Piriformis syndrome Optimum rehab ?

[Bikerphys]

Suggestions please for the most effective approach to piriformis syndrome rehab, my pt. a competitive triathlete, c/o deep aching pain with occasional 'sciatica' type twinge during exertion (pushing high gear in cycling) very non specific pain but reproduced on exercise only, any idreas welcome

Thanks.

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[Lachlan]

I agree ATT Ireland. Lumbar spine should be excluded before a diagnosis of piriformis syndome in my opinion (everyone with radicular back pain will have a tight piriformis)