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Piriformis tightness can lead to various issues like Back pain or Sciatic nerve pain felt in various parts of the leg. The pirifomis is a deep hip rotator muscle and is often innervated by the sciatic nerve. Dr Gloin and Leda Lum from Live Well Chiropractic Pilates Center demonstrate a few ways to stretch your piriformis. Lack of flexibility in the low back and pelvic region can change the way that those areas are able to move and function.