RolfMeSi Eliminate Chronic pain with Structural Integration.

If you’re dealing with sciatica, lumbar radiculopathy, piriformis syndrome, disc-related leg pain, or chronic nerve irri...
02/20/2026

If you’re dealing with sciatica, lumbar radiculopathy, piriformis syndrome, disc-related leg pain, or chronic nerve irritation, start by looking at what you do every day.

Sciatic nerve pain rarely appears overnight. It builds through repetition.

Crossing the same leg every time you sit.
Driving with one leg pulled up.
Leaning into one hip while standing.
Shifting your weight to the same side at the sink.

These habits rotate the pelvis.

When the pelvis rotates, the sacrum shifts.
When the sacrum shifts, the lumbar spine adapts.
The ribcage follows.
The neck compensates to keep your eyes level.

Over time, that rotation changes how force transfers through your body.

The sciatic nerve travels from the low back, across the sacrum, through the hip, and down the back of the leg. If load is uneven and rotation becomes your default alignment, pressure can accumulate along that pathway.

You feel it as burning down the leg.
Pins and needles in the foot.
Deep aching in the hip.
Numbness that comes and goes.

Stretching may calm it briefly. Strengthening may help temporarily. But if the structural pattern stays the same, the irritation often returns.

Sciatica is closely tied to how the pelvis and sacrum manage weight in gravity. When force disperses evenly from the foot through the spine, compression decreases and the nerve has more space to settle.

Your body adapts to what you practice daily.

DM Ivette if you are ready to get started with an intro session or the ten series

Your IT band isn’t a muscle. So stop treating it like one.If you’re dealing with IT band pain, you’ve probably been told...
01/31/2026

Your IT band isn’t a muscle. So stop treating it like one.

If you’re dealing with IT band pain, you’ve probably been told to stretch it, roll it, or “loosen it up.” That advice sounds logical… until you understand what the IT band actually is.

The IT band is fascia. Not muscle. It’s dense connective tissue designed to stabilize the outside of the leg and help transfer force between the hip, thigh, and knee. So when it becomes painful, it’s rarely because it’s simply “tight.” Most of the time it’s because it’s being overloaded.

What I commonly see behind IT band pain is not a local issue in the thigh. It’s a force distribution issue. When the pelvis isn’t organizing weight evenly, when the hip isn’t absorbing load well, when the femur rotates and the knee starts tracking slightly off center, or when the foot collapses and loses clean contact with the ground, the body recruits the outside of the leg to create stability. The IT band becomes the tension line that has to hold things together.

That’s why foam rolling and stretching can feel good temporarily, but the pain keeps returning. You can change sensation, but if the underlying pattern stays the same, the body will tighten that fascia right back up. Not because it’s stubborn, but because it’s functional. The tension is there for a reason.

The goal isn’t to “release the IT band.” The goal is to change what’s pulling on it. When you improve pelvic organization, hip mechanics, foot contact, and the way force transfers through gait, the IT band stops acting like the backup stabilizer. That’s when the pain begins to resolve in a real way.

If your IT band pain keeps coming back, it’s usually not because you’re not stretching enough. It’s because the structure underneath it hasn’t been addressed yet.

DM Ivette to get started.

01/30/2026

Piriformis syndrome is often explained as:
“A tight piriformis is compressing the sciatic nerve.”

That explanation can fit.
But in many bodies, the piriformis is not the root cause.

It’s responding to how the pelvis and hips are organizing force.

The piriformis sits at a major crossroads between the sacrum, pelvis, and hip joint. When the pelvis is rotated, compressed, or unevenly loaded, the body has to create stability somewhere. A common place it does that is through the deep glute system — including the piriformis.

That’s when symptoms tend to show up as:

Deep glute pain.
Pain sitting.
Hip tightness.
Low back tension.
Sciatica symptoms down the leg.

This is also why stretching the piriformis often doesn’t last.

If your pelvis and hips aren’t transferring force well, the piriformis will keep tightening because your body is trying to stabilize a system that doesn’t feel organized.

I’m not focused on “fixing” the piriformis.
I’m focused on the pelvic and hip mechanics creating the strain.

I’m assessing what’s throwing the pelvis and hip mechanics off.

Is the pelvis level?
Is one hip rotated forward?
Is weight dumping into one leg more than the other?
Is the sacrum moving freely?

And one of the most overlooked drivers is scar tissue.

If there is restriction through the front of the abdomen (C-section, hysterectomy, appendectomy, laparoscopic surgery), fascia can pull the pelvis out of neutral. That changes hip mechanics, alters gait, and creates chronic tension through the glutes and deep rotators — even when the pain shows up in one specific spot.

This work is about fascia, alignment, and load transfer — so the pelvis can organize better and the piriformis doesn’t need to grip for stability.

If you’ve been told you have piriformis syndrome and it keeps coming back, there’s a good chance the issue isn’t the piriformis — it’s the structure it’s responding to.

DM Ivette to get started.

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