{"id":92437,"date":"2026-08-08T21:43:47","date_gmt":"2026-08-09T02:43:47","guid":{"rendered":"https:\/\/www.cliniquetagmed.com\/sciatique-renforcement-fessiers"},"modified":"2026-10-14T12:47:22","modified_gmt":"2026-10-14T17:47:22","slug":"sciatique-renforcement-fessiers","status":"publish","type":"page","link":"https:\/\/www.cliniquetagmed.com\/en\/sciatique-renforcement-fessiers","title":{"rendered":"Sciatica and gluteal strengthening: improving hip capacity without provoking radiating pain"},"content":{"rendered":"<div class=\"tagmed-page\">\n<section class=\"tagmed-hero\" aria-labelledby=\"sciatique-renforcement-fessiers-title\">\n<div class=\"tagmed-hero__content\">\n<p class=\"tagmed-eyebrow\">TAGMED Clinic Montreal \/ Mount Royal<\/p>\n<h1 id=\"sciatique-renforcement-fessiers-title\">Sciatica and gluteal strengthening: improving hip capacity without provoking radiating pain<\/h1>\n<h2>Gradual activity, symptom tolerance and measurable functional progress.<\/h2>\n<p>Les muscles fessiers participent \u00e0 la marche, aux escaliers, aux transferts de charge et aux efforts du quotidien. Leur renforcement peut faire partie d\u2019un programme, sans pr\u00e9tendre qu\u2019une faiblesse des fessiers est la cause unique de la sciatique.<\/p>\n<ul>\n<li>Page in this guide series <a href=\"\/en\/sciatique-exercice-reeducation-guide\/\">Sciatica exercises and rehabilitation<\/a>.<\/li>\n<li>Linked to the main guide <a href=\"\/en\/sciatica-treatment-montreal\/\">Sciatica treatment in Montreal<\/a>.<\/li>\n<li>No single exercise is presented as mandatory or suitable for every patient.<\/li>\n<\/ul>\n<div class=\"tagmed-hero__actions\"><a class=\"tagmed-btn tagmed-btn--primary\" href=\"https:\/\/secure.medexa.com\/#\/onlineAppointmentInformation?APIKey=81A1E0C67C334B38A5A323031C92570D&amp;flowColor=228fa6&amp;backgroundColor=ffffff\" target=\"_blank\" rel=\"noopener\"><span class=\"tagmed-btn-text\">Book in Montreal<\/span><\/a><a class=\"tagmed-btn tagmed-btn--secondary\" href=\"tel:+18776729060\"><span class=\"tagmed-btn-text\">1 (877) 672-9060<\/span><\/a><\/div>\n<\/div>\n<figure class=\"tagmed-image-slot\"><img fetchpriority=\"high\" src=\"https:\/\/www.cliniquetagmed.com\/wp-content\/uploads\/2026\/08\/decompression-neurovertebrale-hernie-l5-s1-sciatique-clinique.png\" alt=\"Sciatica and gluteal strengthening: improving hip capacity without provoking radiating pain\" width=\"900\" height=\"1200\" loading=\"eager\" decoding=\"async\" title=\"\"><figcaption>Rehabilitation is adjusted to current capacity, goals and recovery after exertion.<\/figcaption><\/figure>\n<\/section>\n<section class=\"tagmed-section\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Understanding<\/p>\n<h2>The right amount matters more than the \u201cperfect\u201d exercise<\/h2>\n<p>Le choix des exercices d\u00e9pend de la position la mieux tol\u00e9r\u00e9e : debout, couch\u00e9 ou en appui partiel. La charge est ensuite augment\u00e9e graduellement.<\/p>\n<\/div>\n<div class=\"tagmed-feature-grid tagmed-feature-grid--3\">\n<div class=\"tagmed-card\">\n<h3>Tolerance<\/h3>\n<p>Observe what happens during the exercise, in the hours that follow and the next day.<\/p>\n<\/div>\n<div class=\"tagmed-card\">\n<h3>Goal<\/h3>\n<p>Connect each exercise to a useful ability: walking, working, lifting, driving, sleeping or returning to sport.<\/p>\n<\/div>\n<div class=\"tagmed-card\">\n<h3>Progression<\/h3>\n<p>Change one variable at a time: duration, repetitions, range of motion, load or complexity.