{"id":27096,"date":"2026-10-07T14:18:46","date_gmt":"2026-10-07T14:18:46","guid":{"rendered":"https:\/\/coulinmedical.com\/?page_id=27096"},"modified":"2026-10-12T09:07:49","modified_gmt":"2026-10-12T09:07:49","slug":"syndrome-du-piriforme","status":"publish","type":"page","link":"https:\/\/coulinmedical.com\/en\/syndrome-du-piriforme\/","title":{"rendered":"Piriformis Syndrome"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"27096\" class=\"elementor elementor-27096\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14c72c0 e-grid e-con-boxed e-con e-parent\" data-id=\"14c72c0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dc6fc58 elementor-widget elementor-widget-heading\" data-id=\"dc6fc58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">SYNDROME DU PIRIFORME<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-404f408 elementor-nav-menu__align-center elementor-nav-menu--dropdown-none elementor-widget-mobile__width-inherit home-page-3-buttons elementor-fixed elementor-widget elementor-widget-nav-menu\" data-id=\"404f408\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;_position&quot;:&quot;fixed&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;svg aria-hidden=\\&quot;true\\&quot; 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Le syndrome du piriforme n\u00e9cessite d\u2019identifier pr\u00e9cis\u00e9ment l\u2019origine des sympt\u00f4mes avant de choisir un traitement.<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c33e344 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c33e344\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ffaa11 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"8ffaa11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le <strong>syndrome du piriforme<\/strong> correspond \u00e0 une irritation du nerf sciatique au niveau de la r\u00e9gion fessi\u00e8re profonde, \u00e0 proximit\u00e9 du muscle piriforme. Ce muscle s\u2019\u00e9tend du sacrum vers le haut du f\u00e9mur et participe notamment \u00e0 la rotation et \u00e0 la stabilit\u00e9 de la hanche.<\/p><p>La douleur peut appara\u00eetre apr\u00e8s une surcharge, une activit\u00e9 inhabituelle, une position prolong\u00e9e assise ou certains mouvements de la hanche. Elle peut rester localis\u00e9e dans la fesse ou s\u2019accompagner de douleurs, de fourmillements ou de sensations \u00e9lectriques descendant vers l\u2019arri\u00e8re de la cuisse. D\u2019autres causes, notamment une origine lombaire, doivent toutefois \u00eatre recherch\u00e9es.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-f44e654 e-grid e-con-full e-con e-parent\" data-id=\"f44e654\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7d4697f elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7d4697f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cda79dd e-con-full e-flex e-con e-child\" data-id=\"cda79dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6bad02e elementor-widget__width-initial elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"6bad02e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">COMPRENDRE L\u2019ARTHROSE DU GENOU<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d52101 e-grid e-con-full e-con e-parent\" data-id=\"4d52101\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-16465eb e-con-full e-flex e-con e-child\" data-id=\"16465eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-87edf16 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"87edf16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5ceea2 elementor-widget elementor-widget-image\" data-id=\"e5ceea2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-symptomes.webp\" class=\"attachment-full size-full wp-image-27123\" alt=\"Femme pr\u00e9sentant une douleur fessi\u00e8re du syndrome du piriforme en descendant les escaliers\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-symptomes.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-symptomes-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-symptomes-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-symptomes-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-symptomes-18x12.webp 18w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-abd889e e-con-full e-flex e-con e-child\" data-id=\"abd889e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c34a81 elementor-widget elementor-widget-heading\" data-id=\"6c34a81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">RECONNA\u00ceTRE LES SYMPT\u00d4MES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7229b9 elementor-widget elementor-widget-text-editor\" data-id=\"a7229b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le <strong>syndrome du piriforme<\/strong> provoque le plus souvent une douleur profonde dans la fesse. Les sympt\u00f4mes peuvent \u00eatre d\u00e9clench\u00e9s ou accentu\u00e9s par la position assise prolong\u00e9e, la marche, la course ou certains mouvements de rotation de la hanche.<\/p><p>\u00a0<\/p><ul><li><strong>Douleur profonde dans la fesse :<\/strong> la g\u00eane est souvent localis\u00e9e d\u2019un seul c\u00f4t\u00e9, au niveau de la r\u00e9gion fessi\u00e8re profonde.