So you have pain in the rearend, gluteus,
hip area? Everyone describes this pain with a variety of
terminology, even doctors and researchers! This pain isn’t all that
uncommon 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 Manahawkin chiropractor at Manahawkin Chiropractic Center is quite
knowledgeable of the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
There are multiple
intersecting structures in the area 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 demonstrated that throughout
passive hip rotation, the sciatic nerve is closely related
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 impact the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Manahawkin chiropractor
sees how anatomy shapes how pain is senses
daily!
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 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 continual
aching pain in the retrotrochanteric region 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) Manahawkin Chiropractic Center 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 – reported that deep gluteal syndrome
has been more conveyed in the medical literature recently
but named in a variety of ways: piriformis syndrome, gemelli-obturator internus syndrome,
ischiofemoral impingement syndrome, proximal hamstring syndrome. Reviewers defined
this deep gluteal syndrome as posterior hip pain due to
nerve entrapment beyond the piriformis syndrome which can be caused by
nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome
can be conservatively treated. (6) Medical conservative and Manahawkin
chiropractic conservative each propose different options.
Manahawkin Chiropractic Center 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, receiving
injections, or performing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms
after conservative care. (6) Chiropractors like your Manahawkin
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 Manahawkin
chiropractic patients with this method.
CONTACT Manahawkin Chiropractic Center
Listen to this PODCAST
with Dr. Clint Dickason on The Back Doctors Podcast with
Dr. Michael Johnson as he illustrates the relief with The
Cox® Technic System of Spinal Pain Management.
Make your Manahawkin chiropractic
appointment now. The gluteal/butt/hip pain – whatever
its name – may get relief at last!