Aaron Chiropractic Clinic Helps Relieve Hip/Glute Pain (GOIC)

October 27, 2022

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 unusual for back pain and leg pain sufferers. Gluteal pain that just will not go away – a “toothache in the butt” – is more well recognized nowadays as its own issue often related to irritation of the sciatic nerve. Your Fort Wayne chiropractor at Aaron Chiropractic Clinic is very experienced in sciatic nerve irritation and its chiropractic care relief.

ANATOMY

There are multiple overlapping structures in the region of this gluteal/hip pain! The gemelli muscles are positioned 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 study of the sciatic nerve in both live volunteers and cadavers during hip rotation documented that throughout passive hip rotation, the sciatic nerve is closely linked 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 recorded 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 Fort Wayne chiropractor sees how anatomy influences how pain is felt daily!

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 report 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 illustrated how the structures in this area involved the gemelli-obturator internus muscle complex and related bursae. (5) Aaron Chiropractic Clinic 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 termed differently: 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 due to 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 propose different options. Aaron Chiropractic Clinic can help.

CONSERVATIVE TREATMENT OPTIONS

Before more invasive treatments are done, conservative options are attempted. Medical approaches were enumberated as rest, staying away from irritating movements, taking meds, receiving injections, or undergoing physiotherapy. Patients with persistent or recurrent symptoms after conservative treatment may undergo surgery. (6) Chiropractors like your Fort Wayne chiropractor deliver conservative care effectively for most. The clinician-author described conservative treatment as goading of the bursa/sciatic nerve/muscle area – referred to 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 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 describes the relief with The Cox® Technic System of Spinal Pain Management.

Make your Fort Wayne chiropractic appointment soon. The gluteal/butt/hip pain – regardless of its name – may get relief at last!

 
Aaron Chiropractic Clinic understands the anatomy of pain in the gluteal (butt/hip) area and has relieving treatment.