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Right buttocks pain esp. when sitting

I'm a 45 year old male in Atlanta who has right buttocks pain and some lower right back pain, especially when sitting.  Have seen an Orthopaedic/back pain management M.D. in Atlanta and he took an MRI of my lower back and said it looked normal...no bulging discs.  He said it might be pirformis or SI joint related.  Have had a pirformis injection, an SI joint radio frequency ablation (where they burn away the nerve endings) and have also gone to 3 months of therapy.  The therapist says my SI joint is now more stable but my pain continues to be there.  The therapist thinks I may have a bulging disc but my MD says the MRI doesn't show that.  This pain came on suddenly about 4 years ago when I was doing a lot of road bicycling, playing tennis, jogging.  I have curtailed these a lot, since any vigorous exercise seems to flame up the pain.  It is especially painful near the center of the right buttocks, almost near the groin, almost right on the bone where I sit.  But sometimes the pain radiates from the lower right back into the right hip area. When I bend over to tie my shoe, the pain also can go from the right butt into the upper hamstring.  I am new to this website, but was just looking for some advice.  I can't seem to get my doctor or therapist to give me the answer to what is causing my pain.  I would like to get back to physical exercise again. Given that my SI joint is now stable, why is the pain still there?  Could it be my hip? Are there any exercises I should be doing?(I am doing some already from my therapist).  Should I see a neurologist/neurosurgeon?
Thanks you!
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Avatar universal
research PUDENDAL NERVE ENTRAPMENT
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Hi all, I hurt my lower back around 2006 on some sit up and did MRI on 2008 and it shows that i had a degenerative disc on L5. I didn`t pay my attention on the back pain during this time. As i just endure the back pain. But i started to have numbness on my butt when i seat down around 2010. I didn`t pay much attention to it either until recent years the pain on my butt is very painful especially sitting on hard surface! It feels like sitting on my butt bone and it is very painful! I find out that my feet gets painful when standing also. I had a MRI again and the doctor said the nerve is not pinch. I had try taking neurobion with some med to relax the nerve but not much relief and i don`t want to depend on these pills. Hope someone can advice on my situation. It is really affecting my daily life`s and sleep too.
Jincai Male 36years old
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I had back pain for years, and nothing worked, finally I went to the Canadian Back Institute in Scarborough Ontario Canada. Voila!! 3 different exercises and
I was almost pain free.


A few years later I got a dog that I walked twice a day, but started to notice that I was having pain in my knee and back which was getting worse. I invested in flexible orthotics and that did the trick, At 76 I'm still going strong, except if I shovel snow, which I did  2 weeks ago and am paying for it until I get around to doing my exercises again. GET BUSY  WITH EXERCISES !!!!!! BEST THING FOR YOU.
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I am a 45 year old female who has not constant but severe pain in my left buttock and feels like I am sitting on a large stone digging into my hip bone. Any suggestions on where to start. Seems I am finding from posts above that Drs can't diagnose it.
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Hi there, I've had similar pain to yours for nearly 8 years now.  Started with sore pain at the hamstring insertion point into my pelvis and has just spread and the pain become more intense.  Sitting is really uncomfortable and I have a desk job yet I've just returned from walking in the mountains where the hamstring pain decreased as my legs got stronger.  It's only in one leg.  I've seen three neurologists, had endless MRI's, NSID's don't make a lot of different.  Have had various cortisone injections that made no significant difference either.  What was it that your physio did that made a difference?.
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Hello - I am scheduled for this surgery in May. I am scared to death to do it, but I am so over this pain. I used to run and cycle everyday and now I can walk and lift a bit every other day with pain. I am so glad to hear your story. The recovery scares me, as I have rarely gone a day without exercising before all of this happened. Do you have any good recovery tips? You have helped me realize I need to do this to get better and I can do it and be able to run and cycle and live again! Thanks for any tips!
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Hi I've recently started getting pains in my lower back only in the right side and get a sore bum also in my right side and a throbbing pain also in the right side I'm scared to go to gp as I'm a keen exerciser and play football 2x a week I'm only 32 and female but I feel exercise helps me it's the sitting and standing that I'm uncomfortable with can anyone help or give me advice thanks carie
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Hi. Years ago I had severe lower back pain in my left side. When I would sit and lean forward, I could feel a bulge on the left side. Standing the bulge disappeared. I had a been a gymnast as a child and very, very flexible. Doctors said it was a harmless lipoma. No one wanted to do anything about it. The pain increased so I finally got a surgeon willing to operate. It was NOT a lipoma, but a rare gluteal hernia in the muscle tissue. These hernias are very, very rare and doctors do not look for them nor consider them in men and especially in women.

