Differentiating Buttock Pain and Sacroiliac Joint Disorders: Difference between revisions
No edit summary |
No edit summary |
||
| Line 4: | Line 4: | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
</div> | </div> | ||
Where is the problem? | Where is the problem? | ||
Gluteal or Buttock pain can be triggered by many causes such as<ref>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.</ref>: | Gluteal or Buttock pain can be triggered by many causes such as<ref>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.</ref>: | ||
* Radicular pain from Lumbar spine origin | * Radicular pain from Lumbar spine origin | ||
* Sciatic nerve | * Sciatic nerve entrapment | ||
* Obturator internus/gemellus syndrome | * Obturator internus/gemellus syndrome | ||
* Piriformis Syndrome | * Piriformis Syndrome | ||
* Quadratus femoris/ischiofemoral pathology | * Quadratus femoris/ischiofemoral pathology | ||
* Problems at the hamstrings | * Problems at the hamstrings | ||
* | * Gluteal muscles 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 LBP history and symptoms<ref>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.</ref>. | 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 LBP history and symptoms<ref>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.</ref>. | ||
Considerations | == Considerations == | ||
The presence of chronic pain is not always caused by biopsychosocial causes. Missing the primary structural sources of the pain can lead to catastrophisation and development of fear avoidance and anxiety. Factors such as sleep, hormonal balance, smoking, the presence of comorbidities and activity level have an influence on their perception of the pain and the development of chronicity. The mangaemnt shouldn't focus only on the biospychosocial aspects without ignoring the structural causes. | |||
The presence of chronic pain is not always caused by biopsychosocial causes. Missing the primary structural sources of the pain can lead to catastrophisation and development of fear avoidance and anxiety. Factors such as sleep, hormonal balance, smoking, the presence of comorbidities and activity level have an influence on their perception of the pain and the development of chronicity.The mangaemnt shouldn't focus only on the | |||
Impingement of the sciatic nerve occurs mostly in the deep gluteal space and around the piriformis muscle than in the lumbar spine level. | Impingement of the sciatic nerve occurs mostly in the deep gluteal space and around the piriformis muscle than in the lumbar spine level. | ||
Revision as of 21:52, 20 September 2020
Original Editors - Jessie Tourwe
Top Contributors - Mariam Hashem, Kim Jackson, Tarina van der Stockt, Lucinda hampton, Ewa Jaraczewska and Jess Bell
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 entrapment
- Obturator internus/gemellus syndrome
- Piriformis Syndrome
- Quadratus femoris/ischiofemoral pathology
- Problems at the hamstrings
- Gluteal muscles 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 LBP history and symptoms[2].
Considerations[edit | edit source]
The presence of chronic pain is not always caused by biopsychosocial causes. Missing the primary structural sources of the pain can lead to catastrophisation and development of fear avoidance and anxiety. Factors such as sleep, hormonal balance, smoking, the presence of comorbidities and activity level have an influence on their perception of the pain and the development of chronicity. The mangaemnt shouldn't focus only on the biospychosocial aspects without ignoring the structural causes.
Impingement of the sciatic nerve occurs mostly in the deep gluteal space and around the piriformis muscle than in the lumbar spine level.
Refernces[edit | edit source]
- ↑ 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.
- ↑ 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.
