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Fig. 3. Dynamic piriformis stretch. To stretch the left piriformis, get on all fours with your weight supported by the left knee. At first, the right leg is held in a horizontal position. By using the left piriformis muscle, raise and lower the right hip up and down (arrows).
The piriformis is a muscle that lies deep within the buttocks, covered by the gluteal muscles. It originates on the front surface of the sacrum, passes through the greater sciatic foramen, and inserts into the greater trochanter of the femur (see figure 1).hile athletes are usually symptomatic in only one leg, the pain-free leg should be treated as well. In the New York study, investigators determined the most common causes of piriformis syndrome are overuse (43% of 876 patients) and trauma (18% of 892 patients).