Muscle Atrophy in the Buttocks: Causes and Treatment Options

Q: Muscle Atrophy in the Buttocks: Causes and Treatment Options

Hello： Regarding your mother's condition, it is advisable to consult the Rehabilitation Medicine Department. <br>The muscle atrophy requires a physician to personally examine your mother in order to identify the underlying cause. <br>Common causes include lumbar degenerative chan

Gluteal muscle atrophy?

My mother is 58 years old and started hormone therapy during menopause, which she stopped using about two to three years ago.
Since then, she has experienced difficulty sitting for long periods; whenever she sits too long, the muscles in her buttocks feel extremely painful (specifically, the area where the thigh connects to the buttocks).
Initially, we didn't think much of it, but over time it has become a significant issue.
If she needs to sit for an extended period, she has to apply a topical analgesic, similar to a pain relief ointment.
I've seen the area where she applies the medication, and it appears to have some muscle atrophy; it looks slightly indented on the surface.
When pressed, that area does not feel firm like the rest of her buttocks, but rather seems to lack some muscle tissue.

My mother used to be a seamstress, which required her to sit for long hours and keep her feet on the sewing machine pedal for extended periods.
This constant pressure on her buttocks while sewing might be a contributing factor, but we are unsure.
We have never heard of seamstresses having such occupational ailments.
I would like to ask the doctor which specialty clinic we should visit for her condition.
We have delayed seeking help because we were unsure of the appropriate department.
However, I noticed that the rehabilitation department specializes in "rehabilitation for neuromusculoskeletal disorders." Would it be appropriate for us to consult with a rehabilitation specialist first? I hope the doctor can provide some advice.
Thank you very much!

Carol, 20~29 year old female. Ask Date: 2007/01/17

Dr. Xu Zhenrong reply Rehabilitation

Hello: Regarding your mother's condition, it is advisable to consult the Rehabilitation Medicine Department.
The muscle atrophy requires a physician to personally examine your mother in order to identify the underlying cause.
Common causes include lumbar degenerative changes that compress nerves or herniated discs.
Typically, in addition to muscle atrophy, there may be accompanying symptoms such as pain, numbness, or a feeling of fullness.
Further examinations, such as X-rays or nerve conduction studies, may be necessary to confirm the diagnosis.
Wishing your mother a speedy recovery! Taipei Hospital wishes you good health!

Reply Date: 2007/01/17

More Info

Muscle atrophy in the buttocks, particularly in individuals who have experienced hormonal changes or prolonged periods of inactivity, can be a significant concern. In your mother's case, at the age of 58 and following the cessation of hormone therapy, she is experiencing discomfort and pain in the gluteal region, particularly after prolonged sitting. This situation is not uncommon, especially for individuals who have had sedentary occupations, such as sewing, which can lead to muscle imbalances and atrophy over time.

Understanding Muscle Atrophy
Muscle atrophy refers to the wasting or loss of muscle tissue. It can occur due to various reasons, including disuse, hormonal changes, nutritional deficiencies, or underlying medical conditions. In your mother's case, the combination of hormonal changes due to menopause and a sedentary lifestyle as a seamstress may have contributed to the weakening of her gluteal muscles. The pain she experiences when sitting for extended periods could be a result of muscle fatigue, strain, or even nerve compression due to the lack of muscle support in that area.

Causes of Muscle Atrophy in the Buttocks
1. Hormonal Changes: The decline in estrogen levels during menopause can lead to changes in body composition, including increased fat mass and decreased muscle mass.

2. Sedentary Lifestyle: Prolonged sitting, especially in a fixed position, can lead to muscle disuse and atrophy. The gluteal muscles may weaken over time, leading to discomfort and pain.

3. Muscle Imbalance: Continuous use of certain muscle groups (like those involved in sewing) without adequate strengthening of opposing muscles can lead to imbalances, contributing to pain and discomfort.

4. Nutritional Factors: Inadequate protein intake or deficiencies in vitamins and minerals can also affect muscle health.

Treatment Options
1. Physical Therapy: Consulting a physical therapist can be beneficial. They can assess your mother's condition and develop a tailored exercise program to strengthen the gluteal muscles and improve overall muscle function. This may include targeted exercises to enhance muscle strength and flexibility, as well as strategies to improve posture and reduce pain during prolonged sitting.

2. Exercise: Incorporating regular physical activity, particularly strength training and stretching exercises, can help combat muscle atrophy. Exercises such as squats, lunges, and glute bridges can be effective in strengthening the gluteal muscles. Additionally, stretching exercises can help alleviate tightness and improve flexibility.

3. Ergonomic Adjustments: If your mother needs to sit for extended periods, consider ergonomic adjustments to her workspace. Using supportive cushions or chairs designed to promote better posture can help reduce discomfort.

4. Nutritional Support: Ensuring adequate protein intake and considering supplements, such as vitamin D and calcium, may support muscle health, especially during menopause.

5. Pain Management: If pain persists, over-the-counter pain relief medications or topical analgesics may provide temporary relief. However, it is essential to address the underlying cause of the pain rather than just managing symptoms.

Seeking Medical Advice
Given your mother's symptoms and history, it would be advisable to consult a healthcare professional specializing in musculoskeletal disorders. A physical medicine and rehabilitation (PM&R) specialist, often referred to as a physiatrist, would be an excellent choice. They can provide a comprehensive evaluation and recommend appropriate treatment options, including physical therapy.

Additionally, if there are concerns about nerve involvement or other underlying conditions, a referral to a neurologist may also be warranted. However, starting with a visit to the rehabilitation department is a practical approach, as they can guide her through the necessary assessments and treatments.

In conclusion, addressing muscle atrophy in the buttocks involves a multifaceted approach, including physical therapy, exercise, ergonomic adjustments, and nutritional support. Early intervention can significantly improve your mother's quality of life and alleviate her discomfort.

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