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Piriformis syndrome is a neuromuscular disorder. It is often overlooked in clinical settings because its presentation may be similar to that of Lumbar Radiculopathy, Trochanteric Bursitis etc. There are variety special tests that stretch the Piriformis muscle and can be used for diagnosis of Piriformis syndrome such as Lasegue test, Freiberg’s test, FAIR test etc. Treatments for piriformis syndrome often begins conservatively before operation treatment such as medications, injection etc. Physical therapy is one of the treatments that reported 50-80% of patients decrease in pain and muscle spasm leads to improvement in activity daily living.