I am currently researching surgeons where I live now because I just found another one in the right side - same area, same bulge, same pain! Some of you may want to research this and bring it up with your doctors. These hernias are very, very rare and occur more often in athletes. Just a suggestion for some of you!
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Avatar universal
Hi all -

I am a 51 year old female who just over a year and a half ago experienced tailbone pain out of the blue when I went to sit down. This pain ended up spreading to my lowerback, hips and legs, but was worse on the left.  I could not sit for more than 10-15 minutes and sleeping was almost impossible. I have always been active and for the past 18 months had been enjoying running prior to this injury. I had been in physical therapy off and on for 7 years prior to that for problems with my back, neck and shoulder, some of which was found to be related to hip alignment. I fell in the tub when i was 7 1/2 months pregnant with my 1st child (17+ years ago). After my second child I started having problems with my mid back and things went on and on from there...

The reason I bring up the history is because of the info I ended up finding out in my search for relief...starting with the significantly more recent tailbone pain above. My search for this most recent issue included 1 GP,. a Orthopedic Specialist, 2 physical Therapists (the latter of which has 8 visits still in appeal due to medical necessity), many x-rays, MRI's etc. The last PT found my body riddled with scar tissue, which, when I sat, would pull my hips, back and legs in mutliple and opposite positions...mostly the wrong ones. ASTYM treatments helped to finally breakdown some of this excessive scar tissue, when standard soft tissue manipulations would not. I was still not 100%...I was probably at 60-65 on a good day after this treatment went into hiatus. The ASTYM is intense and my orthopedic guy wanted to make sure any inflammation settled down to see where I was progress wise. This is when I found out insurance had bulked so I could not go back. this was September of last year. I finally paid out of pocket for a Chiropractor (specifically an Applied Kinesiologist). He watched me walk down his hall twice and found like 10+ areas of issue. He pulled on my right leg and removed 50% of my pain. I had multiple FACET IMBRICATIONS in my lumbar area (especially L3-L5) pushing on my sacrum. Secondly, I have major scar tissue in my hips, buttucks, legs and throughout my back. I also had 5 bones out in my right foot...the shocker...it was in the exact area where I sprained my ankle when I was 12-13. My range of motion with my ankle was maybe 25%. I had NO IDEA. Walking everyday for my whole life, let alone running, was already making my body overcompensate horribly. I am very flexible and have a high tolerance for pain and adapting to it...go figure. This, plus two major car accidents fed some of this, but so did taking advantage of my flexibility and adaptability for most of my life. Who knew not being able to sit would change my perspective on how absolutely blessed I was prior to its onset. I am getting better because of the help a few paid visits to a this Chirproator/Kinesiologist. He taught me and my husband how to help breakdown this scar tissue ourselves by using hubby's elbow in those all tender areas. It hurts like heck, but you have to apply consistent deep pressure until it releases. I use a golfball or soft baseball when hubbies elbow is not available.

Scar tissue could be something compromising your progress as well. Talk to your Orthopedic doctor, PT or Chiropractor. Or, look into one that can think outside the box and knows something about scar tissue and/or ASTYM/ASTM. Check with insurance to make sure it is covered and to what level and most of all know your body and push until you find an answer AND RELIEF. I can actually sit most often now with only pressure and slight discomfort. I am not 100%, but I feel like I am on my way. I just have to be patient and keep pushing!

NOTE: Drugs and shots will not solve this problem - they will only help manage the pain. if you have pain that is not being found on a traditional xray/MRI than most likely something is being pinch and/or pulled. Orthopedic doctors/Radiologists don't look for or see everything that can cause this pain on an Xray. My Orthopedic doctor said "WE don't look at x-rays the same way as a Chiropractor!" I don't really get that...if there is a different way to look at an x-ray and you don't know how to....than why wouldn't you refer me to someone else that could, if I am having pain you can't figure out????? Check into or research Applied Kinesiology as an option too and BLESSINGS and PRAYERS to you all!!!!
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Avatar universal
Does your medical facility have a physical medicine department?  I found the docs there more helpful for my ischial tendinopathy than the sports medicine department.  Seems like Phy. Med. was more geared to older patients with chronic problems, or multiple problems, rather than the younger athlete...just my impression.

