So you have pain in the rearend, gluteus, hip area? Everyone terms this pain with different terminology, even doctors and researchers! This pain is not 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 concern often associated with irritation of the sciatic nerve. Your Easley chiropractor at Young Chiropractic is very experienced in the irritation of the sciatic nerve and its chiropractic care relief.
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 cadaver and live volunteer study of the sciatic nerve during hip rotation demonstrated that throughout passive hip rotation, the sciatic nerve is closely linked 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 discovered 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 Easley chiropractor recognizes how anatomy impacts how pain is senses 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 extends 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 discussed sciatic neuropathy due to 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 correlated 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 described how the structures in this area included the gemelli-obturator internus muscle complex and related bursae. (5) Young Chiropractic notes how tight an area it is for everything to fit!
A review of just what is published about deep gluteal syndrome – pain in the gluteus – reported 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 caused by nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome can be conservatively treated. (6) Medical conservative and Easley chiropractic conservative each propose different options. Young Chiropractic 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 doing physiotherapy. Patients with persistent or recurrent symptoms after conservative treatment may undergo surgery. (6) Chiropractors like your Easley 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 Easley chiropractic patients with this approach.
CONTACT Young Chiropractic
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 Easley chiropractic appointment today. The gluteal/butt/hip pain – whatever its name – may find its relief at last!