Minster Chiropractic Center 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 won’t go away – a “toothache in the butt” – is more well recognized today as its own concern often related to irritation of the sciatic nerve. Your Minster chiropractor at Minster Chiropractic Center is very experienced in the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
There are multiple overlapping structures 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 viewed as allowing external rotation of the thigh. (1) A study of the sciatic nerve in both live volunteers and cadavers during hip rotation documented that throughout 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 a study using ultrasound to see the motions of gluteal and subgluteal muscles, researchers recorded that passive movements of hip rotation and isometric contraction of muscles impacted the sciatic nerve in the subgluteal space. They suggested that these passive movements may well affect the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your Minster chiropractor sees how anatomy shapes how pain is felt every day!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the middle of all these gluteal muscles lies the sciatic nerve that extends from the spine to the toes. Back in 2009, an early report of sciatic nerve compression explained 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 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 involved the gemelli-obturator internus muscle complex and related bursae. (5) Minster Chiropractic Center 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 conveyed in the medical literature lately but termed differently: 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 Minster chiropractic conservative each propose different options. Minster Chiropractic Center can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is usually first before any more invasive treatments. Medical approaches were listed as rest, avoiding 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 Minster chiropractor deliver conservative care effectively for most. The clinician-author described conservative treatment as goading of the bursa/sciatic nerve/muscle area – discussed 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 Minster chiropractic patients with this approach.
CONTACT Minster Chiropractic Center
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 Minster chiropractic appointment now. The gluteal/butt/hip pain – regardless of its name – may get relief at last!
