Do you have pain in the butt, gluteus,
hip area? Everyone terms this pain with different
terminology, even doctors and researchers! This pain is not all that
uncommon for back pain and leg 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 Tonawanda chiropractor at Chiropractic Spine Sports And Rehabilitation is quite
knowledgeable of the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
There are multiple
intersecting structures in the region of this
gluteal/hip pain! The gemelli muscles lie 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 showed that throughout
passive hip rotation, the sciatic nerve is closely 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 discovered
that passive movements of hip rotation and isometric contraction of muscles affected
the sciatic nerve in the subgluteal space. They suggested that these
passive movements may well affect the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your Tonawanda chiropractor
recognizes how anatomy influences how pain is felt
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 extends
from the spine to the toes. Back in 2009, an early description of sciatic
nerve compression explained 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 area of the hip and upper
posterolateral thigh. The anatomist described how the
structures in this area involved the gemelli-obturator
internus muscle complex and related bursae. (5) Chiropractic Spine Sports And Rehabilitation 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 conveyed 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 caused by
nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome
can be conservatively treated. (6) Medical conservative and Tonawanda
chiropractic conservative each propose different options.
Chiropractic Spine Sports And Rehabilitation can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is usually
first before any more invasive treatments. Medical approaches were enumberated
as rest, avoiding irritating movements, taking meds, receiving
injections, or doing physiotherapy. Patients with
persistent or recurrent symptoms after conservative treatment may undergo
surgery. (6) Chiropractors like your Tonawanda
chiropractor offer 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 Tonawanda
chiropractic patients with this method.
CONTACT Chiropractic Spine Sports And Rehabilitation
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 Tonawanda chiropractic
appointment soon. The gluteal/butt/hip pain – whatever
its name – may find its relief at last!