What Causes Chest Pain? Chest pain is a common symptom of many heart problems, including: Coronary artery disease, which happens when cholesterol builds up on the walls of your arteries. This can make your arteries narrow, or even block them completely, raising your risk of a heart attack or stroke.
Piriformis. The piriformis is a flat, pyramid-shaped muscle that lies parallel to (in line with) the gluteus medius muscle's back margin and underneath the gluteus maximus muscle in the hip area.t takes up the most area in the greater sciatic foramen. It is a small muscle when compared to other muscles of the region. The piriformis helps rotate the hip and works with rotators such as the obturator externus and the gemellus inferior.
Diagnosis of piriformis syndrome is made by the patientâs report of symptoms and by physical exam using a variety of movements to elicit pain to the piriformis muscle. In some cases, a contracted or tender piriformis muscle can be found on physical exam.iagnosis of piriformis syndrome is made by the patientâs report of symptoms and by physical exam using a variety of movements to elicit pain to the piriformis muscle. In some cases, a contracted or tender piriformis muscle can be found on physical exam.