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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).
Typical piriformis syndrome symptoms may include: 1  A dull ache in the buttock. 2  Pain down the back of the thigh, calf and foot (sciatica) 3  Pain when walking up stairs or inclines. 4  Increased pain after prolonged sitting. 5  Reduced range of motion of the hip joint.