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The piriformis is a flat, pear-shaped muscle located in the gluteal region. This muscle originates from several anatomical locations, namely, the anterior surface of the sacrum, the spinal part of the gluteal muscles, the superior gluteal surface of the ilium near the margin of the greater sciatic notch, the capsule of the adjacent sacroiliac joint, and sometimes, the sacrotuberous ligament. The piriformis exits the pelvis through the greater sciatic notch before entering the gluteal region. The