Johnson Chiropractic Helps Relieve Hip/Glute Pain (GOIC)
So you have pain in the butt, gluteus, hip area? Everyone describes 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 nowadays as its own issue often related to irritation of the sciatic nerve. Your Richmond chiropractor at Johnson Chiropractic is quite knowledgeable of sciatic nerve irritation and its chiropractic care relief.
ANATOMY
There are multiple intersecting structures 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 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 during passive internal rotation and relaxing during external hip rotation. (2) In an ultrasound study of the motions of gluteal and subgluteal muscles, researchers documented 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 affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Richmond chiropractor recognizes how anatomy impacts 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 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 correlated the clinical presentation of deep gluteal, sciatica-like pain in back pain patients with persistent aching pain in the retrotrochanteric region 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) Johnson Chiropractic 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 conveyed in the medical literature lately 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 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 Richmond chiropractic conservative each offer different options. Johnson Chiropractic can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative options are attempted. Medical approaches were listed 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 Richmond chiropractor offer 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) 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 Richmond chiropractic patients with this approach.
CONTACT Johnson Chiropractic
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.
Make your Richmond chiropractic appointment today. The gluteal/butt/hip pain – whatever its name – may find its relief at last!
