Pull point pulling method: The surgeon overlaps the thumbs of both hands, press hard and deep on the blunt, thick or hardened piriformis muscle, and pull back and forth. It should be noted that the direction of the pulling should be in line with the direction of the piriformis muscle. The piriformis muscle fibers are oriented vertically. Pull out about 10-20 times. If the thumb is not strong enough and cannot reach the piriformis muscle deeply, the surgeon can use the tip of the elbow instead for treatment.

Operation method: The piriformis muscle is located deep in the gluteus maximus muscle. When injured, most patients have obvious symptoms of sciatica. Therefore, the gluteus maximus muscle is generally tight, which brings problems to the massage treatment of this disease. difficulty. In order for the effect of massage techniques to reach the piriformis muscle in the deep tissue of the buttocks, the spasm problem of the gluteus maximus must first be relieved. The method is as follows:

Patients with piriformis syndrome should lie prone, relax the buttocks and lower limbs on the affected side, and the doctor should stand on the affected side. First, apply palm heel massage on the buttocks. The amount of stimulation should not be large, but it should be gentle. The purpose is to relax the buttock muscles, which is beneficial to improving local blood supply and reflux. Then after the stock. Apply the same massage method to the back of the calf with the heel of the palm, going up and down for 3-5 minutes. Then refer to rubbing Weizhong, Chengshan and Kunlun points.

On the basis of the above manipulations to treat buttock muscle relaxation, compression and plucking techniques are then applied to the projection area of ??the piriformis body surface. The amount of manual stimulation must be from light to heavy, avoiding the resistance of the gluteus maximus; the strumming should be perpendicular to the piriformis muscle. This method can relieve the spasm of the piriformis muscle, remove blood stasis and unblock meridians, which is the focus of treatment. You can combine the three methods of palm heel massage, piriformis muscle pressing and plucking, and apply them alternately for about 5-8 minutes. To avoid the resisting force of the gluteus maximus, the knee joint can be flexed, and the passive movement of the hip joint can be used to internally and externally rotate the hip joint to improve the therapeutic effect of the technique.