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 is not all that unusual 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 associated with irritation of the sciatic nerve. Your Southern New Hampshire chiropractor at New Hampshire Spine and Sport is quite experienced in the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
There are many overlapping structures 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 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 throughout 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 recorded that passive movements of hip rotation and isometric contraction of muscles affected 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 Southern New Hampshire chiropractor sees how anatomy impacts how pain is senses daily!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the center of all these gluteal muscles lies the sciatic nerve that extends from the spine to the toes. Back in 2009, an early description of sciatic nerve compression presented how endometriosis, abscess, tumor, adjoining uterus, piriformis syndrome and newly discussed 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 contained the gemelli-obturator internus muscle complex and related bursae. (5) New Hampshire Spine and Sport 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 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 defined 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 may well beb conservatively treated. (6) Medical conservative and Southern New Hampshire chiropractic conservative each propose different options. New Hampshire Spine and Sport can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is typically first before any more invasive treatments. Medical approaches were enumberated as rest, avoiding irritating movements, taking meds, receiving injections, or performing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your Southern New Hampshire 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 Southern New Hampshire chiropractic patients with this approach.
CONTACT New Hampshire Spine and Sport
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.
Schedule your Southern New Hampshire chiropractic appointment today. The gluteal/butt/hip pain – regardless of its name – may find its relief at last!