Conditions & Symptoms

Where does it hurt?

Click on a region of the body diagram to see common conditions and symptoms related to that area.
Illustration: Hip and Buttock Conditions
Region:
Hip and Buttock

Hip and Buttock Conditions

Conditions include sciatica and muscle strain. Research shows that chiropractic care is an extremely safe and effective treatment for pain due to these ailments.

Hip & Buttock-area conditions are often interrelated, and there can sometimes be a domino effect of injuries. For example, tense low back muscles can contribute to tingling, burning or stabbing pain in the hips, buttocks, thighs and lower limbs. These symptoms may result from any one of several conditions collectively known as sciatica. They're painful but finding the source can be somewhat challenging.

Your chiropractor is trained to identify and locate the muscles, nerves, ligaments, joints and other soft tissue structures that may be contributing to your condition. Care begins with a comprehensive history and a physical examination. Your chiropractor may next use adjustments or physiotherapeutic modalities, such as ultrasound. He or she can also give you advice on posture and exercises to promote healing and improve function. This will help prevent future injuries and allow your body to perform at its best.

Condition:
Gluteus Medius Minimus Syndrome
Symptoms:

Body parts don't give up when they're overworked or tired, so much as they just keep working until they give out. The gluteus medius and minimus muscles in the hips and buttocks are no exception. When overworked, these muscles react by becoming tight, going into a constant state of contraction in order to perform their job, similar to a student staying awake all night to cram for an exam.

Eventually, however, the work catches up. They become exhausted and can't perform as well or become limited in what they can do. When this happens, people can develop gluteus medius muscle syndrome or gluteus minimus muscle syndrome. Because the two muscles are so anatomically and functionally related, chiropractors often refer to either syndrome as gluteus medius/minimus muscle syndrome.

People with this syndrome often describe their pain as a deep, dull ache in the buttock that often radiates to other areas of the body. Rest or activity doesn't determine the level of this pain, however. Instead, people with the syndrome often feel the most pain when they're startled or make sudden movements.

A number of things can cause or contribute to tight gluteus medius or gluteus minimus muscles. Muscle imbalances, poor posture and poor spinal or foot mechanics can be a factor, as can anything that overworks the muscles. When overworked, the muscles develop minor strains, which causes an inflammatory response. This inflammation is what causes pain.

Because excess work can cause the syndrome, it's very common among runners, who use these muscles extensively. But runners aren't the only people susceptible, as generally anyone who is active and overuses their gluteus muscles can be affected. For this reason, it's important for people with gluteus medius/minimus syndrome to avoid activities that put pressure on the gluteus muscles until their chiropractor says it's okay.

But inactivity isn't the answer either. To care for gluteus medius/minimus syndrome, your chiropractor will probably perform spinal manipulative therapy, which restores proper joint movement in the lumbar spine and sacroiliac joints, and trigger point therapy, which helps relieve tight muscles. Without rehabilitative exercises, however, these management techniques won't be as effective, so it's important to maintain a regular routine.