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"tagmed-section tagmed-section--accent\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Clinical guidance<\/p>\n<h2>Adapt exercise to the neurological and functional response<\/h2>\n<p>Une progression utile am\u00e9liore la capacit\u00e9 \u00e0 accomplir des t\u00e2ches r\u00e9elles sans accro\u00eetre durablement les sympt\u00f4mes dans la jambe.<\/p>\n<\/div>\n<figure class=\"tagmed-image-slot\"><img src=\"https:\/\/www.cliniquetagmed.com\/wp-content\/uploads\/2026\/08\/decompression-neurovertebrale-hernie-l5-s1-sciatique-evaluation.png\" alt=\"Rep\u00e8res cliniques pour Sciatique et renforcement des fessiers : am\u00e9liorer la capacit\u00e9 des hanches sans provoquer l\u2019irradiation\" width=\"900\" height=\"1200\" loading=\"lazy\" decoding=\"async\" title=\"\"><figcaption>Strength, sensation, walking and the path of symptoms help guide the pace of progression.<\/figcaption><\/figure>\n<div class=\"tagmed-highlight-box\">\n<h3>An important point<\/h3>\n<p>NICE recommends encouraging self-management, continuing normal activities as much as possible and adapting exercise to needs, preferences and abilities. The aim is not to push through neurological deterioration.<\/p>\n<\/div>\n<\/section>\n<section class=\"tagmed-section\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Assessment<\/p>\n<h2>Establish a measurable starting point<\/h2>\n<p>Before progressing, it is useful to document currently limited tasks, walking distance, sitting or standing tolerance, strength, tingling and recovery after activity.<\/p>\n<\/div>\n<figure class=\"tagmed-image-slot\"><img src=\"https:\/\/www.cliniquetagmed.com\/wp-content\/uploads\/2026\/08\/decompression-neurovertebrale-hernie-l5-s1-sciatique-suivi.png\" alt=\"\u00c9valuation pour Sciatique et renforcement des fessiers : am\u00e9liorer la capacit\u00e9 des hanches sans provoquer l\u2019irradiation\" width=\"900\" height=\"1200\" loading=\"lazy\" decoding=\"async\" title=\"\"><figcaption>A structured progression compares the same indicators over time.<\/figcaption><\/figure>\n<div class=\"tagmed-process\">\n<div class=\"tagmed-process__step\"><span>1<\/span><\/p>\n<h3>Choose the goal<\/h3>\n<p>Identify a real-life activity to improve.<\/p>\n<\/div>\n<div class=\"tagmed-process__step\"><span>2<\/span><\/p>\n<h3>Determine the amount<\/h3>\n<p>Start at a level that is tolerable enough to repeat.<\/p>\n<\/div>\n<div class=\"tagmed-process__step\"><span>3<\/span><\/p>\n<h3>Observe the response<\/h3>\n<p>Note leg pain, recovery and neurological signs.<\/p>\n<\/div>\n<div class=\"tagmed-process__step\"><span>4<\/span><\/p>\n<h3>Progress<\/h3>\n<p>Gradually increase one variable when tolerance allows.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"tagmed-section tagmed-section--accent-soft\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Active program<\/p>\n<h2>Combine mobility, muscular capacity and functional activity<\/h2>\n<p>A program may include mobility, strengthening, walking, balance and a gradual return to loading, but not every patient needs all of these components. The choice depends on limitations and goals.<\/p>\n<\/div>\n<div class=\"tagmed-comparison\">\n<div class=\"tagmed-comparison__item tagmed-comparison__item--accent\">\n<h3>Mobility<\/h3>\n<p>Explore useful movements without pursuing maximum range at all costs.<\/p>\n<\/div>\n<div class=\"tagmed-comparison__item\">\n<h3>Strengthening<\/h3>\n<p>Gradually rebuild the capacity to tolerate useful physical effort.<\/p>\n<\/div>\n<div class=\"tagmed-comparison__item\">\n<h3>Activity<\/h3>\n<p>Reintroduce the real-life tasks that matter to the patient.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"tagmed-section\">\n<div class=\"tagmed-warning-box\">\n<h2>When should you stop simply progressing the exercises?