Since your tendon is torn, you possibly would be a candidate for surgery.  

I work at a computer a lot too, so I raised my computer up so that I could stand and work at it.  But you said standing was painful.  The one position I could be in that didn't hurt, was lying on my side.  Maybe you could somehow rig your computer where you could work lying on your side.

Also, sitting on ice (freezer gel paks) not only reduces pain, but it's theraputic too.  Cushions alone are not enough.

Good luck, and be persistant about finding a doc to help you.
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Possibly the reason docs don't order an MRI is they know it's not likely to show anything definitive, no matter your pain. If you can walk into their office, the ischial hamstring tendon is probably not torn, so surgery isn't indicated and the treatment is thus fairly routine:  rest the area (kind of hard when you still have to walk and sit, isn't it!), ice, stretching exercises, strengthening exercises, and to quit re-injuring the area.
The reason the MRI was ordered for me was because after months of physical therapy my pain was not improved and the PRP (platelet rich plasma) procedure was being considered.  But when the MRI showed "mininal damage" to my tendon, the doc himself showed me the stretching exercise I described above; he said new research has shown that really helps.  No physical therapist had ever shown me that exercise.  They seemed to favor strengthening exercises and apparently I needed more stretching and less strengthening.
  I still have to carry my ice paks everywhere I go and have to endure pain, but nothing like it previously was.  I'm able to walk a mile a day now; my goal is two miles.
Oh, when I lost five pounds I found the pain was less, so I'm working to lose five more.
Yes, we RNs really pushed our bodies with all the standing, lifting, etc. and with little education on good body mechanics.  Good luck with your pain reduction.

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Dec 12 I slipped in the bath and basically did the splits. I am 53 and about 350. The pain was unbearable.. I could not even get to car to go to hospital. Had 2 have an ambulance. Sports Med Dr. said torn hamstring. MY left leg turned black from but cheek to ankle. To this day I can not sit for more than 10 15 minutes (even on pillow) and when I do stand the pain is almost unbearable. I have almost fallen a couple of times.. I have tried stretching, lite leg lifts on my home gym and its not getting better.. all they did at hospital was take an xray and said nothing broken... I have made another appointment with Dr. but I dont think it will do much good...what can I do or say to them that this is real pain... I can not work as I am a Software engineer and need to sit for long periods..
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DITTO on all of the above..This sounds just like my life..I too have been doing therapt with massages, ultrasound and now traction..which helps but does not take the pain away for any amount of time..Trying to get anyone to order an MRI seems to be the big problem right now.. I do some stretching exercises but really like the sounds of the one your doing so am going to try it..This a miserable problem and people just don't get it..i always say that if I'm going to hurt like this at least show me a scar of something that proves I DO have this pain..I sometimes think its all in my head..I too am in my 60's and a retired RN...maybe  all those years on concrete floors contributed to our problem...
Good luck to you and thanks for the info........
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hi,

I have the same problem - very frustrating.  I do go to massage weekly because I found a massage school nearby where I can get a massage cheaper so please see if there is one in your area as it does help at least!
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Avatar universal
   My history: for several years, right buttock pain when sitting (no nerve involvement), probably from years of jogging on concrete, then sitting all day at the computer, and letting the pain go untreated; it would wax and wane.  A year ago after increasing weights on the leg press at the gym, the pain worsened; couldn't even walk without pain.  Sports medicine doc diagnosed it as ischial bursitis; three steroid injections did not help at all.  Physical therapists taught me exercises to strengthen the muscles in the area.  Those exercises actually seemed to make it worse.  Had to quit exercising; couldn't even walk on the track at the gym.  I sit on frozen gel paks ALL the time; take a polar pak with ice in ziplocks on planes...somewhat embarrassing.

   Finally a physician in the physical medicine dept. of the Mayo Clinic here in Rochester, Minnesota, ordered an MRI which showed minimal tendon damage.  He said it was due to letting the problem become chronic, but because it was minimal, with work I could expect some healing.  Below is what he recommended for me four months ago and it's the first real relief I've received.

