Differentiating Buttock Pain and Sacroiliac Joint Disorders: Difference between revisions

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Where is the problem?  
Where is the problem?  



Revision as of 21:36, 20 September 2020

Where is the problem?

Gluteal or Buttock pain can be triggered by many causes such as[1]:

  • Radicular pain from Lumbar spine origin
  • Sciatic nerve entrapement
  • Obturator internus/gemellus syndrome
  • Piriformis Syndrome
  • Quadratus femoris/ischiofemoral pathology
  • Problems at the hamstrings
  • Glutealmuscles disorders

The complicated anatomy of the SIJ, the Lumbar spine and the buttock area makes the differential diagnosis of pain and dysfunction a challenge. MRI findings are not consistent with the LBP history and symptoms[2].

  1. Carro LP, Hernando MF, Cerezal L, Navarro IS, Fernandez AA, Castillo AO. Deep gluteal space problems: piriformis syndrome, ischiofemoral impingement and sciatic nerve release. Muscles, ligaments and tendons journal. 2016 Jul;6(3):384.
  2. Tonosu J, Oka H, Higashikawa A, Okazaki H, Tanaka S, Matsudaira K. The associations between magnetic resonance imaging findings and low back pain: A 10-year longitudinal analysis. PLoS One. 2017 Nov 15;12(11):e0188057.