Shoreline Medical Services/ Hutter Chiropractic Office Helps Relieve Hip/Glute Pain (GOIC)
So you have pain in the rearend, gluteus, hip area? Everyone describes this pain with different terminology, even doctors and researchers! This pain is not all that uncommon for sciatic and back pain sufferers. Gluteal pain that just will not go away – a “toothache in the butt” – is more renowned nowadays as its own concern often related to irritation of the sciatic nerve. Your Groton chiropractor at Shoreline Medical Services/ Hutter Chiropractic Office 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 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 cadaver and live volunteer study of the sciatic nerve during hip rotation demonstrated that during passive hip rotation, the sciatic nerve is closely linked 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 discovered 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 impact the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Groton chiropractor sees how anatomy influences how pain is senses daily!
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 description of sciatic nerve compression discussed 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 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 continual aching pain in the retrotrochanteric area of the hip and upper posterolateral thigh. The anatomist illustrated how the structures in this area contained the gemelli-obturator internus muscle complex and related bursae. (5) Shoreline Medical Services/ Hutter Chiropractic Office 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 called all sorts of different names: 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 can be conservatively treated. (6) Medical conservative and Groton chiropractic conservative each propose different options. Shoreline Medical Services/ Hutter Chiropractic Office can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative options are tried. Medical approaches were listed as rest, staying away from irritating movements, taking meds, receiving injections, or doing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your Groton chiropractor offer 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 pressure on the sciatic nerve. (5) Relief is often forthcoming for Groton chiropractic patients with this approach.
CONTACT Shoreline Medical Services/ Hutter Chiropractic Office
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 Groton chiropractic appointment now. The gluteal/butt/hip pain – whatever its name – may find its relief at last!
