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I think that your focus on the piriformis is probobly on the right track. He could very well be one of those patients with his sciatic nerve running throught part of his piriformis muscle or at least attached fascially. Inflammation in this area will be much harder to resolve if he has this situation. However as an applied kinesiologist, I would be looking at the other muscles that function synergistically and antagonistically with the piriformis. Chronically tight muscles indicate chronically weak (inhibited) muscles that fail to feed appropriate afferent signals resulting in a lack of inhibitory signals to the antagonist. In short, the piriformis should be turning off neurologically in flexion. The hip flexors shoud be checked; rectus femoris and psoas specifically. Also the sartorius and gracilis are very important in inomiate stabilization and if weak can result in a chronic PI that will not hold correction.

Domby D.C. DIBAKPO Box 1108Scappoose, Oregon, USA97056phone 503 543-3195

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