HIP Conditions/Treatment Piriformis Syndrome

Question 1

Where, how is the performs pain felt?

Answer 1

Pain in buttock, radiation to hip, coccyx, down the back of the thigh (sciatica)

Question 2

Piriformis involvement - restrictions:

Answer 2

Restricted hip abduction, restricted internal rotation due to pain

Question 3

If sciatic nerve is impinged, what tests show up positive?

Answer 3

positive straight leg raise, with internal rotation of the hip (bend leg and move lower leg to side)

Question 4

‘pins & needles’ in calf or foot can be present if

Answer 4

sciatic nerve is impinged

Question 5

Must differentiate between nerve impingement and myofascial pain how?

Answer 5

Nerve: pins & needles
MYOfascial: dull, achy, sore

Question 6

Piriformis syndrome is described as a compression of the

Answer 6

sciatic nerve by the piriformis

Question 7

When does the performs syndrome present mostly?

Answer 7

hip flexion, medial hip rotation => stretch of the piriformis => causes stretch of sciatic nerve & pain

Question 8

TCM Diagnosis

Answer 8

Q/B stag in GB channel

Question 9

What Ah Shi points are chosen?

Answer 9

several in belly of muscle

Question 10

local points chosen

Answer 10

GB30

Question 11

Distal Treatment for Piriformis syndrome

Answer 11

GB34, BL84, BL62

Question 12

Where would you do Tui Na?

Answer 12

deeply bw sacrum & greater trochanter

Question 13

How to massage:

Answer 13

use hip internal & external rotation with massage

Question 14

How do you find 1st Trp on performs?

Answer 14

Divide sacrum in half, @ midpoint find edge of sacrum, TRP 1 cun lateral

Question 15

Special Testing

Answer 15

RROM, HIP Lateral Rotation and Abduction