Piriformis Syndrome?

[takajokomo]

I am also in total support of remaining open to other differential aetiologies. For example, I have attended to one case where piriformis shortening & irritation was secondary to excessive supination of the hindfoot. I have also heard of a few cases where weakened gluteals present a very important aetiology.

But I will not be quick to dismiss Ginger's postulation that L4 is important in Piriformis Synd; it sounds quite logical.

[Hallamshire Physiotherapy]

Hi
Lets be controversial: I think the 'piriformis' muscle is the not the seat of all musculoskeletal evil and should be set free. I see many people with 'piriformis' syndrome and have stopped rubbing it many years ago as it 1.does not work (in my experience) 2.only causes the patient further pain 3. Hurts my thumbs
Look for the cause and don't blame that little muscle. Ill start the "Piriformis is innocent campaign".

Steve
Hallamshire Physiotherapy