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 sciatic and back pain
sufferers. Gluteal pain that just won’t 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 Auburn chiropractor at Dr. Le's Chiropractic & Wellness, L.L.C. is quite
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 seen to allow external rotation
of the thigh. (1) A cadaver and live volunteer study of the sciatic nerve during hip
rotation documented that throughout
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 a study using ultrasound to see 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, triggering retrotrochanteric pain in the gluteus. (3) Your Auburn chiropractor
sees how anatomy shapes how pain is senses
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 runs
from the spine to the toes. Back in 2009, an early description 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 contained the gemelli-obturator
internus muscle complex and related bursae. (5) Dr. Le's Chiropractic & Wellness, L.L.C. 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 – stated 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 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
can be conservatively treated. (6) Medical conservative and Auburn
chiropractic conservative each offer different options.
Dr. Le's Chiropractic & Wellness, L.L.C. can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is typically
first before any more invasive treatments. Medical approaches were listed
as rest, avoiding irritating movements, taking meds, getting
injections, or doing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms
after conservative care. (6) Chiropractors like your Auburn
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 irritation of the
sciatic nerve. (5) Relief is often forthcoming for Auburn
chiropractic patients with this method.
CONTACT Dr. Le's Chiropractic & Wellness, L.L.C.
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 Auburn chiropractic
appointment today. The gluteal/butt/hip pain – whatever
its name – may find its relief at last!