Do you have pain in the rearend, gluteus,
hip area? Everyone describes this pain with different
terminology, even doctors and researchers! This pain is not all that
unusual 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 issue often related to irritation of
the sciatic nerve. Your Fort Wayne chiropractor at Cox Chiropractic Medicine Inc 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 seen to allow external rotation
of the thigh. (1) A cadaver and live volunteer study of the sciatic nerve during hip
rotation documented that during
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 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 suggested that these
passive movements may well affect the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your Fort Wayne chiropractor
recognizes how anatomy impacts how pain is experienced
daily!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the middle of
all these gluteal muscles lies the sciatic nerve that extends
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 as a result of 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 correlated the clinical
presentation of deep gluteal, sciatica-like pain in back pain patients with persistent
aching pain in the retrotrochanteric region 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) Cox Chiropractic Medicine Inc 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 recounted in the medical literature lately
but termed differently: 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 Fort Wayne
chiropractic conservative each propose different options.
Cox Chiropractic Medicine Inc can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative
options are tried. Medical approaches were enumberated
as rest, staying away from 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 Fort Wayne
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 Fort Wayne
chiropractic patients with this approach.
CONTACT Cox Chiropractic Medicine Inc
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 Fort Wayne chiropractic
appointment now. The gluteal/butt/hip pain – whatever
its name – may get relief at last!