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Spinal Care Clinic Helps Relieve Hip/Glute Pain (GOIC)

So you have pain in the rearend, gluteus, hip area? Everyone terms this pain with a variety of terminology, even doctors and researchers! This pain isn’t all that uncommon for back pain and leg pain sufferers. Gluteal pain that just will not go away – a “toothache in the butt” – is more well recognized today as its own issue often associated with irritation of the sciatic nerve. Your Burlington and Hamilton chiropractor at Spinal Care Clinic 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 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 documented 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 found 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, triggering retrotrochanteric pain in the gluteus. (3) Your Burlington and Hamilton chiropractor recognizes 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 is the sciatic nerve that extends 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 connected 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) Spinal Care Clinic 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 recounted 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 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 Burlington and Hamilton chiropractic conservative each propose different options. Spinal Care Clinic 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 performing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your Burlington and Hamilton 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 Burlington and Hamilton chiropractic patients with this approach.

CONTACT Spinal Care Clinic

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 Burlington and Hamilton chiropractic appointment soon. The gluteal/butt/hip pain – regardless of its name – may find its relief at last!

 
Spinal Care Clinic 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."