Piriformis stretch

Counterstrain and facilitated positional release techniques are most useful. Each of the three tender points must be treated, if they are present, to be effective. Any dysfunction of sacral motion should also be corrected. A piriformis stretching exercise should be prescribed for use at home. 

Left piriformis syndrome was diagnosed and was treated with osteopathic manipulation. The sacral shear was treated with a muscle energy technique and the tender points were treated with counterstrain. She was given a piriformis stretch to perform at home three time daily. She experienced immediate improvement after the treatment. 

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