Imaging techniquesĪ 2020 study found that ultrasound could potentially be an alternative method of diagnosis for piriformis syndrome. They’ll then ask you if you feel pain in your deep gluteal region. The tester will take your femur and roll it inwardly. You’ll lie on your back with your legs straight. The tester will put their hands on the outer side of your lower legs, and you’ll be told to push into their hands. You’ll sit with a 90-degree angle at your hips and knees. You’ll be told to raise your top thigh to see if the movement causes pain in your buttocks. You’ll lie on your side with your affected leg on top and your knees bent. The tester will stabilize your hip with one hand and bring your knee toward your chest while moving it toward the midline of your body.Īt the same time, they’ll rotate your lower leg away from the midline of your body to put your piriformis muscle under tension. FAIR testįAIR is an acronym that stands for flexion, adduction, and internal rotation.ĭuring the test, you’ll lie on your side with your injured leg on top. If they find your piriformis is tender to touch, and you report pain in your deep gluteal region in the following four tests, they may suspect piriformis syndrome. Your doctor may conduct physical tests to see if stretching or activating your piriformis muscles causes pain. If your healthcare provider believes that piriformis syndrome could be the cause of your pain, they will likely palpitate your piriformis muscle to search for tenderness. Research has found that people thought to have piriformis syndrome experience increased tenderness in the piriformis muscle on their injured side, compared to their uninjured side. Healthcare professionals often make the diagnosis by examining your medical history and using a series of physical tests to rule out conditions like sciatica, a lumbar sprain, or a disc injury.
There are currently no scientifically backed tests to diagnose piriformis syndrome.
Research on how to best diagnose piriformis syndrome remains ongoing.
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