Do you have pain in the rearend, gluteus,
hip area? Everyone describes this pain with a variety of
terminology, even doctors and researchers! This pain is not all that
uncommon for back pain and leg pain
sufferers. Gluteal pain that just won’t go away – a “toothache
in the butt” – is more renowned today as
its own concern often associated with irritation of
the sciatic nerve. Your Minster chiropractor at Minster Chiropractic Center is very
experienced in the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
Many structures come together 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 showed 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 an
ultrasound study of 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, triggering retrotrochanteric pain in the gluteus. (3) Your Minster chiropractor
sees how anatomy shapes how pain is experienced
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 runs
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 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 illustrated how the
structures in this area contained the gemelli-obturator
internus muscle complex and related bursae. (5) Minster Chiropractic Center 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 – reported that deep gluteal syndrome
has been more recounted 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 defined
this deep gluteal syndrome as posterior hip pain due to
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 Minster
chiropractic conservative each offer different options.
Minster Chiropractic Center 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, getting
injections, or doing physiotherapy. Patients with
persistent or recurrent symptoms after conservative treatment may undergo
surgery. (6) Chiropractors like your Minster
chiropractor deliver 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 Minster
chiropractic patients with this approach.
CONTACT Minster Chiropractic Center
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 Minster chiropractic
appointment today. The gluteal/butt/hip pain – regardless of
its name – may find its relief at last!