Do you have pain in the butt, gluteus,
hip area? Everyone terms this pain with a variety of
terminology, even doctors and researchers! This pain is not all that
uncommon for sciatic and back pain
sufferers. Gluteal pain that just will not go away – a “toothache
in the butt” – is more renowned today as
its own concern often associated with irritation of
the sciatic nerve. Your Pflugerville chiropractor at Pflugerville Wellness Center is very
knowledgeable of the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
Many structures come together in the region of this
gluteal/hip pain! The gemelli muscles are positioned in the posterior
hip area. Along with the obturator internus, piriformis, and quadratus femoris muscles,
the gemelli muscles were seen to allow external rotation
of the thigh. (1) A study of the sciatic nerve in both live volunteers and
cadavers during hip
rotation documented that during
passive hip rotation, the sciatic nerve is very much related
to the gemelli-obturator internus complex, curving during
passive internal rotation and relaxing during external hip rotation. (2) In an
ultrasound study of 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 suggested that these
passive movements may well affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Pflugerville chiropractor
recognizes how anatomy shapes how pain is senses
every day!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the middle of
all these gluteal muscles is the sciatic nerve that runs
from the spine to the toes. Back in 2009, an early report of sciatic
nerve compression presented 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 continual
aching pain in the retrotrochanteric region of the hip and upper
posterolateral thigh. The anatomist illustrated how the
structures in this area involved the gemelli-obturator
internus muscle complex and related bursae. (5) Pflugerville Wellness Center finds this to
be a small area for everything to fit!
TERMINOLOGY
A review of just what is published about deep gluteal
syndrome – pain in the gluteus – stated that deep gluteal syndrome
has been more recounted in the medical literature lately
but named in a variety of ways: piriformis syndrome, gemelli-obturator internus syndrome,
ischiofemoral impingement syndrome, proximal hamstring syndrome. Reviewers characterized
this deep gluteal syndrome as posterior hip pain as a result of
nerve entrapment beyond the piriformis syndrome which can be due to
nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome
can be conservatively treated. (6) Medical conservative and Pflugerville
chiropractic conservative each offer different options.
Pflugerville Wellness Center can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is usually
first before any more invasive treatments. Medical approaches were listed
as rest, avoiding irritating movements, taking meds, getting
injections, or doing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms
after conservative care. (6) Chiropractors like your Pflugerville
chiropractor deliver 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 Pflugerville
chiropractic patients with this approach.
CONTACT Pflugerville Wellness Center
Listen to this PODCAST
with Dr. Clint Dickason on The Back Doctors Podcast with
Dr. Michael Johnson as he describes the relief with The
Cox® Technic System of Spinal Pain Management.
Schedule your Pflugerville chiropractic
appointment now. The gluteal/butt/hip pain – whatever
its name – may get relief at last!