Piriformis Exercises | Stretching vs Strengthening

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IMPRESSION:
*Bilateral lumbarisation of S1 vertebra
*Paramedian and foraminal broad based protrusion at L5/S1 with indentationon thecal sac, both neural foramina and abutting the exiting nerve root.
* Diffuse annular bulge at L4-L5 and S1-52 with indentation on thecal sac..
Screening of rest of the spine:
*Loss of cervical lordosis
*Screening of sacro-iliac joint appears normal.
Can I do flexion Or extension exercise?