Arctic Chiropractic, Sitka Helps Relieve Hip/Glute Pain (GOIC)
Do you have pain in the butt, 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 won’t go away – a “toothache in the butt” – is more well recognized today as its own concern often related to irritation of the sciatic nerve. Your Sitka chiropractor at Arctic Chiropractic, Sitka is very knowledgeable of the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
Many structures come together 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 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 recorded that passive movements of hip rotation and isometric contraction of muscles impacted the sciatic nerve in the subgluteal space. They proposed that these passive movements may well affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Sitka chiropractor sees how anatomy influences how pain is felt 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 explained 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 causes for sciatic pain. (4) Even earlier, in 2005, a chiropractic radiologist/clinician and a chiropractic anatomist connected 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 illustrated how the structures in this area involved the gemelli-obturator internus muscle complex and related bursae. (5) Arctic Chiropractic, Sitka 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 recently 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 due to 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 Sitka chiropractic conservative each propose different options. Arctic Chiropractic, Sitka can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is usually first before any more invasive treatments. Medical approaches were enumberated as rest, staying away from irritating movements, taking meds, receiving injections, or doing physiotherapy. Patients with persistent or recurrent symptoms after conservative treatment may undergo surgery. (6) Chiropractors like your Sitka 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 irritation of the sciatic nerve. (5) Relief is often forthcoming for Sitka chiropractic patients with this method.
CONTACT Arctic Chiropractic, Sitka
Listen to this PODCAST with Dr. Clint Dickason on The Back Doctors Podcast with Dr. Michael Johnson as he describes the relief with The Cox® Technic System of Spinal Pain Management.
Make your Sitka chiropractic appointment now. The gluteal/butt/hip pain – whatever its name – may get relief at last!
