05/13/2026
Another day in the clinic treating “butt pain” that wasn’t simply coming from the glute muscles.
If you ask me, the glutes and piriformis take a lot of heat that maybe they don’t deserve. They get blamed for pain that is sometimes close by and referring out.
I hear things like this all the time:
“I’ve tried it all”
“My sacrum is just tight”
“My hip is always locked up no matter how much I stretch”
“My piriformis is the worst”
Sometimes you’re putting your energy and time into the wrong tissues.
So just in case no one has told you -
Pelvic floor muscle dysfunction can present as pain in the hip / butt / sacrum / back etc.
If you’ve tried everything except addressing the pelvic floor… then maybe it’s time to give it a shot.