Buttock Pain is most often caused by:
- Traumatic incident(i.e. landing from height, sprinting).
- Without trauma (repetitious work, poor posture, muscle imbalance).
- Ligament Sprain (Hip Joint)
- Nerve Irritation / Referred Pain (Sciatic, Lumbar Nerve Roots, Obturator, Gluteal)
- Boney degeneration of the Hip or Lower Back (cartilage damage, bone degeneration, arthritis)
- Joint stiffness (Hip, Knee, Lower Back, Sacro Iliac)
- Poor Leg or Back Biomechanics (flat feet, immobile joints of the foot/ankle/knee/hip)
- Muscle Tears/Spasm (Muscular, musculotendinous junction – Gluteals or Deep Hip Rotators – Piriformis Syndrome, Hamstring Strains)
- Tendonitis (Gluteals or Deep Hip Rotators)
- Anterior (front) or Posterior (rear) Hip Impingement (FAI – femero actetabular impingement)
- Hip Joint fracture / cartilage damage
- Dislocation of Hip Joint
- Subluxation / Dislocation of tendon(s)
- Bursitis (trochenteric, gluteal)
- Avulsion Injury (pulling off a piece of bone – Hamstring, Gluteals)
If your buttock / Hip hurts, don’t ignore it. Physiotherapists are well trained to give an accurate diagnosis and treatment the problem. We can refer for MRI, CT, X-ray, Ultrasound or blood test as required. We are able to provide a proven, safe and effective treatment.
1) Treat the pain and other symptoms
2) Help identify the causes to prevent recurrence
3) Provide self-management strategies
Treatment: Strong Evidence in Literature
1) Specific hip / gluteal / lower back / deep hip rotator strengthening and general exercise programs (core stabilisation, pilates)
2) Mobilisation, Manipulation and Hands On Therapy – Myofascial Release
(Manipulation is traumatic and should only be used for certain conditions)
3) Acupuncture / Dry Needling
4) Electrotherapy (TENS)
1) Postural Modification (seat supports, taping, innersoles, orthotics, body awareness exercises)
2) Hydrotherapy (great supportive environment)
3) Supportive Taping / Bracing
4) Use of Gels, Creams, Hot & Cold
Buttock pain is very individual due to the large number of structures and factors that contribute to your condition. What works for others may not work for you and you will have to trial various treatments under the guidance of your Physiotherapist to find what works for your particular condition.