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Fig. 3. Dynamic piriformis stretch. To stretch the left piriformis, get on all fours with your weight supported by the left knee. At first, the right leg is held in a horizontal position. By using the left piriformis muscle, raise and lower the right hip up and down (arrows).
Several clinical tests can be used to aid in the diagnosis of piriformis syndrome. These tests are useful for clarifying clinical situations, though there is no single test specific to piriformis syndrome. As previously mentioned, tests for LaseÌgue, Freiberg, and Pace signs are used in cases of piriformis syndrome.