<\/li><li><strong>Douleur descendant dans la cuisse :<\/strong> une irritation du nerf sciatique peut provoquer une douleur vers l\u2019arri\u00e8re de la cuisse, parfois jusqu\u2019\u00e0 la jambe.<\/li><li><strong>Fourmillements ou sensations \u00e9lectriques :<\/strong> des paresth\u00e9sies peuvent appara\u00eetre, sans \u00eatre syst\u00e9matiquement pr\u00e9sentes.<\/li><li><strong>G\u00eane en position assise :<\/strong> rester assis longtemps, s\u2019asseoir sur une surface dure ou croiser les jambes peut augmenter les sympt\u00f4mes.<\/li><\/ul><p>\u00a0<\/p><p>Une faiblesse importante, une perte de sensibilit\u00e9 \u00e9tendue ou des troubles urinaires et digestifs doivent conduire \u00e0 consulter rapidement, car ces signes peuvent correspondre \u00e0 une autre cause n\u00e9cessitant une \u00e9valuation urgente.<\/p><p><a href=\"https:\/\/coulinmedical.com\/douleur-de-hanche-examen-diagnostic\/\">\u2192 Comprendre les examens utiles en cas de douleur de hanche<\/a><\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9dc57dd e-con-full e-flex e-con e-parent\" data-id=\"9dc57dd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-09fb0b9 e-con-full e-flex e-con e-child\" data-id=\"09fb0b9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e32d70f elementor-widget elementor-widget-heading\" data-id=\"e32d70f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">POURQUOI LE SYNDROME DU PIRIFORME APPARA\u00ceT-IL ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd07fd9 elementor-widget elementor-widget-text-editor\" data-id=\"cd07fd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le syndrome du piriforme peut appara\u00eetre lorsque la r\u00e9gion fessi\u00e8re profonde est soumise \u00e0 des contraintes r\u00e9p\u00e9t\u00e9es ou inhabituelles. Dans certains cas, plusieurs facteurs se combinent. Il est \u00e9galement possible que les sympt\u00f4mes attribu\u00e9s au piriforme aient une autre origine, notamment lombaire ou articulaire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ac7a92f e-con-full e-grid e-con e-child\" data-id=\"ac7a92f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-84ebc77 e-con-full e-flex e-con e-child\" data-id=\"84ebc77\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c3ca10 elementor-widget elementor-widget-heading\" data-id=\"2c3ca10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SURCHARGE OU REPRISE D\u2019ACTIVIT\u00c9<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ef4334 elementor-widget elementor-widget-text-editor\" data-id=\"7ef4334\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une augmentation rapide de la course, de la marche, du v\u00e9lo ou des exercices sollicitant la hanche peut surcharger le muscle piriforme et les structures voisines.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ed0fa5b e-con-full e-flex e-con e-child\" data-id=\"ed0fa5b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-691533d elementor-widget elementor-widget-heading\" data-id=\"691533d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">MOUVEMENTS R\u00c9P\u00c9T\u00c9S DE LA HANCHE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-453acde elementor-widget elementor-widget-text-editor\" data-id=\"453acde\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les rotations r\u00e9p\u00e9t\u00e9es, les changements de direction, les mont\u00e9es, les escaliers ou certaines positions sportives peuvent augmenter les contraintes dans la r\u00e9gion fessi\u00e8re profonde.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-adf8056 e-con-full e-flex e-con e-child\" data-id=\"adf8056\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62e25ca elementor-widget elementor-widget-heading\" data-id=\"62e25ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">POSITION ASSISE PROLONG\u00c9E<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-871b4cc elementor-widget elementor-widget-text-editor\" data-id=\"871b4cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une position assise maintenue longtemps, en particulier sur une surface dure ou avec les jambes crois\u00e9es, peut accentuer la pression et la g\u00eane autour du piriforme.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c2db9a e-con-full e-flex e-con e-child\" data-id=\"4c2db9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-56ad699 elementor-widget elementor-widget-heading\" data-id=\"56ad699\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">D\u00c9S\u00c9QUILIBRE MUSCULAIRE OU CONTR\u00d4LE DU BASSIN<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec455d6 elementor-widget elementor-widget-text-editor\" data-id=\"ec455d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une faiblesse des muscles fessiers, une mobilit\u00e9 limit\u00e9e de la hanche ou un contr\u00f4le insuffisant du bassin peuvent modifier la r\u00e9partition des contraintes lors de la marche et des activit\u00e9s physiques.