Dr. Paulette Hugulet, DC, LLC Helps Relieve Hip/Glute Pain (GOIC)
So you have pain in the butt, gluteus, hip area? Everyone describes this pain with a variety of 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 renowned nowadays as its own issue often associated with irritation of the sciatic nerve. Your La Grande chiropractor at Dr. Paulette Hugulet, DC, LLC is very experienced in sciatic nerve irritation 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 study of the sciatic nerve in both live volunteers and cadavers during hip rotation documented that during 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 a study using ultrasound to see 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 affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your La Grande chiropractor sees how anatomy shapes how pain is senses daily!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the center of all these gluteal muscles is the sciatic nerve that runs from the spine to the toes. Back in 2009, an early report of sciatic nerve compression discussed 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 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 included the gemelli-obturator internus muscle complex and related bursae. (5) Dr. Paulette Hugulet, DC, LLC 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 talked about in the medical literature recently 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 La Grande chiropractic conservative each offer different options. Dr. Paulette Hugulet, DC, LLC 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 undergoing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your La Grande chiropractor deliver conservative care effectively for most. The clinician-author explained conservative treatment as goading of the bursa/sciatic nerve/muscle area – discussed 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 La Grande chiropractic patients with this approach.
CONTACT Dr. Paulette Hugulet, DC, LLC
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 La Grande chiropractic appointment today. The gluteal/butt/hip pain – whatever its name – may find its relief at last!
