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Diana Remaley, LMT
19 Compo Road South
Westport, CT

Posterior Hip Stretching - Part 2 - The Piriformis Muscle

It's a safe bet that this muscle is tight right now...

In the previous post, I addressed how stretching the Gluteal muscles can help improve flexibility, and help alleviate lower back issues. Another muscle that's implicit in lower back pain is Piriformis. This muscle is tight in almost every client on my massage table, even though almost no client realizes it before the session. It can pull quite strongly on the sacrum of the spine, that is the very lowest part of the back. This means it's often responsible for lower back "aches", especially while sitting, laying, or even while sleeping. It even has it's own syndrome ("Piriformis Syndrome"), wherein its' constriction pushes on the nerve running down the back of the leg, causing tingling and even numbness in the leg, feet and toes. If you've every felt a hot, sharp, nerve zing down the back of your leg, chances are this muscle was involved.

 Anatomy Lesson:

 The piriformis muscle attaches from the anterior sacrum to the top of the femur (thigh bone). This means it is involved in rotating the thigh interiorly and exteriorly, as well as moving the thigh up, especially in running or cycling. It's has also been suggested that it's antagonist muscles are the psoas major/minor, which are on the front of the body, deep in the abdomen and pelvis. Therefore when one muscle is tight, the other often is too. You may find that after performing this stretch, it's a little easier to stand up straighter and move your legs more freely.

 The Stretch:

 Sitting on a hard surface with your knees bent gently, cross the right leg over the left:

Twist your upper body to the right and anchor the left (opposite) elbow on the outside of the knee, as far outside as you can stretch to reach. Twist a little more to the right, using the elbow to push the knee as far as it can stretch toward the other (left) leg; this action will twist the upper body extremely, but focus your energy on moving the knee, rather than spiraling the spine:


Other views of the same stretch:

Practicing this stretch and the previous Gluteal stretch every day will make such a huge change in your lower body flexibility, opening the legs and even freeing the lower back to function optimally. Regular massage therapy on these muscles will also help you to realize exactly where they are on your body, and how they feel. I'm happy to help you understand these stretches more fully at your next appointment. I'll see you in my Westport office!

Posterior Hip Stretching - Part 1 - Gluteal Group

Opening up the back of the hips often helps the low back!

Many clients come into my Westport office for lower back pain. While this pain is often very complicated and differs with each client, studies have shown that tension in the back of the hips affects the low back region. Although the muscles in this area are literally the largest in the body, they are often overlooked in our daily stretching routines. That's a shame, because not only do we use these muscles with every single step and while standing, but we also pull on them while sitting, meaning they are under contractile force almost constantly.

In the next two posts, I'll explore the two most effective stretches to loosen the back of the hips. These particular stretches are even more effective performed in an assisted way, that is, during a massage therapy session at my office. The next time you come in, I'll be pleased to perform the stretches along with you. Most clients are amazed when the see what the combination of massage therapy and stretching does for flexibility!

Anatomy Lesson

The Gluteal muscles include Gluteus Maximus, Gluteus Medius, and Gluteus Minimus. As a group, these muscles attach from the sacrum and illium of the pelvis to the top of the femur. This means they are involved in the motions of walking, rotating the thigh, getting up from a squatting/sitting position and abducting (moving away) the thigh from the hip.





The Stretch

The stretch involves pulling the lower leg forward from the knee and ankle to try to touch the chest. It can be done either standing, sitting or even lying down on a soft surface, depending on your flexibility. If you're standing, it's perfectly acceptable to hold on to a wall or chair for balance.

Start by bending your leg in front of your body, with the lower leg perpendicular to the torso, bent 90 degrees at the knee. Gently hold underneath both the knee and ankle:

Pull both the knee and ankle evenly toward the chest. Your grip on the ankle should be relatively loose; the grip around the knee is more important in the stretch. Pulling that knee toward the chest is the critical part - start gently and breathe into it, pulling a little closer with each breath:

Don't bend down toward your leg; keep your spine very straight and support the stretch by pulling in with your abs. Repeat on both sides of the body. Ideally, you should be able to touch your knee to your chest. Of course, not everyone is that flexible, but regular massage therapy and stretching can help improve flexibility.

After a few good stretches, you should start to feel your range of motion increase, and hopefully that lower back will open up a bit. If you find your low back is still aching and tight, feel free to book a massage therapy appointment to loosen up that tension. I'll see you in my Westport office!

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Diana Remaley, LMT
19 Compo Road South
Westport, CT