For the purpose of keeping things simple lets assume you're stretching the right piriformis. If you're in a hook/crook lying position and bring your right foot up (flex the right hip) and across the left knee/distal thigh and just let the knee "hang out" laterally yes the hip would be externally rotated. Using the left hand to pull the right knee internally rotates and adducts the hip and stretches the piriformis.







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