<\/h2>\n<ul>\n<li>New or rapidly progressive weakness.<\/li>\n<li>Recent foot drop or a leg that gives way more often.<\/li>\n<li>A persistent increase in significant numbness.<\/li>\n<li>New bladder or bowel problems.<\/li>\n<li>Numbness in the saddle area or perineum.<\/li>\n<\/ul>\n<p>These signs call for reassessment rather than intensifying the program.<\/p>\n<\/div>\n<\/section>\n<section class=\"tagmed-section tagmed-section--accent\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Follow-up<\/p>\n<h2>Measure progress in real life<\/h2>\n<p>Meaningful improvement may involve walking more, tolerating work better, fewer sleep interruptions, resuming lifting or gradually returning to sport. Pain alone does not capture all aspects of function.<\/p>\n<\/div>\n<figure class=\"tagmed-image-slot\"><img src=\"https:\/\/www.cliniquetagmed.com\/wp-content\/uploads\/2026\/08\/decompression-neurovertebrale-sciatique-contre-indications-clinique.png\" alt=\"Suivi pour Sciatique et renforcement des fessiers : am\u00e9liorer la capacit\u00e9 des hanches sans provoquer l\u2019irradiation\" width=\"900\" height=\"1200\" loading=\"lazy\" decoding=\"async\" title=\"\"><figcaption>The program is adjusted according to observed results rather than a rigid progression.<\/figcaption><\/figure>\n<div class=\"tagmed-feature-grid tagmed-feature-grid--3\">\n<div class=\"tagmed-card\">\n<h3>Function<\/h3>\n<p>Compare important activities with the starting level.<\/p>\n<\/div>\n<div class=\"tagmed-card\">\n<h3>Recovery<\/h3>\n<p>Check the response in the hours that follow and the next day.<\/p>\n<\/div>\n<div class=\"tagmed-card\">\n<h3>Main topic guide<\/h3>\n<p><a href=\"\/en\/sciatique-exercice-reeducation-guide\/\">Exercise and rehabilitation guide<\/a><\/p>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"tagmed-section tagmed-section--dark\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">In the same guide series<\/p>\n<h2>Related guides<\/h2>\n<\/div>\n<ul>\n<li><a href=\"\/en\/sciatique-exercice-reeducation-guide\/\">Sciatica exercise and rehabilitation guide<\/a><\/li>\n<li><a href=\"\/en\/sciatique-marche\/\">Sciatique et marche<\/a><\/li>\n<li><a href=\"\/en\/sciatique-escaliers\/\">Sciatique et escaliers<\/a><\/li>\n<li><a href=\"\/en\/sciatique-reeducation-marche\/\">R\u00e9\u00e9ducation \u00e0 la marche<\/a><\/li>\n<\/ul>\n<\/section>\n<section class=\"tagmed-section tagmed-section--cta\">\n<div class=\"tagmed-cta-box\">\n<h2>Would you like to plan a return to activity that accommodates your sciatica?<\/h2>\n<p>An assessment can help establish a starting point, functional goals and progression criteria suited to your clinical presentation.<\/p>\n<div class=\"tagmed-cta-box__actions\"><a class=\"tagmed-btn tagmed-btn--primary\" href=\"https:\/\/secure.medexa.com\/#\/onlineAppointmentInformation?APIKey=81A1E0C67C334B38A5A323031C92570D&amp;flowColor=228fa6&amp;backgroundColor=ffffff\" target=\"_blank\" rel=\"noopener\"><span class=\"tagmed-btn-text\">Book in Montreal \/ Mount Royal<\/span><\/a><a class=\"tagmed-btn tagmed-btn--secondary\" href=\"tel:+18776729060\"><span class=\"tagmed-btn-text\">1 (877) 672-9060<\/span><\/a><\/div>\n<\/div>\n<\/section>\n<section class=\"tagmed-section tagmed-faq\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Frequently Asked Questions<\/p>\n<h2>FAQ \u2014 Sciatique et renforcement des fessiers : am\u00e9liorer la capacit\u00e9 des hanches sans provoquer l\u2019irradiation<\/h2>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Des fessiers faibles causent-ils toujours la sciatique?