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

October 27, 2022

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 uncommon 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 associated with irritation of the sciatic nerve. Your Manchester chiropractor at Manchester Chiropractic & Sports Injuries is very knowledgeable of sciatic nerve irritation and its chiropractic care relief.

ANATOMY

Many structures come together in the area 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 documented that throughout passive hip rotation, the sciatic nerve is closely related 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 affected the sciatic nerve in the subgluteal space. They proposed that these passive movements may well affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Manchester chiropractor sees how anatomy shapes how pain is felt daily!

ANATOMY AND PAIN: The Sciatic Nerve

Right in the heart of|In the center of all these gluteal muscles is the sciatic nerve that extends 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 discussed sciatic neuropathy due to 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 connected 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 contained the gemelli-obturator internus muscle complex and related bursae. (5) Manchester Chiropractic & Sports Injuries 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 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 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 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

Before more invasive treatments are done, conservative options are tried. 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 Manchester chiropractor offer 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 approach.

CONTACT Manchester Chiropractic & Sports Injuries

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

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