Piriformis Syndrome (PS) is familiar to most physiotherapists and other professions that deal with muscle dysfunction and pain. It is described as tightness in the piriformis muscle (PM) causing pain in the buttock, which may also contribute to sciatica, especially if the sciatic nerve traverses through the muscle, as it does in a percentage of the population. My purpose in writing this article is not to review PS, but rather to go beyond it in describing a test and treatment that should be performed after the typical treatment for PS. A case study will demonstrate the relationship between PS and upper cervical motion loss. For a thorough clinically oriented work on piriformis syndrome please see Mohanty.
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