The diagnosis process for piriformis syndrome is to rule out other more serious conditions that present quite similar such as a disc injury. A comprehensive lumbopelvic examination can be performed by musculoskeletal therapists such as Chiropractors, Physiotherapist’s and Osteopaths. During this examination various tests and screening measures will be conducted to assess the lower back and pelvis. Piriformis syndrome can generally be diagnosed quite easily without the need for referral or additional imaging.