Medical Spine and Sports Injury and Rehab Centers 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 will not go away – a “toothache in the butt” – is more well recognized today as its own concern often associated with irritation of the sciatic nerve. Your Baton Rouge chiropractor at Medical Spine and Sports Injury and Rehab Centers is very knowledgeable of the irritation of the sciatic nerve 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 showed that during 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 a study using ultrasound to see the motions of gluteal and subgluteal muscles, researchers documented 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, producing retrotrochanteric pain in the gluteus. (3) Your Baton Rouge chiropractor sees how anatomy shapes how pain is experienced 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 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 as a result of 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 persistent aching pain in the retrotrochanteric area of the hip and upper posterolateral thigh. The anatomist illustrated how the structures in this area included the gemelli-obturator internus muscle complex and related bursae. (5) Medical Spine and Sports Injury and Rehab Centers 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 – stated 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 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 can be conservatively treated. (6) Medical conservative and Baton Rouge chiropractic conservative each propose different options. Medical Spine and Sports Injury and Rehab Centers can help.

CONSERVATIVE TREATMENT OPTIONS

Before more invasive treatments are done, conservative options are attempted. Medical approaches were enumberated as rest, avoiding irritating movements, taking meds, getting injections, or doing physiotherapy. Patients with persistent or recurrent symptoms after conservative treatment may undergo surgery. (6) Chiropractors like your Baton Rouge chiropractor deliver 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 Baton Rouge chiropractic patients with this method.

CONTACT Medical Spine and Sports Injury and Rehab Centers

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 Baton Rouge chiropractic appointment today. The gluteal/butt/hip pain – regardless of its name – may get relief at last!