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc41f80 elementor-widget elementor-widget-text-editor\" data-id=\"bc41f80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><a href=\"https:\/\/coulinmedical.com\/douleur-de-hanche-examen-diagnostic\/\">\u2192 Comprendre les principales causes des douleurs de hanche<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a5ec2b5 e-grid e-con-full e-con e-parent\" data-id=\"a5ec2b5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-92e6614 e-con-full e-flex e-con e-child\" data-id=\"92e6614\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77b77e8 elementor-widget elementor-widget-image\" data-id=\"77b77e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-diagnostic-hanche-1.webp\" class=\"attachment-full size-full wp-image-27445\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-diagnostic-hanche-1.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-diagnostic-hanche-1-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-diagnostic-hanche-1-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-diagnostic-hanche-1-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-diagnostic-hanche-1-18x12.webp 18w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae5bad5 e-con-full e-flex e-con e-child\" data-id=\"ae5bad5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-673ffd0 elementor-widget elementor-widget-heading\" data-id=\"673ffd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">POSER LE BON DIAGNOSTIC<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73de5f4 elementor-widget elementor-widget-text-editor\" data-id=\"73de5f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"1999\" data-end=\"2193\">Le diagnostic du syndrome du piriforme est principalement clinique. Il n\u2019existe pas toujours un examen unique permettant de confirmer cette cause. Le m\u00e9decin recherche les signes compatibles avec une irritation du nerf sciatique dans la r\u00e9gion fessi\u00e8re et \u00e9limine les causes plus fr\u00e9quentes, notamment celles provenant de la colonne lombaire ou de la hanche.<\/p><p data-start=\"1999\" data-end=\"2193\">\u00a0<\/p><p><strong>01 \u2014 L\u2019EXAMEN CLINIQUE<\/strong><br \/>La localisation de la douleur, les circonstances d\u2019apparition, la mobilit\u00e9 de la hanche, la force, la sensibilit\u00e9 et les r\u00e9flexes sont \u00e9valu\u00e9s. Certaines positions ou man\u0153uvres de la hanche peuvent reproduire la douleur.<\/p><p>\u00a0<\/p><p><strong>02 \u2014 L\u2019\u00c9VALUATION DE LA COLONNE ET DE LA HANCHE<\/strong><br \/>L\u2019examen permet de rechercher une origine lombaire, une atteinte de la hanche, une douleur sacro-iliaque ou une autre cause pouvant provoquer des sympt\u00f4mes proches. Cette \u00e9tape est essentielle avant de retenir le diagnostic de syndrome du piriforme.<\/p><p>\u00a0<\/p><p><strong>03 \u2014 L\u2019IMAGERIE OU LES EXAMENS COMPL\u00c9MENTAIRES<\/strong><br \/>Une radiographie, une IRM ou un autre examen peut \u00eatre propos\u00e9 selon les sympt\u00f4mes et les hypoth\u00e8ses diagnostiques. L\u2019imagerie sert surtout \u00e0 rechercher une autre cause ou une l\u00e9sion associ\u00e9e. Dans certaines situations, un examen sp\u00e9cialis\u00e9 du nerf ou une infiltration test peut \u00eatre discut\u00e9.<\/p><p>\u00a0<\/p><p><strong>Une image normale n\u2019exclut pas n\u00e9cessairement une douleur de la r\u00e9gion fessi\u00e8re profonde, et une anomalie visible doit toujours \u00eatre confront\u00e9e \u00e0 l\u2019examen clinique.<\/strong><\/p><p><a href=\"https:\/\/coulinmedical.com\/douleur-de-hanche-examen-diagnostic\/\">\u2192 Comprendre l\u2019\u00e9valuation d\u2019une douleur de hanche<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c33e9a e-grid e-con-full e-con e-parent\" data-id=\"4c33e9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4d22fe8 e-con-full e-flex e-con e-child\" data-id=\"4d22fe8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-212e688 elementor-widget elementor-widget-heading\" data-id=\"212e688\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SOULAGER LE SYNDROME DU PIRIFORME SANS CHIRURGIE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d163419 elementor-widget elementor-widget-text-editor\" data-id=\"d163419\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La prise en charge du <strong>syndrome du piriforme<\/strong> commence g\u00e9n\u00e9ralement par des mesures non chirurgicales. L\u2019objectif est de r\u00e9duire l\u2019irritation de la r\u00e9gion fessi\u00e8re profonde, de restaurer progressivement la mobilit\u00e9 et d\u2019am\u00e9liorer le contr\u00f4le de la hanche et du bassin.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1935cd9 elementor-widget elementor-widget-n-accordion\" data-id=\"1935cd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2640\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2640\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> ADAPTER LES POSITIONS ET LES ACTIVIT\u00c9S <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-52c8065 e-con-full e-flex e-con e-child\" data-id=\"52c8065\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-738d254 e-flex e-con-boxed e-con e-child\" data-id=\"738d254\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f92d1c9 elementor-widget elementor-widget-text-editor\" data-id=\"f92d1c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les positions qui augmentent nettement la douleur, comme rester assis longtemps, croiser les jambes ou r\u00e9p\u00e9ter certains mouvements de rotation, peuvent \u00eatre limit\u00e9es temporairement. L\u2019activit\u00e9 est ensuite reprise progressivement selon la tol\u00e9rance.