Beyond Piriformis Syndrome: A Modern Approach to Deep Gluteal Syndrome (DGS)

For decades, "Piriformis Syndrome" was the go-to diagnosis for non-disc-related sciatic pain. However, as our understanding of biomechanics has evolved, so has our terminology. At Co'Recare Physio, we utilize the most current clinical frameworks to ensure our patients in Dubai receive the most accurate care.

Recent clinical consensus has replaced the narrow focus on the piriformis muscle with the broader term Deep Gluteal Syndrome (DGS).

• Evidence: According to recent literature (e.g., Martin et al., 2015), DGS is defined as the entrapment of the sciatic nerve in the Deep Gluteal Space.

• Why it Matters: This space contains not only the piriformis but also the gemelli-obturator internus complex, the sacrotuberous ligament, and various vascular bands. All of these can be potential sites of entrapment.

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When the sciatic nerve is sensitized, aggressive stretching can lead to "nerve tensioning," which often exacerbates the inflammation. Research suggests that neural mobilization and functional space decompression are superior to isolated muscular stretching for long-term relief.

[The Co'Recare "Space Reset"] Our Korean Precision Reset focuses on the 23-Hour Rule. We don't just "rub the muscle." We analyze:

1. Structural Entrapment: Identifying the exact layer of compression.

2. Pelvic Biomechanics: Fixing the "why" behind the space narrowing.

3. Neural Gliding: Restoring the smooth movement of the nerve.

Stop treating a 21st-century problem with 20th-century terminology. Experience the precision of modern physiotherapy.