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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Tenderness And Pain In The Buttock

I have been having pain in the middle of both of my butt check. Just to press on that area is VERY tender. It hurts to walk. I m in fairly good shape...it is not from exercising since I haven t been exercising quite as much lately. Any help is greatly appreciated.
Thu, 21 Apr 2016
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Physical Therapist or Physiotherapist,  's  Response
Hi,

thank you for providing the brief history of you,

A thorough neuromuscular assessment is advised,

As the pain is in the center of the hip region and it tender, it could be Sacroiliitis as it is common in most of the cases. By undergoing simple physical therapy like - therapeutic ultrasound therapy and TENS therapy the pain will subside and post which strengthening exercises will be taught.

Also, the ortho may request for an X-ray or MRI to see what are the other symptoms or causes for the pain. As you said it is the tail bone, then may be an X-ray can show any small pathological fracture - depending upon the age, or may be it is just a Soft tissue injury, which can be seen on a MRI.

For either of the case, the physical therapy will be advised. As , pain can be controlled by simple pain killers, but for long term care, exercises will be guided to strengthen the muscle groups to provide the better support. Most cases respond well to physical therapy in 3-4 weeks in my personal experience.

The earlier the care the better the results. Post physical therapy, you can perform the same exercises at home, to ensure the strength in muscles to help you avoid the pain in the region.

Regards
Jay Indravadan Patel
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Suggest Treatment For Tenderness And Pain In The Buttock

Hi, thank you for providing the brief history of you, A thorough neuromuscular assessment is advised, As the pain is in the center of the hip region and it tender, it could be Sacroiliitis as it is common in most of the cases. By undergoing simple physical therapy like - therapeutic ultrasound therapy and TENS therapy the pain will subside and post which strengthening exercises will be taught. Also, the ortho may request for an X-ray or MRI to see what are the other symptoms or causes for the pain. As you said it is the tail bone, then may be an X-ray can show any small pathological fracture - depending upon the age, or may be it is just a Soft tissue injury, which can be seen on a MRI. For either of the case, the physical therapy will be advised. As , pain can be controlled by simple pain killers, but for long term care, exercises will be guided to strengthen the muscle groups to provide the better support. Most cases respond well to physical therapy in 3-4 weeks in my personal experience. The earlier the care the better the results. Post physical therapy, you can perform the same exercises at home, to ensure the strength in muscles to help you avoid the pain in the region. Regards Jay Indravadan Patel