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Back and Buttocks Pain
Back and buttocks pain is a debilitating
combination
of symptoms often linked by the involvement of the postural muscles or the nerves which innervate the postural muscles. Many
lower back pain
syndromes affect the buttock muscles, as well, since the lumbar region works closely with the gluteals to perform a wide range of physical tasks.
Pain in the buttocks and lower back
can be extremely severe and limit the mobility of the patient, since these are the very muscles which allow us to maintain our upright posture and facilitate movement. Of all the combinations of dorsalgia symptoms which may occur together, this particular one is not only the most commonly experienced, but is also one of the worst in terms of pain generated.
Back and Buttocks Pain Causes
There can be many reasons for pain in the lower back radiating into the buttocks. The pain can be
burning,
shooting, dull or sharp. This pain might be worsened by movement or it might hurt all the time. Here are many of the usual suspected causative issues responsible for the discomfort:
Herniated discs
can affect the spinal structures in the lower back and the nerves and muscles in the buttocks. Lumbar herniations might affect the lumbar or sacral nerves, potentially causing sciatica expressions, especially when they exist in a congenitally narrowed canal or one which has been compromised by arthritic activity or ligementous hypertrophy.
Sciatica
is a symptom set where pain in the buttocks and legs is actually more common than pain in the lower back. However, lumbar pathologies often source sciatica and may involve localized, as well as radiating pain.
Piriformis syndrome
can create a difficult to diagnose pain problem when the piriformis muscle constricts the passage of the sciatic nerve. Piriformis syndrome should never cause actual low back pain, but statistically usually exists along with it, which may help support why many piriformis pathologies are misdiagnosed.
Sacroiliac joint dysfunction
can create serious buttocks, hip and lower back pain. When pain exists too high up, the involvement of the SI joint may be highly suspect.
Spinal stenosis
in the lower spine can cause a sympathetic response from nerves and muscles in the buttocks. In fact, spinal stenosis almost anywhere in the vertebral column can enact lower body pain in the back, buttocks, legs and feet.
Muscle injury
can affect the injured muscle and those around it. Sympathetic pain in the surrounding tissue is common in lower
back muscle injuries.
The gluteal muscles in the buttocks can suffer severe pain when affected by nerve innervation, direct or sympathetic injury. Remember, the postural muscles work as a team and any damage, deficit or instability in one will likely have consequences on all.
Psychological back pain
can affect ALL the postural muscles in the lower back and buttocks using regional oxygen deprivation.
Osteoarthritis
can create pain in the back, sacroiliac, pelvis and hip. This pain often feels like it is originating in the buttocks.
Recommendation on Back and Buttocks Pain
Acute pain in the postural muscles can be debilitating. Some of the worst pain I ever had affected both my lower back and buttocks. The pain created pressure in my body as if something was pushing my pelvis forward violently. I felt like my lower spine was going to explode out of the front of my abdomen! This terrible pain created a feeling of dread in me at all times.
Fear
of a recurrence of pain controlled my life for decades. Now, I suffer recurrent sciatica which often begins in the top of the buttocks and works down one or both legs. Actual lower back pain is usually present, but the severity of the pain ranges dramatically.It is crucial to get a correct diagnosis when it comes to pain in the lower back and buttocks. The symptoms might be from one or more physical causes, but may also stem from purely mindbody issues. I usually suggest correlation of all symptoms with a neurologist, since these physicians have the best chance of ascertaining the true nature of many combination back and buttocks pain syndromes.
Back and Buttocks Pain to Back Pain
12/9/06 Revised 1/19/12
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THIS ARTICLE BY: Sensei Adam Rostocki









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