Piriformis syndrome is often misunderstood as just a "tight muscle" problem, but in reality, it can disrupt nerve function, alter fascia dynamics, and contribute to chronic pain that extends beyond the glutes. If you’ve ever felt sciatic pain that worsens in certain positions—particularly lying on your front—or experienced an unexplained burning sensation in your buttocks, legs, or even vulva, this might be the missing piece of the puzzle.

This post will explore why piriformis syndrome happens, how it affects the body (including its impact on fascia), why it can make lying on your stomach unbearable, and why traditional methods like the McKenzie approach may not be effective. We'll also dive into exercise modalities that actually work—including Hypopressives, a technique that promotes whole-body engagement to alleviate sciatic pain.

The sciatic nerve is the longest and thickest nerve in your body, playing a vital role in lower limb function and mobility. Originating from the lumbar and sacral plexus, it travels down the spine, through the pelvis, and into the legs, branching off to deliver motor and sensory signals. But due to its long journey, it's prone to compression and irritation, which can cause pain, numbness, and dysfunction. In this post, we’ll explore its pathway, common compression points, how hysterectomies and sacral damage can impact it, and most importantly, how you can take charge of your recovery with Hypopressives, breathwork, foot mechanics, and release techniques.