What No One Tells You About Releasing Your Piriformis Muscle - Engaging Muscles Massage (2024)

Before you chase pain, it’s extremely helpful to know that the piriformis (pi-ri-FOR-mis) is rarely tight.

Instead, the piriformis muscle is not fully capable of playing its role to the best of its ability.

How your piriformis muscle responds to the amount of force delivered by a practitioner’s elbow or a lacrosse ball may surprise you.

When force is applied to layers upon layers of muscles, you and the practitioner do not have a complete understanding of which muscles are tight. Then you run the risk of increasing instability.

As counterintuitive as this may seem, what you feel during a deep tissue massage does not equate to the best outcome.

You can address your piriformis with a lacrosse ball or receive a deep tissue massage from a licensed practitioner. Either way, your muscles will tighten again (and again).

The rub: a deep massage that is delivered by a massage practitioner’s elbow and a self-massage with a lacrosse ball take more than they give. Along the same line, as therapeutic as stretching your piriformis feels at the time, often, it is increasing instability and muscle tightness.

When force is applied to layers upon layers of muscles without a complete understanding of which muscles are tight, you run the risk of increasing instability.

You (and the practitioner), are gambling and your function is what’s on the line.

And whether you know it or not, it requires you to invest time and resources into approaches that will not get you to where you are functioning to the best of your ability.

When the desired outcome is to release a piriformis muscle that’s more than likely not tight there is only so much luck to go around.

If you are currently dealing with piriformis syndrome (PS) or sciatica, it’s worth taking time to re-evaluate what you have done up to this point.

While you are taking time to piece together what you have tried, consider embracing the fact that you don’t know what you don’t know.

In most cases, the piriformis muscle isn’t tight.

Instead, the piriformis is underperforming.

Because the piriformis is rarely tight, there’s a strong possibility that elbows and lacrosse balls are actually making your condition worse.

The reality is practitioners regularly stretch and apply hands-on massage techniques to address muscle tightness. What you may not realize is they are doing these things to muscles that may or may not be tight. (?)

As an example, you could feel like you have a knot in your shoulder, and most practitioners would jump to the conclusion that a muscle is tight.

They are assuming a lot. Unbeknown to you, practitioners collect muscles that are fully capable of performing their role. In doing so, they increase instability, which increases tightness.

This is the vicious cycle you may find yourself in.

[ Worth noting: A muscle’s primary role is to provide stability. When a muscle isn’t capable of pulling its weight, you will have muscles that are tight. ]

(Principles)

Although this scenario is extremely rare, let’s pretend that all the muscles that get collected in the blasting of your piriformis are capable of performing their role. But, your piriformis has shown to be underperforming.

What happens then?

Answer: How muscles that surround your piriformis respond to the amount of force is left to chance.

Since we are talking about not relying on luck and instead, asking questions that provoke thought.

Six Questions Worth Asking

1/ How many muscles that get caught up in the pressure that’s applied to your piriformis are capable of playing their role?

2/ When rolling around on a lacrosse ball, is your hip joint unstable from the start?

3/ How did your piriformis muscle respond to being blasted in a position where there tends to be instability?

4/ A question worth repeating, how did the surrounding muscles respond when the piriformis was the target?

5/ Besides feeling good at the time, is there any indication that there was a positive outcome?

6/ If there was a positive outcome, how long did the result last? (“Success leaves clues.” – Jim Rohn)

When there is no clear way of measuring whether a muscle is tight or underperforming, your best bet is to avoid elbows, lacrosse balls, and foam rollers.

There are bad results. There are also bad decisions.

When it comes to muscles, going by feel is always going to end badly.

Most of what we do daily exists in automatic processing. We have habits and defaults that we rarely examine, from gripping a pencil to swerving to avoid an auto accident. The challenge is not to change the way our brains operate but to figure out how to work within the limitations of the brains we already have.

— Annie Duke, Author of Thinking In Bets (affiliate)

For the person who already has plenty of mobility, there’s just something about releasing a muscle that doesn’t make sense. 🤔

(Perspective)

After many days of dealing with pain, it is possible for all the stuff that’s thrown against the wall to “work”.

