How is the pain of piriformis syndrome reproduced during the physical exam?

Updated: Dec 21, 2018
  • Author: Shishir Shah, DO; Chief Editor: Sherwin SW Ho, MD  more...
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Beatty reproduced the pain of piriformis syndrome in the following way [3] :

  • The patient lies with the painful side up and the involved leg flexed.

  • The knee of the affected side rests on the table. Pain in the buttocks is reproduced when the patient lifts the leg and knee slightly above the table.

Other authors conclude that pain can be reproduced in the lateral pelvic wall by means of rectal or pelvic examination.

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