Piriformis Stretch Variation

Piriformis Stretch Variation

The piriformis is a deep hip muscle under all the gluteโ€™s. Piriformis syndrome is a non-discogenic cause of โ€œsciaticaโ€ from compression of the sciatic nerve through around the piriformis muscle. (1) .Sciatic nerve passes under the piriformis- 84% Portion of the Sciatic nerve passes through the Piriformis-15% of the time Entire Nerve passes through the piriformis-1% of the time (2) . There are many ways to stretch this muscle as shown here- laying down, sitting, and standing. In hip flexion this muscle actually becomes an internal rotator- therefore in hip flexion you want to externally rotate the hip to maximize a stretch of the Piriformis. The ๏ฟฝ to maximize this stretch include: โœ…Flex your hip โœ…Externally rotate your hip โœ…Adduct your hipNote: Some may add a bit of a posterior glide of the femur to FURTHER stretch the piriformis muscle. . But does the piriformis always need stretching?? ๏ฟฝA study in 2010 by Tonley et al suggested that the pathomechanics of piriformis syndrome is actually an OVERSTRETCHING as opposed to an OVERSHORTENING of the piriformis. Therefore Movement analysis of a single leg step down will be beneficial in determining if stretching or strengthening of this area is better warranted. (3) . Thanks @barbellapparel for the comfortable ๏ฟฝ !!! .Citation: 1.By: Cass SP. โ€œPiriformis Syndrome.โ€ 2015. 2.Variation of the piriformis and Sciativ nerve w/ clinical consequence. 2010. 3.By: Tonley et al. โ€œTreatment of an indicidual with priformis syndrome focusing on hip muscle strengthening and movement reeducationโ€ 2010.
Exercise Library