06/23/2026
💜 The Piriformis: The Muscle Everyone Blames… But Is It Really the Problem?
Many people have heard of Piriformis Syndrome and assume the piriformis muscle is the source of their pain.
But what if the piriformis is not the problem?
What if it’s actually working overtime because it’s trying to stabilize something else?
The piriformis is a small but powerful muscle deep in the pelvis. It helps stabilize the hip, rotate the leg, and support movement. When the piriformis becomes tight, tender, or painful, it’s often because it has been compensating for restrictions elsewhere in the body.
Common areas that can influence the piriformis include:
✨ The pelvis and sacrum
✨ The psoas muscle
✨ The pelvic floor
✨ The diaphragm
✨ The lumbar spine
✨ Scar tissue and fascial restrictions
✨ Trauma patterns held within the body
As John F. Barnes often taught, the body is an interconnected fascial system.
Treating only the painful area may provide temporary relief, but if the underlying restriction remains, the piriformis may continue to tighten and protect.
One of the things I frequently observe in Myofascial Release is that when deeper restrictions begin to release, the piriformis no longer has to work so hard.
The question becomes:
Is the piriformis the problem?
Or is it the messenger telling us to look deeper?
Sometimes the area that hurts the most is not the source of the problem—it’s simply the area asking for help.
đź’ś Listen to the messenger.
Rowena Cua 💜
Expert JFB Myofascial Release Therapist
Trauma Informed Healing 
www.bodymfr.com