Buttock Pain: Symptoms and When to Seek Help - Rehabilitation

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Pain in the buttocks?


My mom has recently mentioned that she experiences pain below her buttocks, which sometimes extends to her thigh muscles and causes soreness.
What could this be a symptom of, and which department should she visit? Thank you.

A Ling, 20~29 year old female. Ask Date: 2007/03/21

Dr. Xu Zhenrong reply Rehabilitation


Hello, A-Ling.
Regarding your inquiry about your mother's pain originating from the lower back and radiating to the thigh muscles, if the pain is in the posterior thigh muscles, it may be early-stage lumbar spondylosis compressing the sciatic nerve, leading to sciatica.
Additionally, it is important to conduct differential diagnoses for other conditions such as hip arthritis or a strain of the gluteal muscles.
If the pain extends to the anterior thigh muscles, issues related to the second and third lumbar vertebrae or the femoral nerve should be considered.
Besides pain, it is essential to assess muscle strength and reflexes.
If necessary, further imaging studies or electrophysiological tests should be conducted.
I recommend that your mother visit a nearby hospital for consultation and further treatment.
The Rehabilitation Department at Taipei Hospital is concerned about your mother and hopes she can resolve her hip and thigh pain soon.

Reply Date: 2007/03/21

More Info


Buttock pain can arise from various causes, and understanding the symptoms and when to seek help is crucial for effective management. Given your mother's symptoms of pain in the buttock area that sometimes extends to the thigh, several potential conditions could be at play.


Possible Causes of Buttock Pain
1. Muscle Strain: Overexertion or injury to the muscles in the buttock can lead to pain. This is often accompanied by soreness and may be exacerbated by physical activity.

2. Sciatica: This condition occurs when the sciatic nerve, which runs from the lower back down through the buttocks and legs, becomes compressed or irritated. Symptoms include sharp pain that may radiate down the leg, numbness, or tingling.

3. Piriformis Syndrome: The piriformis muscle, located in the buttock region, can sometimes irritate the sciatic nerve, leading to pain in the buttock that may radiate down the leg.

4. Herniated Disc: A herniated disc in the lumbar spine can cause pain that radiates to the buttocks and legs, often accompanied by numbness or weakness.

5. Arthritis: Conditions like osteoarthritis can affect the hip joint, leading to pain in the buttock area that may extend to the thigh.

6. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion bones and tendons) in the hip can cause pain in the buttock region.

7. Infections or Tumors: Though less common, infections or tumors in the pelvic area can also present as buttock pain.


Symptoms to Monitor
When assessing your mother's condition, consider the following symptoms:
- Intensity of Pain: Is the pain mild, moderate, or severe? Does it worsen with certain activities?
- Duration: How long has she been experiencing this pain? Is it constant or intermittent?
- Radiation: Does the pain extend beyond the buttock to the thigh or lower leg?
- Associated Symptoms: Is there any numbness, tingling, weakness, or changes in bowel or bladder function?

When to Seek Help
It is advisable to seek medical attention if:
- The pain is severe and persistent.

- There are signs of neurological symptoms, such as numbness or weakness in the legs.

- The pain is accompanied by changes in bowel or bladder control.

- There is swelling, redness, or warmth in the affected area, which could indicate an infection.

- The pain follows a recent injury or trauma.


Which Specialist to Consult
For buttock pain, the following specialists may be appropriate:
- Primary Care Physician: They can conduct an initial evaluation and refer to specialists if needed.

- Orthopedic Surgeon: If the pain is related to bones, joints, or muscles.

- Neurologist: If there are neurological symptoms or concerns about nerve involvement.

- Physical Therapist: They can provide rehabilitation and exercises to alleviate pain and improve function.


Conclusion
In summary, buttock pain can stem from various causes, and understanding the symptoms is key to determining the appropriate course of action. If your mother's pain persists or worsens, it would be prudent to consult a healthcare professional for a thorough evaluation and tailored treatment plan. Early intervention can often lead to better outcomes and improved quality of life.

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