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Vancouver Disc Centers Helps Relieve Hip/Glute Pain (GOIC)

Do you have pain in the rearend, gluteus, hip area? Everyone describes this pain with different terminology, even doctors and researchers! This pain isn’t all that unusual for back pain and leg 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 associated with irritation of the sciatic nerve. Your Vancouver chiropractor at Vancouver Disc Centers is quite experienced in 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 viewed as allowing 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 very much related to the gemelli-obturator internus complex, curving throughout passive internal rotation and relaxing during external hip rotation. (2) In an ultrasound study of the motions of gluteal and subgluteal muscles, researchers found that passive movements of hip rotation and isometric contraction of muscles affected 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 Vancouver chiropractor sees how anatomy influences how pain is senses 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 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 continual aching pain in the retrotrochanteric region 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) Vancouver Disc Centers 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 – stated that deep gluteal syndrome has been more talked about 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 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 can be conservatively treated. (6) Medical conservative and Vancouver chiropractic conservative each offer different options. Vancouver Disc Centers 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 performing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your Vancouver 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) areaalong 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 Vancouver chiropractic patients with this method.

CONTACT Vancouver Disc 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 Vancouver chiropractic appointment now. The gluteal/butt/hip pain – regardless of its name – may find its relief at last!

 
Vancouver Disc Centers understands the anatomy of pain in the gluteal (butt/hip) area and offers relieving treatment. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."