How to Deeply Stretch the Piriformis Muscle to Ease Lower Back and Hip Discomfort
If you’ve ever felt a tight, aching sensation deep in your lower back or along the outer hip, the piriformis muscle might be involved. This small but powerful muscle sits under the glutes and plays a role in hip rotation, posture, and the way you walk.
When it becomes tight or irritated, the piriformis can cause discomfort in the low back, hips, or even radiating pain down the leg. Targeted stretching can help relieve tension, improve mobility, and support healthy movement.
Here’s how to safely and effectively perform deep piriformis stretches — and what you need to know before you begin.
What Is the Piriformis Muscle?
The piriformis is a small, pear-shaped muscle located deep within the buttock. It:
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helps rotate the hip
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stabilizes the pelvis
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supports walking, running, and climbing
When tight, it can compress nearby nerves — especially the sciatic nerve — leading to what people often call “piriformis syndrome.”
Signs the Piriformis Might Be Tight
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Deep soreness in one buttock
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Pain when sitting for long periods
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Tightness when crossing one leg over the other
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Discomfort spreading from the hip into the lower back or thigh
If pain is severe, numbness, or worsening, see a healthcare provider before doing stretches.
The Best Deep Piriformis Stretches
1. Figure-4 Stretch (Lying Down)
One of the most effective and gentle piriformis stretches.
How to do it:
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Lie on your back with knees bent.
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Cross your right ankle over your left knee, forming a “4” shape.
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Pull the left thigh toward your chest.
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Hold 20–30 seconds.
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Switch sides.
What you’ll feel:
A deep stretch in the glutes and outer hip.
2. Seated Piriformis Stretch
Great for work breaks or when sitting for long periods.
How to do it:
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Sit upright in a chair.
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Place your right ankle on your left knee.
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Keep your back straight and gently lean forward from the hips.
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Hold 20–30 seconds.
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Switch sides.
3. Pigeon Pose (Modified)
A deeper stretch for people with good hip mobility.
How to do it:
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Start on hands and knees.
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Bring your right knee forward behind your right wrist.
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Extend the left leg straight back.
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Gently lower your hips toward the floor.
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Hold 20–30 seconds, then switch sides.
Tip:
If any sharp pain occurs, stop and reduce depth. A pillow under the hip can help.
4. Hip External Rotation Stretch (Supine Twist Variation)
How to do it:
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Lie on your back.
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Bend your right knee and cross it over your body to the left, keeping shoulders on the floor.
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Hold 20–30 seconds.
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Switch sides.
This helps release tightness in the lower back and hips together.
How Often Should You Stretch?
For best results:
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Stretch 1–2 times daily if you’re experiencing tightness
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Hold each stretch for 20–30 seconds
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Repeat 2–3 rounds per side
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Move slowly and breathe deeply
Tips for Safe Stretching
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Never bounce during a stretch
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Stop if pain radiates sharply down the leg
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Warm up with gentle walking for 3–5 minutes beforehand
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Pair stretching with strengthening exercises (glutes, hips, core) for long-term improvement
When to See a Professional
Seek medical guidance if you experience:
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Numbness or tingling
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Progressive weakness
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Persistent or severe pain
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Pain that worsens after stretching
These may indicate a deeper issue that requires diagnosis and specialized treatment.
The Bottom Line
Deep piriformis stretching can be a powerful way to ease lower back and hip tightness, improve flexibility, and support healthy movement. With consistent practice, these gentle stretches can help you feel looser, more mobile, and more comfortable throughout your day.
If you want, I can also create:
✨ A printable stretch routine
✨ A beginner-friendly 5-minute daily mobility plan
✨ Illustrations or step-by-step images (AI-generated)
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