17/06/2026
Piriformis syndrome, how to fix it!
Change the way you think about it. It is not a “syndrome”. The same principles we apply to any musculoskeletal area apply to piriformis issues.
A “tight” piriformis is doing more work than it should. Find the weak muscle/s that is making piriformis over work.
You won’t solve this in stretching. Actually in my approach I look at the position the problem occurs in and then correct that.
So a “piriformis” stretch is a position you rarely ever achieve in your life. To me that is not a “functional” solution!!! Find a functional solution🤘
Weakness of the Glute max and Glute Med into external rotation and abduction control in single leg weight-bearing activities will be your most common finding (such as step-ups, walking). Weakness cannot be tolerated.
Rehab the weakness, don’t just stretch and roll out the tightness.
Strengthening will be the lasting solution, the stretch and roll out are secondary in importance to the overall strengthening plan.
Remember to think of piriformis issues like the rotator cuff. It is mainly a joint stabiliser, the power comes from the glutes.
Weak Glutes into the problem pattern is causing increased work upon the piriformis.
Instead of stabilising happily, piriformis is now trying to produce force to make up for the Glute weakness.
Now go get your Glutes strong.
Correctly progress through the force levels to find the right tool for the right job!
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A practical breakdown of how to assess and build stronger glutes to support your strength and injury rehab goals, including lower back, knee, and SIJ pain.