x
151 Physicians Online

Question:

Stabbing pain in the buttock for a week

Dear Ask The Doctor:
I have had problems with discs in lower back for last ten years but for last week i have had a very bad pain in left buttock when bending to sit and on standing up. the pain doesnt go down my leg, feels like a stabbing twisting pain, havent started any new exercise regime and havent hurt myself or fallen, what could this be . thanks


Answer:

If the pain is localized and does not radiate to the leg and foot, possibly may due to a sciatic nerve local compression at the level of its outlet in the gluteal region by the Piriformis muscle. The piriformis muscle can either irritate or compress the proximal sciatic nerve due to spasm and/or contracture. The Piriformis Syndrome is also referred to as pseudosciatica, wallet sciatica, and hip socket neuropathy. The pain originates in the base of the buttock and may or may not radiate to the hip. The causes are diverse: trauma or blunt injury , prolonged sitting on a hard surface, or just with no apparent cause. Piriformis syndrome remains controversial because, in most cases, the diagnosis is clinical, and no confirmatory tests exist to support the clinical findings. Some reports suggest a 6:1 female-to-male ratio for piriformis syndrome. Approximately 50% of patients with piriformis syndrome have a history of trauma, with either a direct buttock contusion or a hip/lower back torsional injury. The remaining 50% of cases are of spontaneous onset. Diagnostic imaging of the lumbar spine (MRI) is mandatory to rule out associated diskogenic (bulging disk) and/or osteoarthritis. Usually the treatment is aimed to correct the following: tight piriformis muscle, tight hip rotator muscles, hip muscles weakness, and sacroiliac problems. The use of ultrasound previously the physical therapy session may be beneficial, and the proceed with a stretching routine for the piriformis and hip muscles, you should be provided with a home stretching program because the stretches every 2-3 hours (while awake) are critical for the treatment success.


Have a Question? Ask The Doctor Here.

Comments / Follow Ups

Guest Says: This sounds like something I have.. I'm quite fit and do crossfit and lots of running. No trauma, just happened after a light run in the morning.. It's been nearly two weeks, taking anti immflamorties , stretching and using a roller but it's still quite prominent the pain. I'm on my feet all day at work and don't sit. How long will this injury leave me out if action? I've rested for 10 days now

Sign In to join in the conversation.

Related Answers:

Hey, i was playing hockey back in july last year (roughly 7 months ago) when i was hit in the head just above my eye ...

I have severe pain in my left pinky and ring finger. I've had it four three years. I've done an mri on my neck and th...

I am a 27 years old girl. about 2 weeks ago, I had kind of a fight with my colleagues where I was shouting and got ve...

My wife has syringomyelia. My question is does the body send different strengths of electrical signals depending on t...

Are dopamine and serotonin supplements unhealthy? Unhealthy brain funktion that I'm sure has to do with both and no I...

I have pain for last 7 days on my right neck. When I turn my head to right side it becomes painful. For this I have t...

I am not sure that I am in the right category for this.. I am 20 yrs old now, and I can remember whenever I was aroun...

Why do I feel a tingling numbness in my right heel upon awakening? It slowly goes away after about 10 minutes. Releva...

Hello! My husband is 32. He suffers from peripheral neuropathy with 2 nerves involved. He got an MRI without contrast...

I hit my elbow extremely hard at work today. I'm having the worst pain, numbness in my fingers and burning sensation....

You’re in good hands, meet ATD’s founding physicians.

Dr. Suneel Sharman M.D.

  • Board Certified GP
  • CMO ATD Health Network Inc.
  • Adjunct Professor at U Of T

Dr. Kunaal Jindal M.D.

  • Board Certified Plastic Surgeon
  • Director ATD Health Network Inc.
  • Fellowship Training Atlanta, GA