Executive Chiropractic of Iowa Helps Relieve Hip/Glute Pain (GOIC)

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) areaalong 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!

 
Executive Chiropractic of Iowa understands the anatomy of pain in the gluteal (butt/hip) area and offers relieving treatment. 
« 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."