Apple Country Chiropractic Helps Relieve Hip/Glute Pain (GOIC)
Do you have pain in the rearend, gluteus, hip area? Everyone describes this pain with different terminology, even doctors and researchers! This pain isn’t all that uncommon for sciatic and back pain sufferers. Gluteal pain that just will not go away – a “toothache in the butt” – is more well recognized nowadays as its own concern often related to 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 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 throughout passive hip rotation, the sciatic nerve is very much related to the gemelli-obturator internus complex, curving throughout 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 sees how anatomy shapes how pain is senses every day!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the center 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 discussed how endometriosis, abscess, tumor, adjoining uterus, piriformis syndrome and newly presented sciatic neuropathy as a result of compression of the sciatic nerve by obturator internus tendon and muscle may well be causes 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) 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 talked about 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 defined this deep gluteal syndrome as posterior hip pain due to 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 Williamson chiropractic conservative each offer different options. Apple Country Chiropractic can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative options are tried. Medical approaches were enumberated as rest, staying away from irritating movements, taking meds, getting injections, or performing 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 described 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 method.
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 soon. The gluteal/butt/hip pain – regardless of its name – may get relief at last!