<\/h3>\n<p>Non. La sciatique peut avoir de nombreuses causes et m\u00e9canismes.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Les ponts fessiers sont-ils obligatoires?<\/h3>\n<p>Non. Ils ne sont qu\u2019une option parmi d\u2019autres.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Peut-on renforcer debout?<\/h3>\n<p>Oui si cette position est bien tol\u00e9r\u00e9e et appropri\u00e9e.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Les escaliers peuvent-ils servir de progression?<\/h3>\n<p>Oui dans certains programmes lorsque la marche et les escaliers sont des objectifs fonctionnels.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Faut-il \u00e9viter toute fatigue musculaire?<\/h3>\n<p>Non, mais la fatigue doit rester proportionn\u00e9e et ne pas s\u2019accompagner d\u2019une aggravation neurologique.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Quand modifier l\u2019exercice?<\/h3>\n<p>Si l\u2019irradiation augmente nettement ou persiste apr\u00e8s la s\u00e9ance.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Which signs require emergency care?<\/h3>\n<p>Bladder or bowel dysfunction, saddle anaesthesia or severe, rapidly progressive weakness.<\/p>\n<\/div>\n<\/section>\n<section class=\"tagmed-section tagmed-disclaimer\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Medical references<\/p>\n<h2>References and guidelines<\/h2>\n<p>These references address self-management, physical activity and exercise for low back pain with or without sciatica. They do not define a single exercise suitable for every patient.<\/p>\n<\/div>\n<ul>\n<li><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng59\/chapter\/recommendations\" target=\"_blank\" rel=\"noopener noreferrer\">NICE NG59 \u2014 Low back pain and sciatica: assessment and management<\/a><\/li>\n<li><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng59\/ifp\/chapter\/Exercise-and-physical-activity\" target=\"_blank\" rel=\"noopener noreferrer\">NICE \u2014 Exercise and physical activity for low back pain and sciatica<\/a><\/li>\n<li><a href=\"https:\/\/www.spine.org\/Portals\/0\/Assets\/Downloads\/ResearchClinicalCare\/Guidelines\/LumbarDiscHerniation.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">North American Spine Society \u2014 Lumbar Disc Herniation with Radiculopathy<\/a><\/li>\n<\/ul>\n<p><div class=\"zotpress-random-references\"><div id=\"zotpress-2b77a6d0c28715d92febd72141109bed\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID 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id=\"zp-ID-92437-722490-E3XTQURL\" data-zp-author-date='Jimenez-0000-00-00' data-zp-date-author='0000-00-00-Jimenez' data-zp-date='0000-00-00' data-zp-year='0000' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; padding-left: 1em; text-indent:-1em;\">\n  <div class=\"csl-entry\">Jimenez, Alex. \u201cThe Effects Of Decompression Therapy For Musculoskeletal Disorders.\u201d <a class=\"zp-ItemURL\" href=\"https:\/\/personalinjurydoctorgroup.com\/2022\/04\/25\/effects-decompression-therapy-musculoskeletal-disorders\/\" target=\"_blank\" rel=\"noopener\">https:\/\/personalinjurydoctorgroup.com\/2022\/04\/25\/effects-decompression-therapy-musculoskeletal-disorders\/<\/a> (December 16, 2024).<\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n<div 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id=\"zp-ID-92437-722490-MNVS8QZC\" data-zp-author-date='Jimenez-0000-00-00' data-zp-date-author='0000-00-00-Jimenez' data-zp-date='0000-00-00' data-zp-year='0000' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; padding-left: 1em; text-indent:-1em;\">\n  <div class=\"csl-entry\">Jimenez, Alex. \u201cGlute Muscle Imbalance: EP Sciatica Clinic.