Amelia Chiropractic Clinic Helps Relieve Hip/Glute Pain (GOIC)
Do you have pain in the rearend, 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 won’t go away – a “toothache in the butt” – is more well recognized nowadays as its own concern often associated with irritation of the sciatic nerve. Your Fernandina Beach chiropractor at Amelia 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 seen to allow external rotation of the thigh. (1) A cadaver and live volunteer study of the sciatic nerve during hip rotation documented that throughout 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 an ultrasound study of the motions of gluteal and subgluteal muscles, researchers found 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, triggering retrotrochanteric pain in the gluteus. (3) Your Fernandina Beach chiropractor recognizes how anatomy shapes 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 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 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 persistent aching pain in the retrotrochanteric area 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) Amelia 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 – stated that deep gluteal syndrome has been more recounted 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 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 may well beb conservatively treated. (6) Medical conservative and Fernandina Beach chiropractic conservative each propose different options. Amelia Chiropractic Clinic can help.
CONSERVATIVE TREATMENT OPTIONS
Conservative treatment is usually first before any more invasive treatments. Medical approaches were enumberated as rest, avoiding 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 Fernandina Beach 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 irritation of the sciatic nerve. (5) Relief is often forthcoming for Fernandina Beach chiropractic patients with this approach.
CONTACT Amelia 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.
Make your Fernandina Beach chiropractic appointment soon. The gluteal/butt/hip pain – whatever its name – may get relief at last!