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2641\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2641\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> PHYSIOTH\u00c9RAPIE ET CONTR\u00d4LE DU BASSIN <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2641\" class=\"elementor-element elementor-element-f0cc119 e-con-full e-flex e-con e-child\" data-id=\"f0cc119\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cad70bb elementor-widget elementor-widget-text-editor\" data-id=\"cad70bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La physioth\u00e9rapie peut associer mobilit\u00e9 douce de la hanche, travail du bassin, renforcement des muscles fessiers et exercices de contr\u00f4le du mouvement. Les \u00e9tirements du piriforme ne doivent pas \u00eatre forc\u00e9s s\u2019ils reproduisent les sympt\u00f4mes nerveux.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2642\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2642\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> TRAITEMENT DE LA DOULEUR <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2642\" class=\"elementor-element elementor-element-8840717 e-con-full e-flex e-con e-child\" data-id=\"8840717\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e1c5a9b elementor-widget elementor-widget-text-editor\" data-id=\"e1c5a9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un traitement antalgique ou anti-inflammatoire peut \u00eatre discut\u00e9 selon l\u2019\u00e9tat de sant\u00e9, les traitements habituels et les \u00e9ventuelles contre-indications. Une infiltration autour du piriforme ou dans la r\u00e9gion concern\u00e9e n\u2019est pas syst\u00e9matique et ne peut \u00eatre envisag\u00e9e qu\u2019apr\u00e8s une \u00e9valuation pr\u00e9cise.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2643\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2643\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> R\u00c9\u00c9VALUATION DU DIAGNOSTIC <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2643\" class=\"elementor-element elementor-element-97b7f30 e-flex e-con-boxed e-con e-child\" data-id=\"97b7f30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-97a9db2 elementor-widget elementor-widget-text-editor\" data-id=\"97a9db2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Si les sympt\u00f4mes persistent, s\u2019\u00e9tendent ou s\u2019accompagnent d\u2019une faiblesse, le diagnostic doit \u00eatre r\u00e9\u00e9valu\u00e9. Une douleur attribu\u00e9e au piriforme peut parfois provenir de la colonne lombaire, de la hanche ou d\u2019une autre structure nerveuse.<\/p><p><a href=\"https:\/\/coulinmedical.com\/douleur-a-laine-ou-a-la-hanche\/\">\u2192 En savoir plus sur la prise en charge des douleurs de hanche<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a98687 elementor-widget elementor-widget-text-editor\" data-id=\"9a98687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>La plupart des prises en charge reposent sur l\u2019adaptation des contraintes, la physioth\u00e9rapie et une progression individualis\u00e9e.<\/strong> Les exercices et les traitements doivent \u00eatre adapt\u00e9s \u00e0 la cause r\u00e9elle des sympt\u00f4mes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61f3849 e-con-full e-flex e-con e-child\" data-id=\"61f3849\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fee1bfd elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"fee1bfd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe86703 elementor-widget elementor-widget-image\" data-id=\"fe86703\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1672\" height=\"941\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-sans-chirurgie.webp\" class=\"attachment-full size-full wp-image-27125\" alt=\"Exercice de renforcement de la hanche pour soulager le syndrome du piriforme\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-sans-chirurgie.webp 1672w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-sans-chirurgie-400x225.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-sans-chirurgie-1300x732.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-sans-chirurgie-768x432.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-sans-chirurgie-1536x864.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-sans-chirurgie-18x10.webp 18w\" sizes=\"(max-width: 1672px) 100vw, 1672px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef058c7 e-con-full e-flex e-con e-parent\" data-id=\"ef058c7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-e19cff2 e-con-full e-flex e-con e-child\" data-id=\"e19cff2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51df04c elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"51df04c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">LA CHIRURGIE EST-ELLE N\u00c9CESSAIRE ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43729a9 elementor-widget elementor-widget-text-editor\" data-id=\"43729a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La chirurgie n\u2019est g\u00e9n\u00e9ralement pas n\u00e9cessaire pour un syndrome du piriforme. Elle ne doit \u00eatre envisag\u00e9e qu\u2019exceptionnellement, apr\u00e8s confirmation du diagnostic, lorsque les sympt\u00f4mes restent tr\u00e8s invalidants malgr\u00e9 une prise en charge non chirurgicale bien conduite et qu\u2019une cause anatomique pr\u00e9cise peut \u00eatre trait\u00e9e.