In this case, suggesting something ‘worked’ means the person no longer feels pain.

To put what you just read into perspective, repeating joint motions before clearing asymmetries and compensation adds insult to injury.

While exercise is promoted as “healthy,” the truth is that the repetitive nature of exercise encourages more compensation.

Given enough time, your body will figure out a different workaround.

A workaround that doesn’t include you feeling pain. 🧐

Before you read any further, remember, muscle tightness is due to your brain not recognizing stability.

Those tight muscles everyone and their uncle want to release are doing their best to make up for what your piriformis isn’t capable of providing.

Meanwhile, stability and strength are what are missing.

What No One Tells You About Releasing Your Piriformis Muscle - Engaging Muscles Massage (1)

Your piriformis is only one player out of a close-knit group of muscles that work together. In more ways than one, what your piriformis muscle brings to the field of play is unique.

Since there’s a chance an expert will recommend surgery to remove your piriformis – make that unique and indispensable.

No matter how many muscles give it their best shot, no other muscle can play the role of your piriformis.

Piriformis Muscle Actions, Axes, and Planes of Motion at Hip Joint

Releasing a muscle isn’t going to improve your piriformis muscle’s ability to pull (read: generate tension).

Remember what you just read, and you’ll stay ahead of the curve.

Because no amount of pressure with an elbow, lacrosse ball, or foam roller is going to be capable of improving the communication between your brain and the piriformis muscle that you’re trying to address.

So while a muscle’s primary role is to pull, no amount of pressure with any one of those tools is going to increase your piriformis muscle’s ability to generate tension at the right time. (emphasis added)

You want a piriformis muscle that’s fully capable of playing its role in any position you find yourself in.

I Stopped Releasing Piriformis with Deep Massage (This is What I Do Now)

What you watched in the video would fall under the category ofdeep tissue massage. What sets what you watched apart forms all other forms of deep tissue is the overall outcome.

In other words, the intention is not to stretch or release a muscle. Both of which allow for an increase in mobility without stability. Instead, the approach you just saw allows for an increase in stability, which allows for more mobility.

For many years, I have addressed muscles in a way that allows for an increase in stability.

When you are left with more mobility without stability, it’s impossible to have a level of function that would make it possible for you to fire a cannon from a canoe. Not that you want to fire a cannon from a canoe. But even still, doing what allows for more stability, also allows for an increase in mobility. Not the other way around. Nonetheless, when you increase stability throughout your spine and pelvis, there will be a noticeable increase in stability, mobility, and flexibility that sticks around for far longer than 24 hours. Not only locally, but globally. The stability is as far-reaching as your feet. This is why it’s important to prioritize who you trust your brain and body to.

Improving one muscle’s ability to provide stability knocks out pain and improves function.

Then it’s just a matter of addressing more muscles that are unable to pull their weight.

Along with a few other muscles, your piriformis attaches to the ligament I mentioned in the above video.

To pull with authority, your piriformis muscle relies on those same muscles to provide stability.

Instead of releasing the surrounding muscles, you want your piriformis to have a stable environment to pull from. Having a stable environment to anchor off allows for more mobility and flexibility.

(Leverage)

When your piriformis is pulling optimally, your femur and pelvis will be capable of moving at the right time.

From there, it’s a matter of increasing strength with isometric exercise.

Then the tight muscles will be free to relax into the new available range of motion.

The media is primarily responsible for glamorizing deep tissue massage, rolling around on a lacrosse ball, and foam rolling. Continuing to gift wrap and tie a bow around those approaches is not going to change the outcome.

Be careful who you trust your brain to.

Can’t get to Dallas? Get details on how you can work with me from home.

Thanks for taking the time to read this post! If you enjoyed this post, please subscribe to Engaging Muscles. You can also like Engaging Muscles on Facebook, subscribe to myYouTube Channel,or feel free to connect with me on Twitter @rickmerriam.

Book Mentioned

Thinking In Bets by Annie Duke (affiliate)

[Some of the links I’ve shared with you are affiliate links. If you make a purchase using one of these links, I will receive a commission. The commission doesn’t cost you any more than what you would pay for these items on Amazon (as an example). When you use any one of these affiliate links, you’re supporting the Engaging Muscles blog. That’s also the case with the Engaging Muscles podcast. This will help me to keep putting out valuable content.]

