Cox Chiropractic Medicine Inc Helps Relieve Hip/Glute Pain (GOIC)10/27/2022Do 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! « View All Spine Articles"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."