\u201d <a class=\"zp-ItemURL\" href=\"https:\/\/sciatica.clinic\/glute-muscle-imbalance-ep-sciatica-clinic\/\" target=\"_blank\" rel=\"noopener\">https:\/\/sciatica.clinic\/glute-muscle-imbalance-ep-sciatica-clinic\/<\/a> (December 16, 2024).<\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n<div id=\"zotpress-8c44f2237b2d175fbdee9cf3b927db7c\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID 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id=\"zp-ID-92437-722490-LQ4N2RQW\" data-zp-author-date='Chou-and-Huffman-2007-10-02' data-zp-date-author='2007-10-02-Chou-and-Huffman' data-zp-date='2007-10-02' data-zp-year='2007' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; padding-left: 1em; text-indent:-1em;\">\n  <div class=\"csl-entry\">Chou, Roger, and Laurie Hoyt Huffman. 2007. \u201cNonpharmacologic Therapies for Acute and Chronic Low Back Pain: A Review of the Evidence for an American Pain Society\/American College of Physicians Clinical Practice Guideline.\u201d <i>Annals of Internal Medicine<\/i> 147(7): 492. <a class=\"zp-DOIURL\" href=\"http:\/\/doi.org\/10.7326\/0003-4819-147-7-200710020-00007\" target=\"_blank\" rel=\"noopener\">http:\/\/doi.org\/10.7326\/0003-4819-147-7-200710020-00007<\/a>.<\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List 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padding-left: 1em; text-indent:-1em;\">\n  <div class=\"csl-entry\">Loss, Fat. \u201cBack Pain Treatment Conveniently Located to Serve the Areas of Gilbert and Arizona.\u201d <a class=\"zp-ItemURL\" href=\"https:\/\/wellness1stimc.com\/services\/back-pain-treatment\/\" target=\"_blank\" rel=\"noopener\">https:\/\/wellness1stimc.com\/services\/back-pain-treatment\/<\/a> (December 16, 2024).<\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n<\/div><\/section>\n<section class=\"tagmed-section tagmed-disclaimer\">\n<h2>Important information<\/h2>\n<p>This page provides general information and is not an individualized exercise prescription. The choice and progression of a program should take safety, tolerance, goals and neurological changes into account.<\/p>\n<\/section>\n<div class=\"tagmed-signature\">\n<p><strong>Sylvain Desforges, docteur en ost\u00e9opathie<\/strong><\/p>\n<p>TAGMED Clinic \u2014 Spinal decompression, specific osteopathy and assessment of low back, disc-related and sciatic pain.<\/p>\n<p><a href=\"\/en\/sylvain-desforges-osteopath-2\/\">Professional profile<\/a> \u00b7 <a href=\"\/en\/contact\/\">Contact<\/a> \u00b7 <a href=\"\/en\/sciatica-treatment-montreal\/\">Main guide to sciatica in Montreal<\/a><\/p>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Clinique TAGMED Montr\u00e9al \/ Mont-Royal Sciatique et renforcement des fessiers : am\u00e9liorer la capacit\u00e9 des hanches sans provoquer l\u2019irradiation Activit\u00e9 graduelle, tol\u00e9rance des sympt\u00f4mes et progression<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-92437","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/pages\/92437","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/comments?post=92437"}],"version-history":[{"count":1,"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/pages\/92437\/revisions"}],"predecessor-version":[{"id":92815,"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/pages\/92437\/revisions\/92815"}],"wp:attachment":[{"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/media?parent=92437"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/categories?post=92437"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cliniquetagmed.com\/en\/wp-json\/wp\/v2\/tags?post=92437"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}