Do you have pain in the butt, 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 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 Toronto chiropractor at Yorkville Chiropractic and Wellness Centre is very
experienced in the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
Many structures come together in the area 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 very much linked
to the gemelli-obturator internus complex, curving during
passive internal rotation and relaxing during external hip rotation. (2) In a study using ultrasound to see the motions of gluteal
and subgluteal muscles, researchers documented
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 impact the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your Toronto chiropractor
sees how anatomy influences how pain is felt
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 discussed
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 area 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) Yorkville Chiropractic and Wellness Centre 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 talked about 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 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 Toronto
chiropractic conservative each propose different options.
Yorkville Chiropractic and Wellness Centre can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative
options are attempted. Medical approaches were enumberated
as rest, staying away from 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 Toronto
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 pressure on the
sciatic nerve. (5) Relief is often forthcoming for Toronto
chiropractic patients with this approach.
CONTACT Yorkville Chiropractic and Wellness Centre
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 Toronto chiropractic
appointment now. The gluteal/butt/hip pain – whatever
its name – may find its relief at last!