Pain equipped Butt: Piriformis Syndrome

If it hurts to touch a point that's in the middle of one side of your personal buttocks, you probably take delight in piriformis syndrome. This chronic condition is very hard to diagnose, because other injuries may produce exactly the same symptoms. Similar pain may be the result of an injury to bones, muscles, tendons, bursae (pads between the tendons and bones), a particular hip joint, or within the sciatic nerve, but there are ways to determine from which condition if you are suffering.

If you feel most pain when you land after hopping on a single leg, you might have an injured hip joint as well as a stress fracture in your pelvis or quad bones. An x-ray will usually reveal a joint personal injury, but only a bone scan will highlight a stress fracture.

If you feel pain in your backsides, particularly when you touch the feet while keeping your knees straight, you might have a tear to your large muscles or muscle mass tissue that run down the back of your hips.

If you feel pain whenever you touch a spot that's either for those lowest point of only the pelvis (the part regarding the touches a chair even if you sit) or at the top of your femur (thigh), you might have injured your bursae (bursitis) and in actual fact torn the tendons that are attached to bones at these counties.

If your back injures, particularly when you function backwards, and the pain goes down the back of your leg to beneath your knees, your sciatic nerve is probably being pinched in the rear.

Cause: The sciatic nerve has the longest nerve in your body. It starts on the bottom of your spine, [passes through a hole between the piriformis muscle above it and several other muscles beneath it, and goes down the back of your leg to below the knee. When you run, the piriformis muscle contracts and squeezes the sciatic nerve underneath it. Repeatedly squeezing and relaxing the piriformis muscle can damage the sciatic nerve and cause pain. This injury is thought to be caused by an innate tightness of the piriformis muscle or a structural abnormality in the path of the sciatic nerve. It can't be attributed to a specific error in training.

Treatment: Priformis syndrome won't ease until you stop running. Don't run again until you can run without feeling pain in your buttocks. If it hurts to touch, it hasn't healed.

In most cases, pedaling a bicycle will also be painful. You probably shouldn't do any exercise that causes you to bend at the hip while keeping your knees straight, because this will stretch the sciatic nerve. You might be able to swim, if it isn't painful. Medication doesn't usually alleviate the pain, and even if it does, the pain will return as soon as you stop taking it.

Sometimes, the pain will disappear after a rest of a few days to several months; frequently it does not. In this case your doctor will be able to make an accurate diagnosis by injecting a mixture of xylocaine and corticosteroid drugs directly into the piriformis muscle where it passes over the sciatic nerve. If the pain disappears, you may resume running only after a few weeks, but remember that this injury tends to recur. If you feel pain in that area, stop running immediately, and don't attempt to run again until you can do so without pain.

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