   What's worked:
1.  Stretching exercise:  Back straight, bend to waist over a table/counter until you feel a gentle pull in the buttock, push back up with hands.  45 repetitions, three times a day.  Gradually increase the depth you bend.  I had improvement in the pain within three weeks.  This is the main thing that has helped me.
2.  QUIT RE-INJURING THE TENDON!  No elliptical, no running/distance walking, but swimming instead.  Stop any activity that worsens the pain. After a few months, I can gradually build up to walking two miles every other day, my goal.
3.  Nitro-dur patch, cut into fourths; one fourth placed on the site for 12 hours each day.  The doc said this is not proven yet in the literature, but is promising.
4.  Sit on frozen gel paks; they're theraputic as well as reduce pain.  I have to even take them to restaurants, movies. etc.

I am a 63 yo female, an R.N.  I know this ischial tendonopathy will be chronic with me since I left it untreated for so long, but the above regimen has decreased the pain by 70% I'd say.  Hope this is of some help to you.
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I wonder if this person with lower back pain drives a P.T. Cruiser?  Have similar pain, getting worse, and my analysis takes the beginning of this pain to the coincidence of the purchase of this car; plus it is actually not a physically comfortable car for me to drive.  The seats are unbelievably small.  Am considering selling my Cruiser because of this growing more painful back problem.
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Hi Sue,

I know you posted this comment awhile back, but wanted to check with you and see if you ever got your pain resolved and if you ever found out what it is.

I have the same problem and have had it for almost 2 years now. My orthopedic did xrays and MRI and says everything looks fine and that I would have to learn to live with it. Living with it is not working for me. I had new furniture and blamed the pain on that, so bought more new furniture...still having pain, now I resort to sitting in a computer chair with cushions....still hurts! Most evenings I'm forced to go lay in bed either face down or on my side because I can no longer sit. This started almost 2 years ago after a 7 hour plane ride... I can't get any docotr to understand the pain I'm in, they all tell me there's nothing showing on tests.

I have this pain when sitting, not so much when standing. I can feel it also if I try to tighten my buttocks muscles...pain is sometimes unbearable
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Just noticed your comment and I know it's been quite some time but I was wondering how you were doing ?  I too have your symptoms, and I ride a bike.
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similar symptoms.. I'm 43 and have been dealing with this for 1-1/2 years.  Don't know what I did to injure Right buttock, when sitting too much it is aggravated (wouldn't call it pain, just a nagging & distracting issue).  Saw a neurologist, had every nerve test there was, had cervical AND lumbar MRI, which showed nothing wrong (but a little arthritis).  Saw physical therapist for months, then received 9 injections over the last year (varying from periformis, SI joint, lumbar, and finally the cervical spine injection did the trick for about 6 months only)... now it's back and it causes me crabbiness at the end of each day, when I sit too long.  I'm fine at home on weekends, not so much sitting around (or sitting on a soft couch)!  It does not prevent me from doing exercises and I am best when active.  I am very flexible, and any move/stretch they do to me does not hurt, the stretching feels good.  Now I'm seeing a chiropractor for some deep tissue massage, I do get some relief, but a few days later after sitting too much, it's back (I do make every effort to get up and stretch/move around.... I have done everything I've been told to do.  Chiropractor has taken a look at my MRI results and he doesn't see anything either out of the ordinary.  Next thing he would recommend to my Dr is getting a pelvic MRI.  I'm just sick of doctoring and I've got a lot of time invested in this - it's exhausting just thinking about it all, and what's ahead of me.  Don't know if it's a nerve or muscle - I wish there was a vitamin or herb out there that repairs muscles (if thats what it really is).  Thanks for any advice
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sorry I also forgot to mention depening on severity of it you could even get alot of presur on the rectum which also depends on the location of the hernia. :)
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Hi there,
I have exactly the same symptoms and had a laproscopy done and found out that I have what is called palvic floor hernia and there is not so much they can do about it. I am definitly not giving up and will let you know if there is options. sometimes strenghtening the pelvic floor muscels would help.
good luck and I feel your pain.
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have you tried Med-X ? It is a clinical treatment for LBP it helps recondition the para spinals and rehydrate the disc research at Med-X.com
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hi i have pain in my right buttock and it get worse buy doing fitness but sumtimes its in both left and right buttock its worse when i try to turn over in my sleep. it seems to die down when doing fitness but gets really bad once i stop exciseing the army given me a month to recover does any1 no what it is
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i have a question I am  20 year old female i have pain in my right buttocks travelling down my leg and my last two toes ar numb i cant feel them. sometimes the pain comes straight from my back to my butt and down my leg could this be a pinched nerve? i have no medical or job so i cant go to be seen by a dr. can anyone help me??
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