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Q: Buttock Pain
asked by: baby6701 on August 12th, 2006
New User, Becoming EHEALTHy
I hope someone can help me shed some light on my situation. I am a 33 year old female..I started having some pain in my butt about 10 months ago. The pain was only when I moved a certain way or laughed or coughed. After a few months of that I started getting the same pain when rising from a seated position..Eventually it led to a constant pain in my butt. I was diagnosed with sciatica and should also tell you that I found out about a year ago that I had a pilonidal cyst which they made me remove 3 weeks ago to rule it out as the source of my pain. My mri showed hernition at l5-s1. Here is my problem...Since the onset of constant pain I have been being treated for the herniated disk. I have done oral steroids..Aniti inflammatories..P/t..Rest..Ice and even tried decompression. I recently have had a new addition to my constant ach... Tingling and pain in my vaginal area on the right side (same side as herniation) I am also experiencing extreme pain along the area of the cheek closest to the cleft. My neuorologist says this pain along the inner part of my cheek is most likely not from my back...My orthopedic and colon Dr. Who removed the cyst disagrees. My surgery for the cyst went great and unless I am experiencing these symptoms as part of the healing process I really have not much pain left from surgery. Can anyone tell me if they have had pain similar to mine and what it turned out to be. I have researched and found piriformis and sacrolliac joint to be other possibilites. I am afraid to have the surgery on my back (as I am being told to do) if the problem may be coming from something else....Help please!!!!
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sandyallen replied on August 12th, 2006
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Have you had a second opinion? I am not a dr but in my opinion I think it is a good idea. I have sciatica problems too and digenerative disc disease and degenerative joint disease and after the experience that I have had with my neck surgeries it has seemed to make my problems worse as after surgery you have scar tissue then arthritis to deal with later and after one starts healing then the other one starts getting week and I do realize we are all different.
I wish you the best in your decision!
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skineffexxtat2 replied on August 28th, 2006
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Si Joint Injury
I hurt my back at work in april. Since then I have had many symptoms. I have hurt in so many areas. I never knew there where so many different types of pain. I had an mri showed herniated disc at l5-si region. My orthopedic dr recommended I see a nuerologist asap for surgery. Finally, got in to see a nuerologist, yes I have a herinated disc, however, he thought the majority of my symptoms where from an si joint injury. Sent me to physical therapy, which did not help, seemed to make it worse at times. The only true way to diagnose si joint injury is to get the injections and if the pain subsides then it is positive. I have alot of pain at my lower back, my legs, buttocks, and real deep in the buttocks, my legs get real weak, I have had the injections twice so far, they seem to help for a little while then the pain comes back. It doesn't help the pain or weakness in my legs though. Just in my back and buttocks. My doctor says there isn't a surgery, however, I did find on the net, so I don't know. I feel for u I wish u luck and hope this helps.
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krisrench1 replied on September 5th, 2006
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Whenever you hurt herniate a disc, there is a myriad of problems that occur from it. These symptoms could be related to the disc herniation, or they could be related to your piriformis muscle being abnormally tight resulting in piriformis syndrome...Or it could be that you have a pelvic misalignment that needs adjustment...The point to be made is that systems are completely interdependent on one another...A tight muscle in your back or a twisting or torsion of your spine results in disc herniation...The s1 or sacrum shifts as a result of your herniation...The sacrum is attached to ileus via the ileosacral joint and causes your pelvis to shift...Resulting in pain...All of this may have started as a result of your posture being improper at work and over time caused your pelvis and lower back to weaken resulting in the problem...

Whatever the cause or the specific scenario, your body needs a lot of work to correct. You will need postural training, manual therapy- perhaps muscle energy training or the dorn method of manual manipulation from a specially trained therapist...Not just a blanket physical therapist as they are not all created equal. I am a director of rehabilitation and can tell you that many cliam to know how to fix spine and pelvic problems, and very few actually have the manual skill sets to be able to successfully treat it. Therapy should not typically aggravate or hurt the condition or it is not being done correctly. After the biomechanical realignment, you need to work on posture training, ergonomics, behavior modification, and potentially work simplification. Good luck and feel free to ask any questions that you might have.
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