OrthoIllinois Chiropractic Helps Relieve Hip/Glute Pain (GOIC)
Do you have pain in the butt, 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 renowned nowadays as its own issue often related to irritation of the sciatic nerve. Your McHenry chiropractor at OrthoIllinois Chiropractic is quite experienced in the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
There are many overlapping 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 study of the sciatic nerve in both live volunteers and cadavers during hip rotation demonstrated that during 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 an ultrasound study of the motions of gluteal and subgluteal muscles, researchers discovered 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 impact the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your McHenry chiropractor sees 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 lies the sciatic nerve that runs from the spine to the toes. Back in 2009, an early description of sciatic nerve compression explained 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 area 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) 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 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 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 may well beb conservatively treated. (6) Medical conservative and McHenry chiropractic conservative each propose different options. OrthoIllinois Chiropractic can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is typically first before any more invasive treatments. Medical approaches were enumberated as rest, staying away from 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 McHenry 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 irritation of the sciatic nerve. (5) Relief is often forthcoming for McHenry chiropractic patients with this approach.
CONTACT OrthoIllinois Chiropractic
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.
Schedule your McHenry chiropractic appointment now. The gluteal/butt/hip pain – whatever its name – may get relief at last!
