Comments on: Piriformis Syndrome – Sciatica

By: nh

nh — Thu, 22 Sep 2011 08:41:54 +0000

If the muscle is already in spasm, the first action is to immediately stop the exercise or activity that brings on the spasm. Gentle stretches can then be erformed to reduce the spasm.
Spasm means the muscle is in involuntary contraction and any further mobilisation of the nerve might irritate the nerve further and cause the spasm to worsen.
Also, the term ‘anti-spasm’ exercises needs to be defined; In this instance, I would define ‘anti-spasm’ exercise as gentle stretches as it has been shown to reduce the spasm.
Hope that helps.

By: Teresa

Teresa — Mon, 19 Sep 2011 19:50:00 +0000

If the piriformis muscle is in a spasm stretching would make it worse would it not be better to perform some anti spasm exercises and nerve work before stretching?

By: List of Sports Related Injuries « Back2Sports by Core Concepts

List of Sports Related Injuries « Back2Sports by Core Concepts — Tue, 11 May 2010 01:06:39 +0000

[...] Piriformis Syndrome [...]

By: Dr. Ratcliffe DC DACRB

Dr. Ratcliffe DC DACRB — Tue, 13 Jan 2009 03:48:39 +0000

Great and informative article. I find you can be more certain about the diagnosis if when you raise the leg (Laseague’s) you also adduct and internally rotate the femur. This causes the nerve to be compromised at the piriformis and ischial tuberocity interface.