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a6038b2 e-con-full e-grid e-con e-child\" data-id=\"a6038b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a1d46e6 e-con-full e-flex e-con e-child\" data-id=\"a1d46e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-88b9f45 elementor-widget elementor-widget-heading\" data-id=\"88b9f45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PRIVIL\u00c9GIER LE TRAITEMENT CONSERVATEUR<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56697c3 elementor-widget elementor-widget-text-editor\" data-id=\"56697c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Lorsque l\u2019examen ne montre pas de compression structurale importante, l\u2019adaptation des activit\u00e9s, la physioth\u00e9rapie et le renforcement progressif restent au centre de la prise en charge.<\/p><p><br><\/p><p><br><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a9f58d e-con-full e-flex e-con e-child\" data-id=\"6a9f58d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90afccf elementor-widget elementor-widget-heading\" data-id=\"90afccf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CONFIRMER L\u2019ORIGINE DES SYMPT\u00d4MES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-219134e elementor-widget elementor-widget-text-editor\" data-id=\"219134e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Avant toute intervention, il est essentiel de v\u00e9rifier que la douleur provient bien de la r\u00e9gion du piriforme et non de la colonne lombaire, de la hanche, du sacro-iliaque ou d\u2019une autre structure.<\/p><p>\u00a0<\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aec14a9 e-con-full e-flex e-con e-child\" data-id=\"aec14a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40306f2 elementor-widget elementor-widget-heading\" data-id=\"40306f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">ENVISAGER UNE INTERVENTION DANS DES CAS EXCEPTIONNELS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0b3f55 elementor-widget elementor-widget-text-editor\" data-id=\"c0b3f55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une intervention de d\u00e9compression peut \u00eatre discut\u00e9e dans des situations tr\u00e8s s\u00e9lectionn\u00e9es, lorsque la compression du nerf est document\u00e9e, que les sympt\u00f4mes sont persistants et invalidants et que les traitements adapt\u00e9s ont \u00e9chou\u00e9. La d\u00e9cision repose sur une \u00e9valuation sp\u00e9cialis\u00e9e et les b\u00e9n\u00e9fices doivent \u00eatre compar\u00e9s aux risques.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-06c9f14 e-grid e-con-full e-con e-parent\" data-id=\"06c9f14\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-01eb791 e-con-full e-flex e-con e-child\" data-id=\"01eb791\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0dfc96f elementor-widget elementor-widget-heading\" data-id=\"0dfc96f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CONTINUER \u00c0 BOUGER AVEC UN SYNDR\u00d4ME DU PIRIFORME<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571f7c0 elementor-widget elementor-widget-text-editor\" data-id=\"571f7c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La r\u00e9cup\u00e9ration d\u00e9pend de la cause des sympt\u00f4mes, de leur anciennet\u00e9 et de la sensibilit\u00e9 du nerf. Elle repose g\u00e9n\u00e9ralement sur une progression r\u00e9guli\u00e8re, sans forcer dans les mouvements qui d\u00e9clenchent une douleur irradi\u00e9e ou des fourmillements.<\/p><p>\u00a0<\/p><p><strong>01 &#8211; MODIFIER LES POSITIONS IRRITANTES<\/strong><br \/>Les p\u00e9riodes assises prolong\u00e9es sont interrompues r\u00e9guli\u00e8rement. La position de travail, la hauteur du si\u00e8ge et les habitudes quotidiennes peuvent \u00eatre adapt\u00e9es.<\/p><p><strong>02 &#8211; PR\u00c9SERVER LA MOBILIT\u00c9 DE LA HANCHE<\/strong><br \/>Les mouvements doux sont entretenus sans aller dans les amplitudes qui reproduisent nettement la douleur fessi\u00e8re ou les sympt\u00f4mes nerveux.<\/p><p><strong>03 &#8211; RENFORCER LES MUSCLES FESSIERS<\/strong><br \/>Le renforcement d\u00e9bute avec des exercices simples, puis progresse vers des mouvements sollicitant le bassin, la hanche et le tronc.<\/p><p><strong>04 &#8211; REPRENDRE LA MARCHE ET LES ACTIVIT\u00c9S QUOTIDIENNES<\/strong><br \/>La marche, les escaliers et les activit\u00e9s habituelles sont r\u00e9introduits progressivement selon la tol\u00e9rance et l\u2019\u00e9volution des sympt\u00f4mes.