Do you have pain in the butt, gluteus,
hip area? Everyone terms this pain with a variety of
terminology, even doctors and researchers! This pain isn’t all that
uncommon for back pain and leg pain
sufferers. Gluteal pain that just will not go away – a “toothache
in the butt” – is more well recognized today as
its own concern often associated with irritation of
the sciatic nerve. Your West Des Moines chiropractor at Executive Chiropractic of Iowa is very
experienced in the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
There are many
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 very much related
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 documented
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 impact the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your West Des Moines 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 lies the sciatic nerve that extends
from the spine to the toes. Back in 2009, an early report 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 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 involved the gemelli-obturator
internus muscle complex and related bursae. (5) Executive Chiropractic of Iowa finds this to
be a small area 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 recently
but called all sorts of
different names: 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 caused by
nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome
may well beb conservatively treated. (6) Medical conservative and West Des Moines
chiropractic conservative each propose different options.
Executive Chiropractic of Iowa 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. Patients with
persistent or recurrent symptoms after conservative treatment may undergo
surgery. (6) Chiropractors like your West Des Moines
chiropractor offer conservative care effectively for most. The
clinician-author explained 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 West Des Moines
chiropractic patients with this approach.
CONTACT Executive Chiropractic of Iowa
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 West Des Moines chiropractic
appointment soon. The gluteal/butt/hip pain – whatever
its name – may get relief at last!