So you have pain in the rearend, gluteus, hip area? Everyone terms this pain with a variety of terminology, even doctors and researchers! This pain is not 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 Augusta chiropractor at Lombardy Chiropractic Clinic is very experienced in the irritation of the sciatic nerve and its chiropractic care relief.
There are many intersecting structures in the area 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 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 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 discovered that passive movements of hip rotation and isometric contraction of muscles impacted the sciatic nerve in the subgluteal space. They suggested that these passive movements may well affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Augusta chiropractor recognizes how anatomy influences how pain is senses every day!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the middle of all these gluteal muscles is the sciatic nerve that extends from the spine to the toes. Back in 2009, an early report of sciatic nerve compression explained 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 described how the structures in this area included the gemelli-obturator internus muscle complex and related bursae. (5) Lombardy Chiropractic Clinic finds this to be a small area 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 conveyed in the medical literature lately but termed differently: 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 Augusta chiropractic conservative each offer different options. Lombardy Chiropractic Clinic 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. Patients with persistent or recurrent symptoms after conservative treatment may undergo surgery. (6) Chiropractors like your Augusta chiropractor offer conservative care effectively for most. The clinician-author explained 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 Augusta chiropractic patients with this approach.
CONTACT Lombardy Chiropractic Clinic
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 Augusta chiropractic appointment today. The gluteal/butt/hip pain – regardless of its name – may find its relief at last!