. It is estimated that at least 6% of patients who are diagnosed as having low back pain actually have piriformis syndrome. In as much as 96% of the population, the sciatic nerve exits the greater sciatic foramen deep along the inferior surface of the piriformis muscle while in as much as 22% of the population, the sciatic nerve pierces or splits the piriformis muscle predisposing these individuals to piriformis Continued on page 18 SPRING 2020 | Lehigh County Health & Medicine 17http://www.LCMEDSOC.ORG