when laying face-up, your foot will rotate out to the side, rather than being in straight alignment 6 Trigger Point Images - Piriformis Causes and Perpetuation of Trigger Points.you may squirm a lot and shift positions trying to get comfortable, and have difficulty crossing one leg over the other knee while seated.entrapment of the pudendal nerve may cause impotence in males and pain with intercourse in females, and pain in the groin or area in front of the anus 5.pain is worse with sitting and activity.
![coordinated breathing travell and simons coordinated breathing travell and simons](https://www.elibrary.imf.org/view/journals/001/2012/040/images/9781463933838_t0034-01.jpg)
![coordinated breathing travell and simons coordinated breathing travell and simons](https://static.wixstatic.com/media/c7db73_984883c2887547409db9b38777d6fd4d~mv2.png)
Trigger points in the piriformis are very common, and are usually involved to some extent anytime there is pain in and coming from the gluteal/pelvic region.
![coordinated breathing travell and simons coordinated breathing travell and simons](http://www.kulpphysicaltherapy.com/images/hip-diagram.jpg)
Causes and Perpetuation of Trigger Points.