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OrthoIllinois Chiropractic Helps Relieve Hip/Glute Pain (GOIC)

So you have pain in the butt, gluteus, hip area? Everyone describes this pain with different terminology, even doctors and researchers! This pain is not all that uncommon for sciatic and back pain sufferers. Gluteal pain that just won’t go away – a “toothache in the butt” – is more well recognized nowadays as its own issue often associated with irritation of the sciatic nerve. Your McHenry chiropractor at OrthoIllinois Chiropractic is very knowledgeable of 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 are positioned 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 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 discovered 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, producing retrotrochanteric pain in the gluteus. (3) Your McHenry chiropractor recognizes how anatomy shapes how pain is experienced every day!

ANATOMY AND PAIN: The Sciatic Nerve

Right in the heart of|In the middle 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 explained 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 causes 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 persistent 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) OrthoIllinois Chiropractic 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 – reported that deep gluteal syndrome has been more talked about 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 characterized 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 McHenry chiropractic conservative each propose different options. OrthoIllinois Chiropractic 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, getting injections, or undergoing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your McHenry chiropractor deliver 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) 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 McHenry chiropractic patients with this method.

CONTACT OrthoIllinois Chiropractic

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

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