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 isn’t 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 issue often related to irritation of
the sciatic nerve. Your West Palm Beach chiropractor at Chiropractic Care is very
experienced in sciatic
nerve irritation and its chiropractic care relief.
ANATOMY
There are multiple
overlapping 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 seen to allow external rotation
of the thigh. (1) A study of the sciatic nerve in both live volunteers and
cadavers 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 a study using ultrasound to see 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 affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your West Palm Beach chiropractor
recognizes how anatomy impacts how pain is senses
daily!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the center 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 due to 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 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) Chiropractic Care 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 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
can be conservatively treated. (6) Medical conservative and West Palm Beach
chiropractic conservative each propose different options.
Chiropractic Care 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, getting
injections, or doing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms
after conservative care. (6) Chiropractors like your West Palm Beach
chiropractor offer 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 West Palm Beach
chiropractic patients with this approach.
CONTACT Chiropractic Care
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.
Make your West Palm Beach chiropractic
appointment soon. The gluteal/butt/hip pain – whatever
its name – may get relief at last!