Piriformis Syndrome:
Physical Exam Findings and Key Symptoms
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Piriformis Syndrome:
Physical Exam Findings and Key Symptoms |
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| Critical physical exam manouver for muscle based piriformis syndrome: The patient's foot is placed lateral to the contralateral knee. Resisted abduction or adduction against the examiner's hand may reproduce the symptoms. Straight leg raising is typically negative. There is often relief obtained by traction on the involved leg, particularly by pulling upwards at a ten to twenty degree angle and towards the contralateral side by a similar amount. The distribution of symptoms typically involves both L5 (big toe) and S1 (small toe) components because this a pan-sciatic syndrome. The symptoms often progress no further than the ankle in distinction to sciatica from a lumbar disk which typically radiates into the toes. | |||||||||||||||||||
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