Piriformis syndrome (PS) is not that uncommon in our daily clinical practice as we think. Its prevalence varies depending on the socioeconomic conditions, geography, occupations, age, sex, and associated comorbidity. It has a reported prevalence of as low as 0.3% to as high as 36% among all cases of lumbago sciatica. So, I think the first problem regarding PS diagnosis lies with the physicians thinking because they consider it very rare. Secondly, some features of PS are alike to lumbago sciatica (PLID), in acute cases, it is so difficult for treating physicians to differentiate between PS and PLID, so physicians find them in maze to get a precise diagnosis, and a situation like this they always favor the second one as it is more prevalent. Thirdly, PS features are inconsistent and fluctuating, sometimes they may cause severe problem for the patients, sometimes they are less troubling, hence remain underdiagnosed. In fine, we know less regarding various aspects of PS, such as factors causing PS, factors triggering PS symptoms, whether its presentations differ in seasons, whether professional activities triggers its, etc.; though some studies describe them, they were not consistent across the studies, rather vary, hence further exploration is well suggested.

What do you think? I think you have a different point of view.

Thank you for reading.