Deep Buttock Pain: Causes and Rehabilitation Tips

Deep pain in the buttocks?

Hello, doctor.
Two months ago, I suddenly felt a painful spot near my right buttock close to the coccyx.
It felt a bit strange deep in the buttock near the coccyx.
When I exert myself during bowel movements, the pain is quite noticeable, and when lying down at night and gently lifting my legs, I can also feel it.
At that time, I wondered if something was wrong with my coccyx, but it seemed like it might not be related.
I was in the military at the time, and due to policy changes, we had to relocate our camp, which involved moving heavy items.
I didn't feel any discomfort during that time, but during my off-duty hours, my posture was more relaxed; sometimes I would lie down or sit cross-legged for extended periods.

Now, I no longer feel pain during bowel movements, and lifting my legs feels normal, but I occasionally experience mild pain in that area.
When doing push-ups, I also feel a soreness deep in my buttock.
I researched online and think it might be piriformis syndrome.
I would like to ask for your assessment, doctor.
If that is the case, what improvements should I make? Currently, I am paying attention to my posture and have stopped sitting cross-legged.
I have also tried some stretching exercises I found online a few times.
I tend to overthink things, which causes me psychological stress.
I'm unsure how long it will take to fully recover.

Youyou, 20~29 year old female. Ask Date: 2020/03/22

Dr. Wang Zhaomin reply Rehabilitation

Based on the description, it is indeed possible that the issue is related to the piriformis muscle, but there are other potential causes as well.
Online consultations cannot replace an in-person examination, which should include a thorough medical history, physical examination, and possibly other diagnostic tests for accurate assessment.
Generally, stretching exercises can help alleviate symptoms.
If symptoms persist or worsen, it is advisable to seek early consultation with an orthopedic specialist, neurologist, or rehabilitation physician for timely treatment.

Reply Date: 2020/03/22

More Info

Deep buttock pain, particularly near the coccyx, can be quite uncomfortable and may stem from various causes. Given your description, it seems that your pain could be related to muscle strain, particularly involving the piriformis muscle, which is located deep in the buttock and can cause pain when inflamed or irritated. This condition is often referred to as piriformis syndrome.

Causes of Deep Buttock Pain
1. Muscle Strain: As you mentioned, the heavy lifting and awkward postures during your military duties could have led to muscle strain. The piriformis muscle can become tight or inflamed due to overuse or improper posture.

2. Nerve Compression: The sciatic nerve runs close to the piriformis muscle. If the muscle is tight, it can compress the nerve, leading to pain that may radiate down the leg.

3. Coccyx Injury: Although you indicated that the pain does not seem directly related to the coccyx, it’s worth noting that trauma to this area can cause localized pain, especially when sitting or during bowel movements.

4. Postural Issues: Sitting for prolonged periods, especially in positions like crossing your legs, can lead to muscle imbalances and discomfort.

Rehabilitation Tips
1. Stretching and Strengthening Exercises: Incorporating specific stretches for the piriformis and surrounding muscles can help alleviate tension. Stretching the hip flexors, hamstrings, and glutes can also be beneficial. Strengthening exercises for the core and gluteal muscles can provide better support for your pelvis and lower back.

- Piriformis Stretch: Lie on your back, cross your right ankle over your left knee, and gently pull your left thigh toward your chest. Hold for 20-30 seconds and switch sides.

- Hip Flexor Stretch: Kneel on your right knee, with your left foot in front, and push your hips forward gently. Hold for 20-30 seconds and switch sides.

2. Posture Correction: Being mindful of your posture while sitting and standing can help reduce strain on your muscles. Avoid crossing your legs and try to maintain a neutral spine position.

3. Heat and Ice Therapy: Applying heat can help relax tight muscles, while ice can reduce inflammation. You can alternate between the two depending on your symptoms.

4. Physical Therapy: If the pain persists, consider consulting a physical therapist. They can provide personalized exercises and manual therapy techniques to help alleviate your pain.

5. Mindfulness and Relaxation Techniques: Since you mentioned that you tend to overthink, incorporating mindfulness practices such as deep breathing, meditation, or yoga can help reduce stress and improve your overall well-being.

Duration for Recovery
The time it takes to recover from deep buttock pain can vary significantly based on the underlying cause and your adherence to rehabilitation strategies. Generally, with consistent effort in stretching, strengthening, and posture correction, many individuals can see improvement within a few weeks. However, if the pain persists or worsens, it is essential to seek medical advice to rule out any serious conditions.

In conclusion, while your symptoms may suggest piriformis syndrome or muscle strain, it is crucial to approach your rehabilitation holistically. By focusing on proper posture, targeted exercises, and stress management, you can work towards alleviating your pain and returning to normal activities. If symptoms persist, do not hesitate to consult a healthcare professional for further evaluation and treatment options.

Similar Q&A

Understanding Buttock Pain: Causes and Rehabilitation Strategies

Dear Doctor, I experience pain on both sides of my buttocks when sitting (a dull ache), as if I am pressing on a nerve. This has been ongoing for six months. When I stand up, the pain disappears, and I do not feel pain when lying on my side or stomach. However, when lying on my ...

Dr. Chen Wayda reply Rehabilitation
It resembles tendinitis; it is recommended to properly take medication and undergo physical therapy.

Understanding Chronic Buttock Pain: Causes, Treatments, and Expert Insights

The patient has been experiencing severe pain in the buttocks (especially the right side) while sitting, standing, and lying down for a year. This pain began shortly after undergoing arthroscopic surgery on the right knee in August of last year (the knee has since become more pai...

Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. If you have already undergone multiple ineffective treatments from other physicians and it is considered a complex case, it is not possible to diagnose and arrange treatment based solely on a few written words. It is recommended to make an appointment and have the patie...

Understanding and Preventing Sudden Buttock Cramps: Expert Insights

Hello Dr. Chen, I work in a labor-intensive job (in a steel factory) and often experience improper and excessive strain. Previously, while going down the stairs, I suddenly experienced severe cramping pain on the right side of my buttocks—so intense that I could not continue walk...

Dr. Chen Xianchang reply Rehabilitation
Hello, thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Generally, there are two possible causes: 1. One possibility is a lumbar disc herniation or even a slippage, which can suddenly compress the sciatic nerve during m...

Understanding Persistent Buttock Pain: Causes and Rehabilitation Strategies

Hello doctor, I previously visited a traditional Chinese medicine practitioner for pain in my buttocks, and after receiving cupping therapy, I experienced significant inflammation in half of my buttocks, making it impossible to sit. After several months of taking anti-inflammator...

Dr. Jian Jincheng reply Rehabilitation
Pain in the buttocks with signs of inflammation after cupping therapy can be managed with ice packs and anti-inflammatory medication.