Dr. Hoang's Chiropractic Clinic Helps Relieve Hip/Glute Pain (GOIC)
Do you have pain in the rearend, 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 won’t go away – a “toothache in the butt” – is more renowned today as its own issue often associated with irritation of the sciatic nerve. Your Montreal chiropractor at Dr. Hoang's Chiropractic Clinic is very knowledgeable of the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
Many structures come together in the area 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 seen to allow external rotation of the thigh. (1) A study of the sciatic nerve in both live volunteers and cadavers during hip rotation showed that throughout passive hip rotation, the sciatic nerve is very much related 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 impacts 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 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 presented 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 correlated 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 illustrated how the structures in this area contained 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 – stated that deep gluteal syndrome has been more recounted 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 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 Montreal chiropractic conservative each propose different options. Dr. Hoang's Chiropractic Clinic can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative options are attempted. Medical approaches were enumberated as rest, avoiding irritating movements, taking meds, receiving injections, or doing physiotherapy. Surgery may be done for patients with recurrent or persistent symptoms after conservative care. (6) Chiropractors like your Montreal chiropractor offer conservative care effectively for most. The clinician-author described 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 Montreal chiropractic patients with this method.
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 illustrates 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!
