Do you have pain in the rearend, gluteus, hip area? Everyone describes this pain with different terminology, even doctors and researchers! This pain isn’t all that unusual for sciatic and back pain sufferers. Gluteal pain that just will not go away – a “toothache in the butt” – is more renowned nowadays as its own issue often related to irritation of the sciatic nerve. Your Nashua chiropractor at Moriarty Chiropractic is very experienced in sciatic nerve irritation and its chiropractic care relief.
There are multiple intersecting structures in the region 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 viewed as allowing 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 closely linked to the gemelli-obturator internus complex, curving during passive internal rotation and relaxing during external hip rotation. (2) In an ultrasound study of 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 proposed that these passive movements may well impact the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Nashua chiropractor sees how anatomy influences how pain is experienced every day!
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 presented 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 continual 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) Moriarty Chiropractic finds this to be a small area for everything to fit!
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 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 Nashua chiropractic conservative each offer different options. Moriarty Chiropractic can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is usually first before any more invasive treatments. Medical approaches were listed as rest, staying away from irritating movements, taking meds, receiving injections, or undergoing physiotherapy. Patients with persistent or recurrent symptoms after conservative treatment may undergo surgery. (6) Chiropractors like your Nashua chiropractor offer conservative care effectively for most. The clinician-author described conservative treatment as goading of the bursa/sciatic nerve/muscle area – discussed 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 Nashua chiropractic patients with this approach.
CONTACT Moriarty Chiropractic
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 Nashua chiropractic appointment today. The gluteal/butt/hip pain – regardless of its name – may find its relief at last!