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Dr. Hoang's Chiropractic Clinic Helps Relieve Hip/Glute Pain (GOIC)

So you have pain in the butt, gluteus, hip area? Everyone terms this pain with different terminology, even doctors and researchers! This pain isn’t 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 issue often related to irritation of the sciatic nerve. Your Montreal chiropractor at Dr. Hoang's Chiropractic Clinic is very knowledgeable of sciatic nerve irritation and its chiropractic care relief.

ANATOMY

Many structures come together 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 viewed as allowing 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 very much 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 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 impact the sciatic nerve, triggering retrotrochanteric pain in the gluteus. (3) Your Montreal chiropractor sees how anatomy shapes how pain is experienced daily!

ANATOMY AND PAIN: The Sciatic Nerve

Right in the heart of|In the middle 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 presented 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 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. Hoang's 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 – reported that deep gluteal syndrome has been more talked about in the medical literature lately 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 due to nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome can be conservatively treated. (6) Medical conservative and Montreal chiropractic conservative each propose different options. Dr. Hoang's Chiropractic Clinic can help.

CONSERVATIVE TREATMENT OPTIONS

Conservative treatment is typically first before any more invasive treatments. Medical approaches were enumberated as rest, avoiding irritating movements, taking meds, getting injections, or undergoing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your Montreal 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) areaalong 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 Montreal chiropractic patients with this approach.

CONTACT Dr. Hoang's Chiropractic Clinic

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 Montreal chiropractic appointment soon. The gluteal/butt/hip pain – whatever its name – may get relief at last!

 
Dr. Hoang's Chiropractic Clinic 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."