What Could Be The Reason For Having Pain In My Butt?

Hi Thanks for posting Your symptoms are suggestive of Piriformis Syndrome.It is a neuromuscular disorder that is caused when the piriformis muscle compresses the sciatic nerve. The piriformis muscle is located in the buttocks near the top of the hip joint. This muscle is important in lower body movement because it stabilizes the hip joint and lifts and rotates the thigh away from the body. There is no definitive test to diagnose piriformis syndrome. It is common in person with long-distance running or prolonged sitting, lunging. Diagnosis of piriformis syndrome is made by the patient’s report of symptoms and by physical examination using a variety of movements to elicit pain to the piriformis. There may be a contracted or tender piriformis muscle can be found on physical exam. To rule out other causes for your pain like pinched nerve you may have MRI of lower spine. Once the diagnosis (piriformis syndrome) is confirmed by physical examination you may have following treatment- 1. Try to avoid positions that trigger pain. 2. Rest, ice, and heat may help relieve symptoms. 3. Exercises under physiotherapist guidance to reduce muscle spasm and pressure on nerve. 4. Pain killer like Ibuprofen, muscle relaxants, or injections with a corticosteroid or anaesthetic.Other therapies such as iontophoresis, which uses a mild electric current and injection with botulinum toxin (botox) may be used. As botulinum toxin has paralytic properties Once the pain is gone and to prevent recurrence, my advice would be to avoid running on hills or uneven surfaces. Warm up properly before activity and increase intensity gradually. Use good posture while running, walking, or exercising. If pain occurs, stop the activity and rest until pain subsides. I hope this information suffices. Take care Dr.chugh, Orthopaedic surgeon Virtual clinic http://bit.ly/drmchugh