Inflammation of the Sciatic nerve. Also referred to as piriformis syndrome. A type of dull pain the tenderness in the buttock region down the it band and posterior tibialis . As inflammation increases motor function may become affected. Also there may be nerve entrapment usually involving L4 and L5. Massage therapist come across this condition quite often. Massage considerations: If client has a herniation then massage will be contraindicated in that region, tratment of the quadratus Lumborum and psoas major using gliding strokes and deep friction, If piriformis is tight pin and stretch and trigger points can be beneficial . relax muscles prevent spasms but work within clients tolerance level.

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