Why Does My Butt Hurt When I’m Just Sitting Still?
Pain in the buttocks when resting—whether you're lounging on the couch or sitting at your desk—can be frustrating, confusing, and hard to explain. It might feel like a deep ache, sharp jabs, or even a dull pressure that just won’t go away. If this sounds familiar, it’s possible that your pelvic floor muscles are playing a role.
At Rhode Island Pelvic Wellness, we work with many people who come in thinking they have a back, hip, or sciatic nerve issue… only to discover that the pelvic floor is the missing piece of the puzzle.
What Causes Resting Buttock Pain?
Pain in the buttock region can stem from several sources: irritated nerves (like the pudendal or sciatic), trigger points in deep gluteal muscles (like the piriformis), or even from overly tight pelvic floor muscles. When the muscles in and around the pelvis are tense, weak, or not coordinating well, they can refer pain to surrounding areas—including the buttocks.
Some common culprits include:
Prolonged sitting
Pelvic floor muscle tension or spasm
Birth injuries or postpartum changes
Old tailbone injuries
Constipation or straining
Nerve irritation or entrapment
How Pelvic Floor PT Can Help
Pelvic floor physical therapy looks beyond the surface. We assess how your pelvic muscles, hips, spine, and nerves are all functioning together. If your pelvic floor muscles are holding too much tension or not activating correctly, they may be contributing to your pain—even when you’re doing nothing at all.
Treatment might include:
Manual therapy to release tight muscles internally and externally
Postural and movement retraining to reduce pressure on the pelvis and tailbone
Breathwork and nervous system regulation
Mobility and strengthening for surrounding areas like the hips and low back
Education on sitting strategies and positioning
You don’t need to live with nagging buttock pain that makes sitting miserable. Pelvic floor PT offers a holistic, root-cause approach to help you feel more at ease in your body again.
Get Help Today!
You don’t need to live with nagging buttock pain that makes sitting miserable. Pelvic floor PT offers a holistic, root-cause approach to help you feel more at ease in your body again.
At Rhode Island Pelvic Wellness, we do things differently. We take the time to listen to your story, perform a thorough full-body and pelvic floor evaluation, and create a plan that’s personalized to your unique needs—not just your symptoms. You won’t be rushed through care or handed a generic list of exercises. If you're ready to get to the root of your discomfort and finally feel relief, we're here to help.
👉 Book a free phone consultation
👉 Learn more about us on our About Page or Instagram: @rhodeislandpelvicwellness
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