Piriformis Syndrome?

[ginger]

In many cases effective treatment ( by mobilising L4 unillateraly till protective paravertebral tone is normalised ) at the lumbar spine will eliminate the so called piriformis syndrome without attention to lateral thigh structures at all. In the light of these changes it can be said that many times the symptoms felt at the lateral thigh ( including the oft misunderstood ITB ) were entirely referred , rather than the result of some misbehaviour of the pirifrmis muscle.

[physiofixme]

I agree with Ginger. Review your anatomy on somatic referred and radicular referred pain patterns and you will see how L4 could be part of the cause of pain if not the sole cause of pain!!

[thabiso]

Thanks.
I see the sense in it and agree,but the mind should also be open to the other possibility always. I have managed a few cases which responded to targeted treatment to piriformis (trigger point treatment, ultrasound and stretches).

[physiofixme]

Absolutely and I guess this is where sound clinical reasoning can distinguish one from the other!!!!