<\/p><p><strong>05 &#8211; REPRENDRE LE SPORT<\/strong><br \/>La course, le v\u00e9lo, les rotations et les changements de direction sont repris par \u00e9tapes lorsque la force, la mobilit\u00e9 et le contr\u00f4le du bassin sont suffisamment retrouv\u00e9s.<\/p><p>\u00a0<\/p><p><strong>La reprise d\u00e9pend de l\u2019\u00e9volution des sympt\u00f4mes et de la qualit\u00e9 du mouvement, pas d\u2019un calendrier identique pour tous.<\/strong><\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c029554 e-con-full e-flex e-con e-child\" data-id=\"c029554\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16cfa8d elementor-widget elementor-widget-image\" data-id=\"16cfa8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-reeducation-hanche.webp\" class=\"attachment-full size-full wp-image-27447\" alt=\"Exercice d\u2019\u00e9tirement de la hanche pour soulager un syndrome du piriforme\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-reeducation-hanche.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-reeducation-hanche-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-reeducation-hanche-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-reeducation-hanche-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-reeducation-hanche-18x12.webp 18w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2fb3283 e-grid e-con-full e-con e-parent\" data-id=\"2fb3283\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-678d954 e-con-full e-flex e-con e-child\" data-id=\"678d954\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6353df8 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6353df8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-455454e elementor-widget elementor-widget-image\" data-id=\"455454e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge.webp\" class=\"attachment-full size-full wp-image-27450\" alt=\"Homme d\u00e9crivant une douleur de hanche et de la r\u00e9gion fessi\u00e8re li\u00e9e au syndrome du piriforme\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/syndrome-du-piriforme-prise-en-charge-18x12.webp 18w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-41bca07 e-con-full e-flex e-con e-child\" data-id=\"41bca07\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-717554e elementor-widget elementor-widget-heading\" data-id=\"717554e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">UNE PRISE EN CHARGE ADAPT\u00c9E \u00c0 CHAQUE PATIENT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71175e9 elementor-widget elementor-widget-text-editor\" data-id=\"71175e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une douleur dans la fesse ou une douleur qui descend dans la jambe peut avoir plusieurs origines. La consultation permet de mettre en relation la localisation des sympt\u00f4mes, les positions qui les d\u00e9clenchent, l\u2019examen neurologique, la mobilit\u00e9 de la hanche et, si n\u00e9cessaire, les r\u00e9sultats de l\u2019imagerie.<\/p><p>\u00a0<\/p><p>La prise en charge peut associer une adaptation des positions, une physioth\u00e9rapie, un renforcement progressif des muscles fessiers et un traitement de la douleur. Le programme \u00e9volue selon la sensibilit\u00e9 du nerf, la force, la mobilit\u00e9 et les objectifs du patient.<\/p><p>\u00a0<\/p><p>Si les sympt\u00f4mes persistent, s\u2019aggravent ou s\u2019accompagnent d\u2019une faiblesse, le diagnostic doit \u00eatre r\u00e9\u00e9valu\u00e9. Une infiltration cibl\u00e9e ou une intervention ne sont discut\u00e9es que dans des situations s\u00e9lectionn\u00e9es, apr\u00e8s avoir confirm\u00e9 l\u2019origine des sympt\u00f4mes.<\/p><blockquote><p style=\"text-align: center;\">\u00ab Comprendre l\u2019origine d\u2019une douleur fessi\u00e8re permet de choisir une prise en charge progressive, adapt\u00e9e et r\u00e9ellement cibl\u00e9e. \u00bb<\/p><\/blockquote>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ec73bd e-flex e-con-boxed e-con e-parent\" data-id=\"0ec73bd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cb4d2e8 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"cb4d2e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2593bd elementor-widget elementor-widget-heading\" data-id=\"d2593bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUESTIONS FR\u00c9QUENTES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-426434e elementor-widget elementor-widget-html\" data-id=\"426434e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n#faq-arthrose {\n  --coulin-green: #A8B5A8;\n  --coulin-green-light: rgba(168, 181, 168, 0.45);\n  --coulin-orange: #E58A2B;\n  --coulin-black: #111111;\n\n  position: relative;\n  max-width: 90%;\n  margin: 0 auto;\n  display: flex;\n  align-items: flex-start;\n}\n\n#faq-arthrose .faq-col {\n  flex: 1;\n  display: flex;\n  flex-direction: column;\n  border: 1px solid var(--coulin-green);\n  font-family: \"Arboria\", sans-serif;\n}\n\n#faq-arthrose .faq-col:first-child {\n  border-radius: 12px 0 0 12px;\n  border-right: none;\n  margin-right: 1px;\n}\n\n#faq-arthrose .faq-col:last-child {\n  border-radius: 0 12px 12px 0;\n  border-left: none;\n  margin-left: 1px;\n}\n\n#faq-arthrose::after {\n  content: \"\";\n  position: absolute;\n  left: calc(50% - 0.5px);\n  top: 0;\n  bottom: 0;\n  width: 1px;\n  