Old Mill Chiropractic Helps Relieve Hip/Glute Pain (GOIC)

Do you have pain in the butt, gluteus, hip area? Everyone describes this pain with a variety of terminology, even doctors and researchers! This pain is not all that uncommon for back pain and leg pain sufferers. Gluteal pain that just won’t go away – a “toothache in the butt” – is more well recognized nowadays as its own issue often associated with irritation of the sciatic nerve. Your St Peters chiropractor at Old Mill Chiropractic is very experienced in 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 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 documented that during passive hip rotation, the sciatic nerve is closely linked to the gemelli-obturator internus complex, curving during 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 impacted the sciatic nerve in the subgluteal space. They proposed that these passive movements may well impact the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your St Peters chiropractor sees how anatomy shapes how pain is experienced 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 runs from the spine to the toes. Back in 2009, an early report of sciatic nerve compression presented how endometriosis, abscess, tumor, adjoining uterus, piriformis syndrome and newly discussed sciatic neuropathy as a result of 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 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 included the gemelli-obturator internus muscle complex and related bursae. (5) Old Mill Chiropractic 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 – reported that deep gluteal syndrome has been more talked about 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 due to nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome may well beb conservatively treated. (6) Medical conservative and St Peters chiropractic conservative each propose different options. Old Mill Chiropractic 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. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your St Peters chiropractor offer conservative care effectively for most. The clinician-author described 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 irritation of the sciatic nerve. (5) Relief is often forthcoming for St Peters chiropractic patients with this method.

CONTACT Old Mill Chiropractic

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 St Peters chiropractic appointment soon. The gluteal/butt/hip pain – whatever its name – may find its relief at last!