Treatment of an Individual With Piriformis Syndrome Focusing on Hip Muscle Strengthening and Movement Reeducation: A Case Report

The Effect of a Hip-Strengthening Program on Mechanics During Running and During a Single-Leg Squat

“…In fact, the contralateral pelvis actually became more elevated (0.8°-4.6°) following the intervention, hence the positive value. The reductions in peak motions of the hip during the single-leg squat were of similar magnitude to those in the cases reported by Mascal et al 23 and Tonley et al 41 during a step-down maneuver. While their interventions did involve strengthening, a large component of the program involved neuromuscular training specific to single-leg stance and stepdown maneuvers.…”

“…As a result, the authors acknowledged the potential influence of neuromuscular training on their results. 23,41 This may explain the improvement in mechanics seen in the single-leg squat of the current study, which also had a large component of single-leg stance activities. Neuromuscular training specific to the single-leg squat consisted of mirror and verbal feedback on technique.…”

“…Mascal et al 23 reported on a case study involving a female with anterior knee pain, who demonstrated excessive hip adduction, internal rotation, and contralateral pelvic drop during a step-down maneuver. Similarly, Tonley et al 41 described a case study involving a male with piriformis and posterior thigh pain, who also demonstrated abnormal step-down mechanics, similar to those described by Mascal et al 23 In both cases, these abnormal mechanics were significantly reduced following 16-week and 12-week strengthening programs, respectively. However, both programs also included neuromuscular training of proper mechanics during all single-leg stance and step-down exercises, and both authors acknowledged that this additional neuromuscular reeducation could have influenced the participants' movement patterns.…”

Shared Distal Insertion of the Gluteus Medius and Piriformis Muscles and Implications for Rehabilitation Exercises

“…One study found that strengthening the hip abductors, extensors, and external rotators, as well as movement re-education through physical therapy provided pain relief to the patient. 8 Another study focused on providing patients with pain radiating down the leg with a specific stretching program and these patients found great pain relief after four weeks of therapy. Although the likely cause of pain radiating down the leg could be from PM syndrome, these stretching exercises focused on stretching the OI muscle.…”

Effect of Reciprocal inhibition and Post Isometric relaxation; types of muscle energy technique in Piriformis syndrome ? A Comparative study

“…Piriformis syndrome (PS) is a neuromuscular condition characterized by hip and buttock pain and may result in referred pain in the lower back and thigh [1,2]. PS may occur due to any abnormality such as shortening, spasm, hypertrophy or inflammation of piriformis muscle or any anatomic variation of this muscle that results in compression of sciatic nerve [3].…”