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What No One Tells You About Releasing Your Piriformis Muscle - Engaging Muscles Massage (2)

Rick Merriam Massage Therapist/Biomechanics Consultant

I have held a license to practice massage therapy for 29 years. I was a nationally certified personal trainer for the first 18 years of my career. During that time, I completed thousands of one-on-one private training sessions. I went on to teach biomechanics to personal trainers, group exercise instructors, and physical therapists throughout New England.

I worked as a sports massage therapist at ESPN. Over the last few years, I have been quoted in Runner’s World UK, Massage Therapy & Bodywork, Massage Magazine, IDEA Fitness Journal, Massage & Fitness Magazine, and The Guardian Liberty Voice. I have also served as an applied biomechanics consultant for the fitness staff at Canyon Ranch, The Greenbrier, and ESPN.

From 2009 to 2018, I immensely enjoyed teaching applied anatomy & Kinesiology at Parker University.

I’m the owner of Engaging Muscles. I perform a unique deep tissue massage therapy in Dallas, Texas.

I'm Rick Merriam, a highly experienced Massage Therapist and Biomechanics Consultant with 29 years of dedicated practice. My expertise extends beyond conventional massage therapy, as I was a nationally certified personal trainer for the first 18 years of my career. During that time, I conducted thousands of one-on-one private training sessions and taught biomechanics to various fitness professionals and physical therapists throughout New England. My unique approach has been recognized in publications such as Runner’s World UK, Massage Therapy & Bodywork, Massage Magazine, IDEA Fitness Journal, and The Guardian Liberty Voice.

In the provided article, the author challenges common beliefs about addressing piriformis issues and advocates for a more nuanced understanding of muscle tightness and instability. Let's break down the key concepts discussed:

  1. Piriformis Muscle Function:

    • The piriformis muscle is emphasized as rarely being tight but rather underperforming.
    • Its role in providing stability is highlighted, and the article suggests that traditional approaches like deep tissue massage may not yield the desired outcomes.
  2. Risk of Traditional Techniques:

    • Traditional methods like deep tissue massage, using a lacrosse ball, or stretching are questioned for their potential to increase instability and muscle tightness.
  3. Questions for Consideration:

    • Six critical questions are proposed for individuals addressing piriformis-related concerns, emphasizing the importance of understanding the impact on surrounding muscles and overall stability.
  4. Misconceptions in Massage Practices:

    • The article challenges common assumptions made by practitioners, stating that muscles may be treated as tight without a clear understanding of their capabilities.
  5. Automatic Processing and Habits:

    • The importance of questioning automatic processing in dealing with muscle issues is highlighted, drawing on insights from Annie Duke's book, "Thinking In Bets."
  6. Exercise and Compensation:

    • The repetitive nature of exercise is discussed, suggesting that it may encourage compensation and the development of alternative, pain-free movement patterns.
  7. The Unique Role of Piriformis:

    • The piriformis is portrayed as a unique and indispensable muscle in the context of its attachments and actions.
  8. Alternative Approach - Stability vs. Mobility:

    • The author introduces an alternative approach that prioritizes stability over mobility, aiming for long-lasting improvements in both stability and flexibility.
  9. Leverage for Optimal Muscle Function:

    • Emphasizes the importance of creating a stable environment for the piriformis to function optimally, leading to increased strength and flexibility.
  10. Caution against Glamorizing Traditional Approaches:

    • The article warns against the glamorization of deep tissue massage, lacrosse ball rolling, and foam rolling, suggesting a need for skepticism and critical evaluation.
  11. Author's Background and Unique Method:

    • Rick Merriam shares his extensive background, emphasizing his unique approach to deep tissue massage that focuses on stability rather than release.

By considering these concepts, individuals dealing with piriformis issues are encouraged to reevaluate their approach and embrace a more comprehensive understanding of muscle function and stability.

What No One Tells You About Releasing Your Piriformis Muscle - Engaging Muscles Massage (2024)
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