The diagnosis of pear-shaped muscle syndrome can be confirmed by the following aspects: 1. medical history, ask the patient whether there is a history of trauma to the hip, whether there is a fracture of the pelvis, because trauma can lead to damage to the pear-shaped muscle, which leads to scar adhesions, secondary to sciatic nerve compression and lead to pear-shaped muscle syndrome. 2. according to the symptoms, the symptoms of pear-shaped muscle syndrome can appear as pain in the hip, accompanied by sciatica of the lower limbs. The symptoms can lead to numbness and weakness of the lower extremities. 3, physical examination, there can be obvious percussion pain in the hip pear-shaped muscle travel, can also be palpable swelling, if it is caused by tumor, can be palpable mass. 4, to carry out related auxiliary examination, to take a pelvic magnetic resonance to check whether there is inflammatory reaction around the pear-shaped muscle, whether there is the presence of tumor. 5, electromyography. If there is sciatic nerve injury in electromyography, it can further confirm the diagnosis of pear-shaped muscle syndrome.