So 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 renowned nowadays as
its own concern often related to irritation of
the sciatic nerve. Your Fernandina Beach chiropractor at Amelia Chiropractic Clinic is very
knowledgeable of sciatic
nerve irritation and its chiropractic care relief.
ANATOMY
There are many
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 viewed as allowing external rotation
of the thigh. (1) A cadaver and live volunteer study of the sciatic nerve during hip
rotation demonstrated that during
passive hip rotation, the sciatic nerve is closely linked
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 found
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 Fernandina Beach chiropractor
sees how anatomy impacts how pain is felt
daily!
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 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 connected 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 illustrated how the
structures in this area included the gemelli-obturator
internus muscle complex and related bursae. (5) Amelia Chiropractic Clinic 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 lately
but called all sorts of
different names: 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 due to
nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome
may well beb conservatively treated. (6) Medical conservative and Fernandina Beach
chiropractic conservative each offer different options.
Amelia Chiropractic Clinic can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative
options are attempted. Medical approaches were listed
as rest, staying away from irritating movements, taking meds, receiving
injections, or undergoing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms
after conservative care. (6) Chiropractors like your Fernandina Beach
chiropractor offer 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 Fernandina Beach
chiropractic patients with this approach.
CONTACT Amelia Chiropractic Clinic
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 Fernandina Beach chiropractic
appointment soon. The gluteal/butt/hip pain – regardless of
its name – may get relief at last!