Do you have pain in the butt, gluteus,
hip area? Everyone describes this pain with different
terminology, even doctors and researchers! This pain is not all that
unusual for sciatic and back pain
sufferers. Gluteal pain that just won’t go away – a “toothache
in the butt” – is more well recognized today as
its own issue often associated with irritation of
the sciatic nerve. Your Williamson chiropractor at Apple Country Chiropractic is quite
experienced in sciatic
nerve irritation and its chiropractic care relief.
ANATOMY
Many structures come together in the area 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 viewed as allowing external rotation
of the thigh. (1) A cadaver and live volunteer study of the sciatic nerve during hip
rotation showed 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 documented
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 affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Williamson 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 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 correlated the clinical
presentation of deep gluteal, sciatica-like pain in back pain patients with persistent
aching pain in the retrotrochanteric area 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) Apple Country Chiropractic 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 – reported that deep gluteal syndrome
has been more conveyed in the medical literature recently
but called all sorts of
different names: piriformis syndrome, gemelli-obturator internus syndrome,
ischiofemoral impingement syndrome, proximal hamstring syndrome. Reviewers characterized
this deep gluteal syndrome as posterior hip pain due to
nerve entrapment beyond the piriformis syndrome which can be caused by
nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome
may well beb conservatively treated. (6) Medical conservative and Williamson
chiropractic conservative each propose different options.
Apple Country Chiropractic can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is typically
first before any more invasive treatments. Medical approaches were listed
as rest, avoiding irritating movements, taking meds, receiving
injections, or undergoing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms
after conservative care. (6) Chiropractors like your Williamson
chiropractor deliver conservative care effectively for most. The
clinician-author explained conservative treatment as goading of
the bursa/sciatic nerve/muscle area – referred to 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 Williamson
chiropractic patients with this approach.
CONTACT Apple Country Chiropractic
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 Williamson chiropractic
appointment today. The gluteal/butt/hip pain – regardless of
its name – may find its relief at last!