Purpose: To facilitate soft tissue release of the piriformis

Procedure: With the patient lying in prone with the hip slightly flexed and externally rotated, stand on the contralateral side to be treated. Place caudal hand on the proximal portion of the lateral femur and the cranial hand’s heel on the sacrum with fingers facing away from you. Pull the femur and sacrum together and hold the position for 90 to 120 seconds, then slowly and passively return the patient to the starting position.