The title was taken from the pet phrase of one of Little Richard's favorite DJ's, Jimmy Pennick. Musically, the song was inspired by the sax player Jackie Brenston, famous for singing lead and playing with Ike Turner on the song "Rocket 88."
Like most of Little Richard's songs, this contains a lot of innuendo ("sure like to ball") but most people were too busy listening to the music to notice, or didn't get the reference. At the time, the most common meaning for "balling" was dancing; only later did it became a popular euphemism for oral sex. The term later took on a new meaning when it came describe a lavish and extravagant lifestyle, with these guys flashing their cash known as "ballers."
This song was a huge influence on many musicians in the early years of rock and roll. Speaking with Songfacts, Roger Reale, who was in the group Rue Morgue with Mick Ronson, said: "It's revolutionary, rebellious and celebratory all in one, starting with that rolling piano intro, before moving into a totally unique vocal performance. I had never heard such a direct, crazed, almost otherworldly vocal before in my life."
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