pain in butt mussle

[deadeye195]

My bett pain starts any time I stand or walk. It goes away as soon as I sit or lay down. It does'nt make any difference if I sit on a rock or a soft or a hard chair. I sleep well unless I have to roll over. A sneeze or cough will cause a quick short pain no matter what I am doing. Pain only stops when I relax my butt mussle..

[lmuenchen]

Hi,

there are a couple of possible reasons:

1) Lumbar spinal stenosis (http://en.wikipedia.org/wiki/Lumbar_spinal_stenosis)
I would think that this is one of the most likely explanations.

2) spinal disc herniation or protrusion (http://en.wikipedia.org/wiki/Spinal_disc_herniation); or simply degenerative disk disease (http://en.wikipedia.org/wiki/Degenerative_disc_disease)

3) it could be caused by atherosclerosclerosis in the arteries supplying the affected muscle; however, this would not result in increasing pain during cuffs or sneezes  (http://en.wikipedia.org/wiki/Peripheral_artery_disease)

I would see a general/family physician or orthopedic specialist, get an X-ray and/or MRI of the lumbar spine.

[M_Pounce]

When you say butt muscle - where exactly ar eyou talking about?  In the cheek area? At the top or the bottom? Or do you mean at your anus - all can have different causes.

Since you are able to identify what causes the pain and what relieves the pain, checking with your PCP will help for several reasons - the incident will be added to your chart for future reference, he or she may be able to identify what is causing the issue, and he or she may be able to identify what is causing the issue.

It could very well be a muscle strain from too much activity.... My butt feels really sore right now.... Especially when I walk (exact opposite of you) because I had too much rambunctious s*x. ;-)

Good luck and keep us posted!

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Such a pain can be due to sciatica or pinched sacral nerve roots of the spine. A wrong posture on a job that involves sitting for a long time too can precipitate this.
History of taking injections in the buttocks in the recent past should be looked into. A number of times old injection sites start troubling if undue pressure is put on them as in prolonged sitting. This will respond to hot water bags below the buttocks at night or kept for sometime while sitting too.
Another possibility is ischiogluteal bursitis. This is inflammation of the bursa that lies between the ischial tuberosity of the pelvic bone and the tendon of hamstring muscle. The bursa may show inflammation without any cause or in association with hamstring tendinitis or inflammation of tendon of hamstring. The pain increases on stretching.
Myofascial pain or trigger points in the Gluteus medius muscle and Piriformis muscles of the buttock can cause pain in the buttock area which may radiate to thighs. Stretching the muscle increases the pain.
Since I cannot examine you and know other related conditions you may be having, nor is a detailed history possible on net, I have listed the various possibilities that should be looked into. Please consult your PCP for primary examination followed by proper referral. Take care!

[caregiver222]

As has been suggested the most likely etiology is compression of the sciatic nerve. Most likely you have damaged a disc through improper lifting somewhere along the line.

Definitive diagnosis is by an MRI of the lumbar region L1-L5.

There are specific exercises that can help relieve the pain. You need to have them taught to you by a rehab specialist. Paying for these sessions (even if not reimbursed by insurance) is a good investment.

In the meantime - get an inflatable cushion to sit on in a car and avoid riding in a truck (where there is up-and-down movement).

Keep well hydrated and avoid lifting anything heavy.

Eventually, if the pain is not relieved a surgical procedure called a laminectomy may be recommended.