Buttock pain isn’t just uncomfortable—it can make everyday life difficult. Sitting through work, driving, sleeping comfortably, or even standing for long periods can feel like a challenge. At ChiroVirginia, we see many patients with these exact complaints, and one of the common culprits is a small but powerful muscle called the piriformis.

When the piriformis becomes tight or inflamed, it can irritate the sciatic nerve and cause pain that radiates from the buttock down the leg. This condition, called piriformis syndrome, often mimics sciatica but originates in the hip and pelvis rather than the spine.

What Does Piriformis Syndrome Feel Like?

Piriformis-related pain usually feels like a deep ache or knot in one buttock. Some patients describe sharp pain or tingling that worsens when sitting, climbing stairs, or walking uphill. Unlike traditional sciatica, piriformis pain usually doesn’t involve the lower back.

Why Sitting Makes It Worse

Long hours of sitting—especially on hard chairs or in poor posture—compress the piriformis muscle and surrounding tissues. That extra pressure can irritate the sciatic nerve, which explains why buttock pain often flares during long drives or desk work.

Other Possible Causes of Buttock Pain

While piriformis syndrome is common, it isn’t the only explanation for gluteal pain. Other conditions can include:

• Muscle tension or trigger points – “knots” that refer pain across the buttocks or down the leg.
  
• Ischial bursitis – inflammation under the sit bones, often aggravated by prolonged sitting.
  
• Hip impingement or strain – mechanical issues that place stress on the hip and surrounding muscles.
  
• Spinal causes – such as disc problems or nerve compression that refer pain into the buttocks.
  

Because symptoms overlap, it’s important to identify the true source before choosing the right treatment.

Stretching and Self-Care for Relief

Gentle movement is often the first step toward easing discomfort. Helpful stretches include:

• Supine piriformis stretch – lying on your back, pulling one leg toward your chest.
  
• Seated figure-four stretch – crossing one ankle over the opposite knee while seated.
  
• Standing glute stretch – resting one ankle over the opposite knee while lowering into a light squat.
  

In addition, alternating between sitting and standing, using supportive chairs, and staying active can reduce flare-ups.

How Chiropractic Care Helps

When buttock pain doesn’t go away on its own, chiropractic care may help. At ChiroVirginia, we look beyond symptoms to address the underlying cause. Our care may include:

• Gentle adjustments to improve spinal and pelvic alignment.
  
• Soft tissue therapy to release tension in tight gluteal muscles.
  
• Guidance on posture, movement, and exercises to prevent recurring irritation.
  

By restoring balance to the body, we not only help reduce pain but also improve mobility, circulation, and overall function.

The Bottom Line

Persistent buttock pain—whether from piriformis syndrome, sciatica, or muscle strain—doesn’t have to control your life. With the right care, most patients experience significant relief and a return to normal activities.

Why Choose Chiropractic for Chronic Pain?

Chiropractic care doesn’t just relieve pain—it improves your overall quality of life. Many of our patients report better sleep, less stress, improved energy, and greater mobility after regular care.

At ChiroVirginia, our mission is simple: help you move better, feel better, and live better.

 Serving  Richmond Virginia Metroplex – Short Pump-Glen Allen Area.

 Call us at 804-929-8789 or visit www.chirovirginia.com 

The content on this page—including text, graphics, images, and other materials—is provided for general informational purposes only. Its aim is to enhance public awareness and understanding of various health-related topics, such as chiropractic care, exercise, and nutrition. This information is not intended as a replacement for professional medical advice, diagnosis, or treatment. Always consult your chiropractor, physician, or another qualified healthcare provider with any questions about a medical condition or treatment plan. Do not ignore or delay seeking professional medical advice because of something you have read on this page.