Referred Pain Pattern
Trigger points in the piriformis may be found along the lateral edge of the sacrum and in the middle of the muscle (GB 30). When the trigger points are active, pain may be referred around the lateral edge of the sacrum and through the gluteal area, as well as around the coccyx, greater trochanter, and inguinal areas. Pain may also be felt along the back of the thigh and the calf, following the distribution of the sciatic nerve.
Releasing trigger points in the piriformis may be helpful in relieving sciatic pain.
While pressing into the trigger point with your thumb, bring your client’s knee out to the side and position their leg so that they do not feel any pain in the trigger point. Once the best position is found, you can add compression by pressing your thigh into the knee, pressing toward the trigger point. Do not add the compression until you have found the best position. Hold for 30 - 90 seconds, or until you feel a release, then bring your client back to a neutral position while continuing to hold the trigger point, and ask your client how it feels.
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