background: var(--coulin-green);\n  pointer-events: none;\n}\n\n#faq-arthrose .faq-item {\n  border-bottom: 1px solid var(--coulin-green-light);\n  color: var(--coulin-black);\n}\n\n#faq-arthrose .faq-col .faq-item:last-child {\n  border-bottom: none;\n}\n\n#faq-arthrose .faq-header {\n  display: flex;\n  align-items: center;\n  justify-content: space-between;\n  width: 100%;\n  min-height: 90px;\n  padding: 26px 22px;\n  gap: 14px;\n  border: none;\n  background: transparent;\n  color: var(--coulin-black);\n  text-align: left;\n  cursor: pointer;\n  transition: color 0.2s ease;\n}\n\n#faq-arthrose .faq-header:hover,\n#faq-arthrose .faq-item.open .faq-header {\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-header:hover .faq-btn,\n#faq-arthrose .faq-item.open .faq-btn {\n  border-color: var(--coulin-orange);\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-q {\n  font-family: \"Arboria\", sans-serif;\n  font-size: 13px;\n  font-weight: 400;\n  line-height: 1.45;\n  letter-spacing: 0.04em;\n  text-transform: uppercase;\n}\n\n#faq-arthrose .faq-btn {\n  flex-shrink: 0;\n  width: 30px;\n  height: 30px;\n  border: 1px solid var(--coulin-green);\n  border-radius: 50%;\n  display: flex;\n  align-items: center;\n  justify-content: center;\n  color: var(--coulin-orange);\n  font-size: 20px;\n  font-weight: 300;\n  line-height: 1;\n  background: transparent;\n  transition:\n    border-color 0.2s ease,\n    color 0.2s ease,\n    transform 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-btn {\n  transform: rotate(45deg);\n}\n\n#faq-arthrose .faq-body {\n  max-height: 0;\n  overflow: hidden;\n  padding: 0 22px;\n  color: var(--coulin-black);\n  font-family: \"Arboria\", sans-serif;\n  font-size: 14px;\n  font-weight: 300;\n  line-height: 1.7;\n  transition:\n    max-height 0.35s ease,\n    padding 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-body {\n  max-height: 600px;\n  padding: 0 22px 22px;\n}\n\n@media (max-width: 640px) {\n  #faq-arthrose {\n    max-width: 100%;\n    flex-direction: column;\n  }\n\n  #faq-arthrose::after {\n    display: none;\n  }\n\n  #faq-arthrose .faq-col {\n    width: 100%;\n  }\n\n  #faq-arthrose .faq-col:first-child {\n    margin-right: 0;\n    border-right: 1px solid var(--coulin-green);\n    border-bottom: none;\n    border-radius: 12px 12px 0 0;\n  }\n\n  #faq-arthrose .faq-col:last-child {\n    margin-left: 0;\n    border-top: 1px solid var(--coulin-green);\n    border-left: 1px solid var(--coulin-green);\n    border-radius: 0 0 12px 12px;\n  }\n\n  #faq-arthrose .faq-header {\n    min-height: auto;\n    padding: 22px 18px;\n  }\n\n  #faq-arthrose .faq-q {\n    font-size: 12px;\n  }\n\n  #faq-arthrose .faq-body {\n    padding: 0 18px;\n    font-size: 15px;\n  }\n\n  #faq-arthrose .faq-item.open .faq-body {\n    padding: 0 18px 20px;\n  }\n}\n<\/style>\n\n<div class=\"faq-outer\" id=\"faq-arthrose\">\n\n  <!-- Colonne gauche -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">\n          Qu\u2019est-ce que le syndrome du piriforme ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Le syndrome du piriforme correspond \u00e0 une irritation du nerf sciatique\n        dans la r\u00e9gion fessi\u00e8re profonde, \u00e0 proximit\u00e9 du muscle piriforme.\n        Cette douleur peut ressembler \u00e0 une sciatique, mais elle ne provient\n        pas n\u00e9cessairement de la colonne lombaire.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">\n          Quels sont les sympt\u00f4mes du syndrome du piriforme ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Les sympt\u00f4mes comprennent le plus souvent une douleur profonde dans\n        une fesse, parfois accompagn\u00e9e d\u2019une g\u00eane vers l\u2019arri\u00e8re de la cuisse,\n        de fourmillements ou de sensations \u00e9lectriques dans la jambe.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">\n          Pourquoi la douleur augmente-t-elle en <br>position assise ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        La position assise prolong\u00e9e peut augmenter les contraintes exerc\u00e9es\n        sur la r\u00e9gion fessi\u00e8re profonde et accentuer l\u2019irritation du nerf\n        sciatique \u00e0 proximit\u00e9 du muscle piriforme.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">\n          Le syndrome du piriforme est-il une sciatique ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Le syndrome du piriforme peut provoquer des sympt\u00f4mes proches de ceux\n        d\u2019une sciatique, mais les causes sont diff\u00e9rentes. Une sciatique est\n        souvent li\u00e9e \u00e0 une irritation d\u2019un nerf au niveau de la colonne\n        lombaire, tandis que le syndrome du piriforme concerne la r\u00e9gion\n        fessi\u00e8re profonde.\n      <\/div>\n    <\/div>\n\n  <\/div>\n\n  <!-- Colonne droite -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">\n          Comment le diagnostic est-il pos\u00e9 ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Le diagnostic repose principalement sur les sympt\u00f4mes et l\u2019examen\n        clinique. Le m\u00e9decin \u00e9value la hanche, le bassin, la colonne lombaire,\n        la force, la sensibilit\u00e9 et les r\u00e9flexes. Des examens compl\u00e9mentaires\n        peuvent \u00eatre propos\u00e9s pour rechercher une autre cause.