The Piriformis Muscle

David Keil Anatomy, Lower Limb 9 Comments

What Does Piriformis Mean?piriformis muscle sciatic nerve yoga anatomy

  • The Latin name for the piriformis muscle is Musculus piriformis.
  • Piriformis is translated as “pear shaped” muscle.
  • The word piriformis comes from the Latin words pirum meaning “pear” and forma meaning “form or shape.”

Where Does The Piriformis Muscle Attach?

  • The muscle attaches onto the anterior sacrum – That is, on the inside of the pelvic bowl.
  • The other end of the muscle attaches to the very top of the femur called the greater trochanter.

What Are The Actions of The Piriformis Muscle?

  • External rotation of the femur at the hip joint.
  • Assists in abduction of the femur at the hip joint.
  • Although we don’t abduct our leg often in a way that activates this muscle, one example of this action occurs in single legged balancing postures when the piriformis helps stabilize the pelvis.

Postures Where The Piriformis Contracts

Left side piriformis muscle is contracted to stabilize the pelvis relative to the femur.

Postures Where The Piriformis is Lengthened

piriformis muscle stretched in pigeon

Pigeon is a classic example. The closer the front leg is to parallel with the front line of the mat, the more pressure goes into the piriformis muscle.

Common Problems and Additional Information

The piriformis muscle is a very popular muscle. I wrote an article on it titled Piriformis – A Real Pain in the… some time ago. It also got mentions in two other articles. One on sit bone pain and the other discussing the gluteal and psoas relationship.

Let’s give it the attention it deserves right here though. The muscle is a lightning rod. Anytime anyone has pain in their buttocks it must be the the piriformis, right? No, not necessarily. There are plenty of other causes of pain in the buttocks as outlined in the articles I linked to above.

Piriformis Syndromepiriformis with sciatic nerve on yoga anatomy

Piriformis syndrome is probably one of the most popular reasons that everyone has heard of the piriformis muscle. Piriformis syndrome seems to live under the umbrella of sciatica. It is more specific than the general description that the piriformis muscle is tight and compressing the sciatic nerve that runs underneath it. One of the more common causes is repetitive contraction of the muscle. Sorry runners, you’re more likely to end up with piriformis syndrome. If you have a tight one and want to stretch it out, great, just don’t over do it and inflame it more! I usually recommend pigeon and its variations for this purpose.

Additional Images

Piriformis Trigger Points

Trigger points in the piriformis muscle.

piriformis muscle barbara cummings illustration

The piriformis muscle by itself

piriformis on yoga anatomy

View of Piriformis from the side.

yoga anatomy book cover

Many of the concepts in this article are discussed in:
Functional Anatomy of Yoga


Online Lotus Workshop
Yoga Anatomy Book Buy Now

About David Keil

david keil yoga anatomyThis website is simply about delivering yoga anatomy to the yoga community in a simple and understandable way. It has always been about you, the reader, understanding the complexity and diversity of our own humanness as well as our anatomy.

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Comments 9

  1. I love your newsletter!
    It seems as though you have started using more photos/pics , as opposed to written descriptions , to make your point, and that helps!

  2. I just wanted to thank you for your articles on the piriformis and also the video on Lotus prep. This cured years of chronic pain. My pelvic/hip area was so congested that it pulled my SI joint out of alignment. Thank you, thank you, thank you!

    1. Post
    2. Hi. I signed up just to ask you what video has the Lotus prep in it? I have piriformis syndrome that can be totally relieved (in one session) by a competent trigger point massage therapist (he releases the piriformis and sometimes the gluts, using trigger point therapy) but it comes back. So I’d love to find out how you fixed yours.

  3. hello could this piriformis syndrome be my problem,i have pain in the tailbone,cant go into plough,aches and burns frequently and pigeon seems to help,and thank you for very interesting articles,looking forward to the next one! yours,eila hankinson

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  4. I have experienced pain, a pinching sort of pain, in this very spot for the last couple of years. It goes away when I sleep and is back as soon as I start moving around. I have scoliosis in two places and arthritis in my lower spine and one leg is shorter than the other. In the last few months, I’ve gotten mild sciatica. My doctor sent me to a physical therapist and a chiropractor, but it none of it helped. “I’ve done Hatha yoga and Kundalini yoga since last December, and I do laps in an Olympic size pool nearly every day. Both seem to help by warming the muscle. I have to sit, though, because of my job. That’s when the pain is the most severe, even when I take breaks. A couple days ago, after sitting for a long time and then walking for a half hour, my calves cramped up so badly that both legs and feet turn in. It really frightened me, but my doctor didn’t seem that concerned. My question is could the Piriformis muscle be the culprit? And if so, should I try and cure the pain in that muscle?

  5. I try to give out the information of how easy it is to diagnose whether the piriformis is causing a pain problem. Most MDs have never heard of it, and of course there are those who say it doesn’t exist. People go through MRIs and cat scans and all kinds of other tests and don’t find anything out.
    However, if it *IS* the piriformis at fault, it can be easily diagnosed by engaging a competent trigger point massage therapist, and have him/her use trigger point therapy to release the piriformis muscle along its entire length, and also any other tense muscles in the affected buttock. If it is a tense piriformis causing the problem, this will astonishingly relieve the pain. Cause will likely still have to be addressed, but one does not have to continue with excruciating pain while the cause is sought. If this does not have an significant effect, you may be looking in the wrong place for the source of your pain.

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