Manchester Chiropractic & Sports Injuries Helps Relieve Hip/Glute Pain (GOIC)

Do you have pain in the rearend, gluteus, hip area? Everyone terms this pain with different terminology, even doctors and researchers! This pain is not 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 Manchester chiropractor at Manchester Chiropractic & Sports Injuries is quite 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 viewed as allowing external rotation of the thigh. (1) A cadaver and live volunteer study of the sciatic nerve during hip rotation documented 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 an ultrasound study of the motions of gluteal and subgluteal muscles, researchers found 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 affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Manchester chiropractor recognizes how anatomy impacts how pain is felt daily!

ANATOMY AND PAIN: The Sciatic Nerve

Right in the heart of|In the center 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 discussed 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 persistent aching pain in the retrotrochanteric area of the hip and upper posterolateral thigh. The anatomist described how the structures in this area involved the gemelli-obturator internus muscle complex and related bursae. (5) Manchester Chiropractic & Sports Injuries 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 recounted 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 may well beb conservatively treated. (6) Medical conservative and Manchester chiropractic conservative each propose different options. Manchester Chiropractic & Sports Injuries can help.

CONSERVATIVE TREATMENT OPTIONS

Conservative treatment is typically first before any more invasive treatments. Medical approaches were enumberated as rest, avoiding 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 Manchester chiropractor deliver 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) 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 Manchester chiropractic patients with this method.

CONTACT Manchester Chiropractic & Sports Injuries

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 Manchester chiropractic appointment soon. The gluteal/butt/hip pain – whatever its name – may get relief at last!

 
Manchester Chiropractic & Sports Injuries understands the anatomy of pain in the gluteal (butt/hip) area and has 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."