Chiropractic Spine Sports And Rehabilitation Helps Relieve Hip/Glute Pain (GOIC)
So you have pain in the butt, gluteus, hip area? Everyone terms this pain with different terminology, even doctors and researchers! This pain is not all that uncommon 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 Tonawanda chiropractor at Chiropractic Spine Sports And Rehabilitation is quite experienced in the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
Many structures come together 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 seen to allow external rotation of the thigh. (1) A study of the sciatic nerve in both live volunteers and cadavers during hip rotation documented that throughout passive hip rotation, the sciatic nerve is very much linked to the gemelli-obturator internus complex, curving during 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 found 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 affect the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your Tonawanda chiropractor recognizes how anatomy influences how pain is felt every day!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the middle of all these gluteal muscles is the sciatic nerve that extends from the spine to the toes. Back in 2009, an early description of sciatic nerve compression discussed how endometriosis, abscess, tumor, adjoining uterus, piriformis syndrome and newly discussed 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 correlated the clinical presentation of deep gluteal, sciatica-like pain in back pain patients with continual aching pain in the retrotrochanteric region of the hip and upper posterolateral thigh. The anatomist described how the structures in this area contained the gemelli-obturator internus muscle complex and related bursae. (5) Chiropractic Spine Sports And Rehabilitation 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 talked about in the medical literature recently 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 Tonawanda chiropractic conservative each propose different options. Chiropractic Spine Sports And Rehabilitation can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative options are tried. Medical approaches were enumberated as rest, avoiding irritating movements, taking meds, receiving injections, or undergoing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your Tonawanda 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 pressure on the sciatic nerve. (5) Relief is often forthcoming for Tonawanda chiropractic patients with this approach.
CONTACT Chiropractic Spine Sports And Rehabilitation
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 Tonawanda chiropractic appointment soon. The gluteal/butt/hip pain – regardless of its name – may get relief at last!
