Condition
Piriformis Syndrome
«Core answer summary» slot — content in preparation.
Understanding the condition
«Understanding the condition (definition, symptoms, epidemiology, stages, absolute surgical indications)» slot — content in preparation.
The SART view: why this happens
«The SART view (the underlying cause behind the presentation)» slot — content in preparation.
Surgery and SART: complementary, not competing
«How surgery and SART complement each other» slot — content in preparation.
Research evidence
These are the evidence candidates assigned to this topic. The citations to be used are finalised by the author when the page is published.
- EV-016★★L4 · Cadaveric / biomechanical model / basic experimentfoundational
The pelvis is stabilised by form closure and force closure, and becomes unstable when these fail
The sacroiliac joint is stable only when bony form (form closure) and muscular and ligamentous tension (force closure) engage together. When that closure fails, pelvic instability and pain follow.
Vleeming A (1999) · The Pelvic Girdle (1999, 2012)
- EV-025★L5 · Expert opinion / classical theory / mechanistic hypothesisfoundational
Nerves, like joints, must glide and tension in order to function normally
Nerve sliding and tensioning were systematised for clinical use. Where neural mobility is reduced, entrapment and symptoms follow.
Shacklock M (2005) · Clinical Neurodynamics
- EV-045★L5 · Expert opinion / classical theory / mechanistic hypothesisfoundational
Placing a segment in a position of ease switches off muscle spindle hyper-excitability and tension releases
An indirect technique that places the tender point in its most comfortable position to reset abnormal muscle spindle signalling.
Jones LH (1981) · Strain-Counterstrain