massage therapy reflexology Massage Tutorial: Gluteal region (gluteus maximus, piriformis, sciatica)

Do you avoid the glutes when working with clients? Here are some ways of working with the area that won't feel invasive to your client, and that might really help with low back and sciatica pain.

When working with the glutes, approach from multiple directions. I like to work down from the low back and up from the leg; each will feel slightly different, and will hit the muscles in different ways. Avoid moving laterally from the intergluteal cleft, as this can spread things in an uncomfortable way.

Give plenty of attention to the sacroiliac joint (SI joint), but realize that much of the pain there can come from the muscles that attach nearby. Gluteus maximus and the external rotators will all exert some pull here.

For working with piriformis and sciatic pain, consider all of the tissue between the SI joint and the greater trochanter. Internally and externally rotating the femur as you work can be very effective.

Let me know what you think! If you have any techniques that you'd like to share, I'd love to hear them.

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massage therapy reflexology Massage Tutorial: Gluteal region (gluteus maximus, piriformis, sciatica)
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