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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
I had severe pain in my right rear, cramping down my right leg, and into my right toe.  After the 4th MRI, the neurologist found the problem.  It showed up in a pelvic MRI.  I have a hematoma and a strained glute.  Blood is going into my muscles.  I'm not sure how that happened.  I started on a medrol dose pack today, and have a prescription for pain meds.  The pain is not coming from my spine, even though I have arthrosis in my facet joints.  I will see an orthopod this week to see if I need to do anything else other than wait for my body to heal.  Fortunately, this is fixable, but I had been frustrated by no diagnosis and lots of pain.
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pain in right side of butt.worse when standing, pain goesdownright leg to just above knee
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It has been a while since your post! I was wondering if you have come up with a solution? I am a 38 year old active female. Last year I noticed a pinching pain in my right butt cheek. I thought it was wierd and grew concerned when it went from a pinch to pain. I backed off biking (road bike) for a while and it did get better. Earlier this spring I started again and had no issues. I then picked up running again and it has steadily grown worse. The dull pinching pain is unusual and has my GP and my Chiro very frustated. It is now radiating pain to the upper backside of my pelvic bones. Unlike others here, mine does not hurt while sitting, but when I get up from a chair it is extremely painful. As well as walking shortly after. Oddly it does not hurt while running. Sometimes I am "aware" of it while running, but not in pain. I have stopped running for almost a week and I am still in alot of pain. Lying down has no effect at all. I am going for xrays next week, but I was hoping maybe you had learned something about your condition that I could learn from. It sounds so similar. Or if anyone else had any positive results. Bursitis (sp) has been ruled out for the record. I hope all of you are healing well :)
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Avatar universal
I'm like drc111, and having good results from trigger point therapy. Much I can do myself. Here is my suggested list of things to do. I've suffered 'the works' over 20 years (coccyx, back, legs, achilles, etc, etc), and this is easily the best so far.
1. Psoas release. Once a physio does it, you can copy and do it yourself, every morning and night, in bed. Easy. Videos on YouTube. Read the short easy-to-read book called Front to Back - The Hidden Culprit by Aileen Jeffris. Staggering.
2. Bend and touch your toes (or try). If you feel tightness in your calves or behind your knees, get some 'dry needling' to release the trigger points. You will have stiffness afterward for up to 36 hours.
3. Bend and touch your toes again. You should now feel the tightness in your thighs instead of your calves. Get some 'dry needling' to release those trigger points. You should now be able to touch your toes (or very close) without pre-stretching! Now you are correctly using your waist and your leg muscles are 'free'. Amazing!
4. Get some more dry needling in your butt muscles: Gluteus minimus - maximos - medius, and the TFL. to release those trigger points.
5. Sit in a chair, bend forward slightly to relax your abs. You should create a 'roll of fat'. Kneed it all over for a few minutes a day until the pain is gone. Do your waist and up the sides of your ribs....anywhere you can reach that feels tender.  The pain will go.
6. Feel along your chest for 'sore spots'. Also, from the solar plexus, down the rib line. Rub forward/backward on the spot for 60 seconds. May be uncomfortable, but will go over time. Repeat each day.
7. Do the same just off the edge of your pubic bone, just off centre.
8. Get someone else to do the same around your shoulder blades, arm socket, upper traps.
9. Get a QL (Quadratus Lumborum) release. (video on YouTube).
10. Finally, get the Pole of Pain, aka Foam Roller,, and roll inner thighs, and generally all over.

You will feel much better, gain some relief and begin to zoom in on any remaining sore spots. I can't believe how much better my back felt after trigger point work on my chest, and I now stand straighter!

I now look up the Trigger Point Therapy workbook and then tell my specially selected chiro & physio (who both do dry needling) where I need my dry needling for that session.

So to all the ignorant practitioners I've seen over the years, some who are quite well known, I wont be back.
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Avatar universal
I have had similar butt pain as the rest of you on this board.  It started Aug. 2010 while I was running.  I would get this pain where I couldn't lie down which made sleeping very difficult.  It would come for a week and then go away until I would lift something very heavy a few months later and the pain would come back.  I have now had a constant pain for  1 1/2 months where I can hardly function during the day and it gets worse when I sit down or try to lie down to sleep.  I have been to the PT, Chrio., have had accupunture, electric stem, ultrasound and massage with no relief.  I am told it is my right obturator internus muscle that is causing me all this pain.  I have FOUND SOME RELIEF AND WANT TO SHARE!!  Last week I checked out a book from the library called The Trigger Point Therapy Workbook by Clair Davies with Amber Davies.  I have been doing this trigger point therapy at home and I am no longer in constant pain.  The pain is still there but I have had 1-2 good days where I can hardly feel the pain on my right butt.  Please look into this book.  It didn't cost me a thing and I am so happy that I can function like a normal person again.  Good Luck to you all.
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http://www.kersschot.com/Biopuncture.html
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