Texas Medical Massage, PLLC

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Piriformis: a small deep hip muscle with a big role in sciatic pain. It sits under the gluteus maximus and runs from the sacrum to the top of the thigh bone. The sciatic nerve exits right beneath it, and in some people it passes through the muscle.

When the piriformis tightens or spasms, it can compress or irritate the sciatic nerve. This is called piriformis syndrome, and it is often mistaken for true sciatica. The symptoms look alike: deep buttock pain, plus pain, tingling, or numbness down the back of the leg. The source is different, though. True sciatica usually starts at the spine, from a disc or narrowing that pinches the nerve root. Piriformis syndrome starts in the hip, where the muscle squeezes the nerve. Clues that point to the piriformis include pain that is worse with long sitting, tenderness deep in the buttock, and pain when rotating the hip. Low back pain is often mild or absent.

Getting the source right matters. Medical massage works into that deep layer to release the piriformis, take pressure off the sciatic nerve, and restore easier hip rotation. Save this sheet for reference.

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Anterior knee pain often involves the vastus medialis (VMO) and vastus lateralis, the re**us femoris that loads the patella through the quadriceps tendon, peri-patellar soft tissue around the kneecap, and IT band contribution near the lateral knee. When those tissues guard or pull unevenly, the patella tracks poorly and the front of the knee stays irritable with stairs, squatting, or prolonged sitting. Medical massage softens the quads and peri-patellar tissue, eases lateral IT band tension at the knee, and restores smoother patellofemoral glide.
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Tennis elbow (lateral epicondylalgia) is often irritation of the common extensor tendon—especially ECRB—where it anchors at the lateral epicondyle. Guarded anterior and middle scalenes can also irritate a nerve response that refers into the elbow and creates that same outer-elbow feel, even when the tendon isn’t the only driver. Medical massage eases the forearm extensors and those scalenes so we address local tendon load and the neck referral pattern.

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Mechanical neck pain often comes from guarded cervical muscles—upper trapezius, levator scapulae, and the small suboccipitals at the base of the skull. When those tissues stay tight, the neck loses easy glide and simple turns tug instead of move. Medical massage eases that guarding so the cervical region can settle and motion can return.

theiym.net • 713-570-9337

The lumbar erectors, multifidus, and QL often go into protective spasm after sitting or lifting, and the fascia around them tightens with it. That guarding is what keeps the low back stiff. Medical massage works those layers so your spine can move without the constant brace.
theiym.net • 713-570-9337

Shoulder catching when you reach for a seatbelt or a high shelf? That’s often the rotator cuff. We work the shoulder so it can lift without that pinch.

theiym.net • 713-570-9337

First steps of the day shouldn’t feel like that. Here’s what’s actually pulling on the heel, and how we treat it.

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