Buttock pain, leg pain or both?
Back, buttock or leg pain is often labelled “sciatica”. In many people, the source is a small muscle deep in the buttock called the piriformis. When it tightens or becomes irritated, it can press on the sciatic nerve and send pain down the leg — this is Piriformis Syndrome.
What is the piriformis?
A small, pear-shaped muscle that helps rotate the hip and stabilise the pelvis. The sciatic nerve runs just underneath it (and in some people, through it), which is why irritation here can mimic sciatica.
Common signs:
Deep ache in one buttock
A “tight knot” feeling in the glute
Pain that worsens with sitting, squatting, lunging or stairs
Tingling, numbness or burning down the back of the thigh
Relief when you lie flat or keep gently mobile
Back and leg pain can also come from discs, lumbar or pelvic joints, or other muscles — often it’s a mix. Getting the diagnosis right matters.
Why it happens:
Long periods of sitting
A sudden jump in training, especially running
Weak gluteal/core muscles, so the piriformis overworks
Posture or gait imbalances, including flat feet
Less commonly, a direct knock or fall
How we can help:
We will take a careful history and examine your spine, pelvis and hips to confirm what’s driving your pain. Treatment is tailored, and may include:
Gentle chiropractic adjustments to improve joint motion
Soft-tissue release for the piriformis and supporting muscles
Targeted home exercises to strengthen glutes/core and restore balance
Because we work as a multidisciplinary team, we may also recommend massage or acupuncture alongside your chiropractic care if it’s likely to speed recovery.
Simple Habits that Make a Difference:
Move regularly: break up sitting; micro-stretches help
Strengthen smartly: glute bridges, clams and hip abduction within comfort
Stretch after activity or long drives
Warm up before running or sport
Avoid prolonged leg-crossing
Check your setup: supportive footwear and sensible desk ergonomics
When to get checked:
If your pain is persistent, shooting down the leg, or affecting sleep, work or exercise, it’s worth an assessment. The earlier we calm the irritation and rebalance the system, the quicker you tend to improve — and the easier it is to prevent repeat episodes.
