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Johnson Chiropractic Helps Relieve Hip/Glute Pain (GOIC)

So you have pain in the butt, gluteus, hip area? Everyone terms this pain with a variety of 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 renowned today as its own issue often related to irritation of the sciatic nerve. Your Richmond chiropractor at Johnson Chiropractic is very experienced in sciatic nerve irritation and its chiropractic care relief.

ANATOMY

There are multiple overlapping 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 demonstrated that throughout passive hip rotation, the sciatic nerve is very much 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 recorded 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, producing retrotrochanteric pain in the gluteus. (3) Your Richmond chiropractor sees how anatomy impacts how pain is felt daily!

ANATOMY AND PAIN: The Sciatic Nerve

Right in the heart of|In the center of all these gluteal muscles lies the sciatic nerve that runs from the spine to the toes. Back in 2009, an early report of sciatic nerve compression explained 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 connected 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 – 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 characterized 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 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 enumberated as rest, staying away from irritating movements, taking meds, receiving injections, or undergoing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (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 – referred to as the GOIC (gemelli obturator internus complex) areaalong 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 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 describes the relief with The Cox® Technic System of Spinal Pain Management.

Schedule your Richmond chiropractic appointment now. The gluteal/butt/hip pain – whatever its name – may find its relief at last!

 
Johnson Chiropractic understands the anatomy of pain in the gluteal (butt/hip) area and has 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."