Piriformis Test | Piriformis Syndrome or Tightness

This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Kai demonstrates how to test for Piriformis Tightness and associated Piriformis Syndrome

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[granitfog]

The tests above for piriformis syndrome can give a false negative. The reason is that flexing the hip (leg forward) causes the apex of greater trochater to rotate posteriorly. The apex of the greater trochanter is the location of the insertion of the piriformis muscle. Thus, flexing the hip relaxes the muscle which prevents the pain associated with tensioning it by internaly rotating the femur. A better test is to rotate the femur internally while the leg is in neutral position or slight extension. This slight extension rotates the apex of the greater trochang;er anteriorly, so puts slight tension on the piriformis muscle. This alone may cause pain, but if not internal ration of the fenur will.

A cause of piriformis syndrome not mentioned in most sources is weakness of the gluteus medius - GM. This weakness stresses the piriformis muscle - PM (resulting in its inflammation and sciatic pain) is because the piriformis is a posteriorward extension of the GM. If the GM cannot pulldown effectively on the pelvis to stabilize and balance the pelvis, the next muscle to do so is the PM. But the PM is not located at an effectice angle or location to do this well, resulting in its injury, inflammation and sciatic pain. The point here is, if all normal measures fail to improve the symptoms, consider exercises to strengthen the gluteus medius.

[enockapraku]

I am a physiotherapy student & this videos are actually helping a lot

[MacaroniUnicorn]

You guys are helping me through PTA school!! thanks for the clear concise videos!!!

[v.m.p.]

I like the conciseness of your videos. I am studying Sports Massage for the higher level and apparently we would need to do these tests for our assessment. Your videos are short, precise and not too much technical jargon. Thank you.

[rdiksh]

hey!
I'm a physiotherapy student
I get great help to learn from your videos on assessment...they are truly awesome!!!
can you please make some video on management of musculoskeletal conditions
thanks!

[MikiJohnson]

I love these videos! Short, sweet and straight to the point. Very helpful.

[stephenpramela]

Thank you for your videos, its short and informative

[loitering]

Hi. What are the sensitivity and specificity results of this test? Thanks

[violinaborah]

Thank you so much, your videos helps a lot ❤️

[motherofseven]

I had this the whole time I just didn't know the name of it. This is so painful to me when I have it and when the pain comes I get paralyzed where I can't move for a few hrs and it's hard for me to breath. Do anyone have any tips for me because I been up since 3am? When I put ice and heating pad it trigger it even more and it gets worse. Thank you.

[martyncleveland]

Just a quick thought, could you not get the patient in a supine position with the knees flexed to 90 degrees and patient performs internal rotation of the hip to look at piriformis? I suppose then you can compare both sides depending on the position of the legs?

[spreadingpositiveness]

Pls make Vedio about shoulder joint complete assessment sir Pls...

[Physio-KB]

thanks sir i am satisfied with your explanation..

[raycocabarga]

This test is also called Fair test, isn´t it? Great job and great channel btw!

[karineylana]

Alguém faça a tradução para o idioma português brasileiro, please!

[issamhina]

i am physiotherapy student can u show us a video of common brachial plexuses nerve .they are test

[tommyharris]

What are the sensitivity and specificity values of the test?

[avinhovec]

Can this test done by patient him/her self? Thanks

[orkanmintemur]

Is it possible to get rid of it for ever, i am 18 years old i have this Problem Sinne 17

[DIVINE]

If this test comes out positive can I opt out a herniated disc as the cause of the pain? In my case, a CT scan showed clearly a herniated disc a few years ago, the symptoms were stronger back than..