Rosenberg Wellness Center Helps Relieve Hip/Glute Pain (GOIC)
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 sciatic and back pain sufferers. Gluteal pain that just won’t go away – a “toothache in the butt” – is more renowned nowadays as its own concern often associated with irritation of the sciatic nerve. Your New York City chiropractor at Rosenberg Wellness Center is very knowledgeable of sciatic nerve irritation and its chiropractic care relief.
ANATOMY
There are multiple intersecting structures 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 linked to the gemelli-obturator internus complex, curving throughout 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 affected the sciatic nerve in the subgluteal space. They suggested that these passive movements may well impact the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your New York City chiropractor sees how anatomy influences how pain is senses every day!
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 report of sciatic nerve compression discussed how endometriosis, abscess, tumor, adjoining uterus, piriformis syndrome and newly presented 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 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) Rosenberg Wellness Center 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 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 due to nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome may well beb conservatively treated. (6) Medical conservative and New York City chiropractic conservative each offer different options. Rosenberg Wellness Center can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative options are attempted. Medical approaches were listed as rest, staying away from irritating movements, taking meds, getting injections, or undergoing physiotherapy. Patients with persistent or recurrent symptoms after conservative treatment may undergo surgery. (6) Chiropractors like your New York City chiropractor offer conservative care effectively for most. The clinician-author explained conservative treatment as goading of the bursa/sciatic nerve/muscle area – referred to as the GOIC (gemelli obturator internus complex) area – along with Cox® Technic flexion distraction decompression of the lumbar spine L5S1 area to relieve pressure on the sciatic nerve. (5) Relief is often forthcoming for New York City chiropractic patients with this approach.
CONTACT Rosenberg Wellness Center
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 New York City chiropractic appointment now. The gluteal/butt/hip pain – whatever its name – may get relief at last!