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">\n          Peut-on soulager le syndrome du piriforme<br> sans chirurgie ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Oui. La prise en charge repose g\u00e9n\u00e9ralement sur l\u2019adaptation des\n        positions et des activit\u00e9s, la physioth\u00e9rapie, la mobilit\u00e9 douce et\n        le renforcement progressif des muscles fessiers et du bassin.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">\n          Peut-on faire une infiltration ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Une infiltration cibl\u00e9e peut parfois \u00eatre discut\u00e9e lorsque les\n        sympt\u00f4mes persistent malgr\u00e9 une prise en charge adapt\u00e9e. Elle n\u2019est\n        toutefois pas syst\u00e9matique et doit \u00eatre propos\u00e9e apr\u00e8s avoir pr\u00e9cis\u00e9\n        l\u2019origine de la douleur.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">\n          La chirurgie est-elle parfois n\u00e9cessaire ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        La chirurgie est exceptionnelle. Elle peut \u00eatre discut\u00e9e uniquement\n        lorsque la compression du nerf est confirm\u00e9e, que les sympt\u00f4mes sont\n        tr\u00e8s invalidants malgr\u00e9 un traitement adapt\u00e9 et qu\u2019une cause pr\u00e9cise\n        peut \u00eatre trait\u00e9e.\n      <\/div>\n    <\/div>\n\n  <\/div>\n<\/div>\n\n<script>\n(function () {\n  const faq = document.getElementById(\"faq-arthrose\");\n\n  if (!faq) return;\n\n  const items = faq.querySelectorAll(\".faq-item\");\n\n  items.forEach(function (item) {\n    const header = item.querySelector(\".faq-header\");\n\n    header.addEventListener(\"click\", function () {\n      const isOpen = item.classList.contains(\"open\");\n\n      items.forEach(function (otherItem) {\n        otherItem.classList.remove(\"open\");\n\n        const otherHeader = otherItem.querySelector(\".faq-header\");\n\n        if (otherHeader) {\n          otherHeader.setAttribute(\"aria-expanded\", \"false\");\n        }\n      });\n\n      if (!isOpen) {\n        item.classList.add(\"open\");\n        header.setAttribute(\"aria-expanded\", \"true\");\n      }\n    });\n  });\n})();\n<\/script>\n\n<style>\n@media (max-width: 640px) {\n  #faq-arthrose .faq-header {\n    justify-content: flex-start;\n  }\n\n  #faq-arthrose .faq-q {\n    display: block;\n    flex: 1 1 auto;\n    min-width: 0;\n    white-space: normal !important;\n    overflow-wrap: anywhere;\n  }\n\n  #faq-arthrose .faq-btn {\n    position: static;\n    flex: 0 0 26px;\n  }\n\n  #faq-arthrose .faq-q br {\n    display: none;\n  }\n}\n\n#faq-arthrose .faq-btn {\n  box-sizing: border-box;\n  width: 30px;\n  min-width: 30px;\n  height: 30px;\n  min-height: 30px;\n  padding: 0;\n  aspect-ratio: 1 \/ 1;\n  flex: 0 0 30px;\n  border-radius: 50%;\n  line-height: 1;\n}\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-20cca87 e-flex e-con-boxed e-con e-parent\" data-id=\"20cca87\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-655f077 elementor-widget elementor-widget-heading\" data-id=\"655f077\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">VOUS SOUHAITEZ MIEUX COMPRENDRE VOS DOULEURS ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f5c73e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9f5c73e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un examen clinique associ\u00e9 \u00e0 une imagerie adapt\u00e9e permet de pr\u00e9ciser l\u2019origine des sympt\u00f4mes et d\u2019identifier les traitements les plus appropri\u00e9s.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5faaad elementor-align-justify elementor-mobile-align-justify elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-button\" data-id=\"c5faaad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/coulinmedical.com\/prendre-rendez-vous\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PRENDRE RDV<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>SYNDROME DU PIRIFORME Une douleur profonde dans la fesse, parfois associ\u00e9e \u00e0 des fourmillements dans la jambe, ne signifie pas n\u00e9cessairement qu\u2019un nerf est comprim\u00e9 par la colonne vert\u00e9brale. Le syndrome du piriforme n\u00e9cessite d\u2019identifier pr\u00e9cis\u00e9ment l\u2019origine des sympt\u00f4mes avant de choisir un traitement. Le syndrome du piriforme correspond \u00e0 une irritation du nerf sciatique [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-27096","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/27096","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=27096"}],"version-history":[{"count":15,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/27096\/revisions"}],"predecessor-version":[{"id":27469,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/27096\/revisions\/27469"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=27096"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}