Can a tight piriformis cause a positive quadrant test? Been having patellar femoral syndrome for a couple monthsthat i think is coming from a weak glute med. Now i got some ant groin pain which my physio says is something impinging in the hip. Just wondering if a tight piriformis can be causing all of this since my left piriformis is definately tuat and tender to palpate. Help!!! Have not been bike for 3 months