Strain-Counterstrain Treatment of Piriformis Pain

Inclusion Criteria: * 18 to 65 years of age * Tender point (or trigger point) in piriformis muscle determined by physical exam Exclusion criteria: * Less than 45 degrees of active hip flexion, less than 5 degrees of active hip internal rotation or less than 30 degrees of active hip external rotation, on side of affected piriformis * Unable to lay prone * Non-English speaker * Inability to attend 2 sessions within the same month * Active cancer * Pregnant * Diagnosis of lumbar radiculopathy * Greater than grade 1 lumbar spondylolisthesis * Presence of lumbar region Pars Defect * Receiving massage, acupuncture, chiropractic treatments, osteopathic treatments during study period.