Most Chiropractic Clinic Helps Relieve Hip/Glute Pain (GOIC)
Do you have pain in the butt, gluteus, hip area? Everyone terms this pain with different terminology, even doctors and researchers! This pain is not 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 issue often related to irritation of the sciatic nerve. Your Murfreesboro chiropractor at Most Chiropractic Clinic is very knowledgeable of 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 demonstrated 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 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 impact the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your Murfreesboro chiropractor sees how anatomy impacts how pain is felt 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 explained how endometriosis, abscess, tumor, adjoining uterus, piriformis syndrome and newly presented sciatic neuropathy due to 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 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) Most Chiropractic Clinic 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 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 can be conservatively treated. (6) Medical conservative and Murfreesboro chiropractic conservative each propose different options. Most Chiropractic 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 doing physiotherapy. Patients with persistent or recurrent symptoms after conservative treatment may undergo surgery. (6) Chiropractors like your Murfreesboro chiropractor deliver conservative care effectively for most. The clinician-author explained 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 pressure on the sciatic nerve. (5) Relief is often forthcoming for Murfreesboro chiropractic patients with this method.
CONTACT Most Chiropractic Clinic
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 Murfreesboro chiropractic appointment today. The gluteal/butt/hip pain – whatever its name – may get relief at last!
