So you have pain in the rearend, gluteus,
hip area? Everyone terms 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 well recognized nowadays as
its own concern often associated with irritation of
the sciatic nerve. Your Fort Wayne chiropractor at Aaron Chiropractic Clinic is quite
experienced in the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
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 seen to allow external rotation
of the thigh. (1) A cadaver and live volunteer study of the sciatic nerve during hip
rotation demonstrated that during
passive hip rotation, the sciatic nerve is very much 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 documented
that passive movements of hip rotation and isometric contraction of muscles affected
the sciatic nerve in the subgluteal space. They proposed that these
passive movements may well affect the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your Fort Wayne chiropractor
recognizes how anatomy shapes how pain is senses
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 runs
from the spine to the toes. Back in 2009, an early description of sciatic
nerve compression presented how endometriosis, abscess,
tumor, adjoining uterus, piriformis syndrome and newly presented
sciatic neuropathy as a result of 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) Aaron Chiropractic Clinic 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 – stated that deep gluteal syndrome
has been more talked about in the medical literature lately
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 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
can be conservatively treated. (6) Medical conservative and Fort Wayne
chiropractic conservative each offer different options.
Aaron Chiropractic Clinic can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is usually
first before any more invasive treatments. 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 Fort Wayne
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 Fort Wayne
chiropractic patients with this method.
CONTACT Aaron Chiropractic Clinic
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 Fort Wayne chiropractic
appointment today. The gluteal/butt/hip pain – whatever
its name – may find its relief at last!