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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).
Piriformis syndrome occurs when the Sciatic nerve is compressed or pinched by the Piriformis muscle. Indications include sciatica (radiating pain in the buttock, posterior thigh and lower leg) and the physical exam finding of tenderness in the area of the sciatic notch.ince the sciatic nerve is so close to the piriformis it is acknowledged that the muscle plays a role in irritating the nerve. The sciatic nerve originates from the L4- S2 nerve roots and goes to the front of the sacrum, passing under the piriformis muscle.