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The Piriformis Muscle - A Real Pain In The BUTT Redefining Strength

The Piriformis Muscle - A Real Pain In The BUTT Redefining Strength

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Rating: 4.0; Vote: 1
The Piriformis Muscle - A Real Pain In The BUTT Issues with this muscle can be a real pain in the butt- I-m taking about the piriformis muscle. This muscle can not only literally become a pain in your butt but it can also irritate the sciatic nerve leading to pain and irritation all down your leg. And issues with this muscle can not only arise because of overuse during exercise but even honestly often simply because we-re spending too much time seated. The first step in preventing and alleviating piriformis aches and pains is understanding what this muscle even does and it-s location. What Does The Piriformis Do? The piriformis muscle is a primary hip external rotator and helps with horizontal abduction of the hip when it is flexed to 90 degrees. It also helps stabilize your SI Joint. And can even potentially act as a weak hip extensor if the glute max is underactive. This muscle becoming short and overactive can not only lead to piriformis syndrome and sciatic nerve compression but also hip and SI Joint issues not to mention lower back and even knee aches and pains. However, this muscle can ALSO lead to sciatic nerve compression if it becomes lengthened, which creates the interesting question of- To stretch or not to stretch? But before I dive into whether or not to stretch this muscle and 3 key prehab moves to include to prevent and alleviate piriformis issues, I do just want to address one thing- Are Sciatic Pain And Piriformis Issues The Same Thing? While yes the piriformis muscle can compress or irritate the sciatic nerve and lead to sciatic nerve pain, and this is often what is termed piriformis syndrome, you can have piriformis issues that do not lead to sciatic nerve issues and you can have sciatic nerve compression NOT caused by the piriformis. I think it-s key we note that sciatic nerve pain doesn-t always mean the piriformis muscle is the problem. So if you have sciatic nerve pain, it is key you do address the culprit of the irritation or sources of the compression to address your specific mobility restrictions and overactive muscles. You do want to determine if your compression is coming from your lower back or piriformis or even ankle mobility restrictions leading to compression at another point in your leg! But if you have determined that the piriformis muscle is the issue, the question now is-. Should I Stretch It? The annoying answer is-IT DEPENDS! Watch this video to learn more
Date: 2022-03-30

Comments and reviews: 10


I've currently experienced sciatica nerve impingement injury. It isn't fun at all. The symptoms can inflame the muscles around the pelvis, quads, glutes even gastrocnemius and Achilles.
Almost 8 days now, I couldn't foam roll. Stretch the muscles, not even able to walk or eat and sleep.
The pain is excruciating and it causes the nerve to inflame in excruciating shocking fire that constantly goes up then down through the second toe back to illium.
I know this because I've experienced it and I had to take inflammatory tablets to reduce muscle inflammation and wear nerve pain patch to ease the nerve.

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Started a new job last month standing in one position for 8 hours a day, I've noticed my lower back to my mid thighs are really painful were sometimes I cannot walk. I came across this video and start doing some exercises and the pain is lessing, it was hard to get into some of the positions but once I did, I've noticed less pain and more flexibility. With that morning heating pad and these exercises are really helping.
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Don't forget to take slow and controlled breaths while you foam roll and stretch. If you breathe in a shallow and rapid manner your nervous system will perceive a threat and continue to make the muscle tight as a result. Breathing through the pain and discomfort will tell your nervous system -everything is fine, you can loosen up the muscle and stop sending pain signals. -
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I did not that some piriformis pain can result from an underactive glute med! I used to have to foam roll my piriformis every single day & always had such issues w it, but last year, I started doing side raises to strengthen my glute med. After that, the piriformis pain basically went away. Never made that connection til now. Thanks for all this great info!
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Ahhhh! I wish I would have seen this a decade ago when I started having issues and every PT told me to stretch stretch stretch and things only kept getting worse for years. Finally, a chiropractor stopped the nonsense and told me to stop stretching it and only then did I get some improvement. I-m looking forward to trying these. You-re brilliant! Thank you!
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Hi Cori, I often get a really nasty pain in my pelvis kinda at the top of my glutes but deep inside, it's sickening at times, it stops me cleaning my car, or vacuuming or anything that seems to require I lean forward slightly. I think it's my quadratus lumboram maybe? Any chance you can do a video on how to fix it please? Thanks in anticipation!
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I feel I-m at a double whammy. My piriformis hurts but I also have a hip flexor issue. Anterior and posterior problems. So when I stretch one, I aggravate the other somehow. I-ve not been to a professional yet but I-ve put up with this for 8 months now. Got this injury doing a heavy leg day once (either leg extensions or cardio rows.
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I just started watching your videos recently! I love them! I have learned a lot on the different muscles.
But today, I have a question. your black and pink shoes (Snickers. I have looked for them in internet and I do not find them! I know are ASICS, I wore them all the time! But this special ones how do you identify them?
Thanks.

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Great information. In all the videos I-ve watched regarding back pain, no one ever gives a timeline of recovery. I-ll try something for a week or two, and when I don-t get pain relief, I blow it off and wonder if I-m ever going to get better. Do you have any suggestions to viewers who might have the same concerns?
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I always find that my calf starts to cramp when I do a side leg lift- do you thing this is a positioning problem, or just a stronger muscle taking over from weaker abductors? It continues no matter what angle I hold my foot, turned in or out. Any ideas Cori?
Thank you for another great video!

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