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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!
Thanks you!
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
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!
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!
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!!!!
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!!!!
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.
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.
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.
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.
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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