Piriformis Syndrome - Epidemiology

Epidemiology

Piriformis syndrome (PS) data is often confused with other conditions due to differences in definitions, survey methods and whether or not occupational groups or general population are surveyed. This causes a lack of group harmony about the diagnosis and treatment of PS, affecting its epidemiology. In a study, 0.33% of 1293 patients with lower back pain cited an incident for PS. A separate study showed 6% of 750 patients with the same incidence. About 6% - 8% of lower back pain occurrences were attributed to PS, though other reports concluded about 5% - 36%. In a survey conducted on the general population, 12.2% - 27% included a lifetime occurrence of PS, while 2.2% - 19.5% showed an annual occurrence. However further studies show that the proportion of the sciatica, in terms of PS, is about 0.1% in orthopaedic practice. This is more common in women with a ratio of 3 to 1 and most likely due to the wider quadriceps femoris muscle angle in the os coxae. Between the years of 1991- 1994, PS was found to be 75% prevalent in New York, Connecticut, New Jersey, Pennsylvania; 20% in other American urban centers; and 5% in North and South America, Europe, Asia, Africa and Australia. The common ages of occurrence happen between thirty and forty, and are scarcely found in patients younger than twenty; this has been known to affect all lifestyles.