Do you have pain in the butt, gluteus,
hip area? Everyone describes this pain with a variety of
terminology, even doctors and researchers! This pain isn’t all that
unusual for back pain and leg pain
sufferers. Gluteal pain that just won’t go away – a “toothache
in the butt” – is more renowned nowadays as
its own issue often associated with irritation of
the sciatic nerve. Your Severna Park chiropractor at Back And Neck Care Center is very
knowledgeable of sciatic
nerve irritation and its chiropractic care relief.
ANATOMY
There are multiple
overlapping structures in the area of this
gluteal/hip pain! The gemelli muscles lie in the posterior
hip area. Along with the obturator internus, piriformis, and quadratus femoris muscles,
the gemelli muscles were viewed as allowing external rotation
of the thigh. (1) A study of the sciatic nerve in both live volunteers and
cadavers during hip
rotation demonstrated that throughout
passive hip rotation, the sciatic nerve is very much linked
to the gemelli-obturator internus complex, curving during
passive internal rotation and relaxing during external hip rotation. (2) In a study using ultrasound to see the motions of gluteal
and subgluteal muscles, researchers found
that passive movements of hip rotation and isometric contraction of muscles impacted
the sciatic nerve in the subgluteal space. They proposed that these
passive movements may well impact the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Severna Park chiropractor
recognizes how anatomy influences how pain is experienced
daily!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the middle of
all these gluteal muscles lies the sciatic nerve that runs
from the spine to the toes. Back in 2009, an early report of sciatic
nerve compression discussed how endometriosis, abscess,
tumor, adjoining uterus, piriformis syndrome and newly presented
sciatic neuropathy due to compression of the sciatic
nerve by obturator internus tendon and muscle may well be reasons
for sciatic pain. (4) Even earlier, in 2005, a chiropractic radiologist/clinician
and a chiropractic anatomist connected the clinical
presentation of deep gluteal, sciatica-like pain in back pain patients with persistent
aching pain in the retrotrochanteric region of the hip and upper
posterolateral thigh. The anatomist described how the
structures in this area included the gemelli-obturator
internus muscle complex and related bursae. (5) Back And Neck Care Center notes how tight an area it is for everything to fit!
TERMINOLOGY
A review of just what is published about deep gluteal
syndrome – pain in the gluteus – reported that deep gluteal syndrome
has been more talked about in the medical literature lately
but called all sorts of
different names: piriformis syndrome, gemelli-obturator internus syndrome,
ischiofemoral impingement syndrome, proximal hamstring syndrome. Reviewers defined
this deep gluteal syndrome as posterior hip pain as a result of
nerve entrapment beyond the piriformis syndrome which can be caused by
nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome
can be conservatively treated. (6) Medical conservative and Severna Park
chiropractic conservative each propose different options.
Back And Neck Care Center can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative
options are tried. Medical approaches were listed
as rest, staying away from irritating movements, taking meds, getting
injections, or performing physiotherapy. Patients with
persistent or recurrent symptoms after conservative treatment may undergo
surgery. (6) Chiropractors like your Severna Park
chiropractor offer conservative care effectively for most. The
clinician-author described conservative treatment as goading of
the bursa/sciatic nerve/muscle area – discussed as the GOIC (gemelli
obturator internus complex) area – along with Cox® Technic flexion distraction decompression
of the lumbar spine L5S1 area to relieve irritation of the
sciatic nerve. (5) Relief is often forthcoming for Severna Park
chiropractic patients with this method.
CONTACT Back And Neck Care Center
Listen to this PODCAST
with Dr. Clint Dickason on The Back Doctors Podcast with
Dr. Michael Johnson as he illustrates the relief with The
Cox® Technic System of Spinal Pain Management.
Make your Severna Park chiropractic
appointment today. The gluteal/butt/hip pain – regardless of
its name – may get relief at last!