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buttock_pain

buttock pain

Introduction

Aetiology

buttock claudication

  • impaired blood flow from internal iliac artery
    • abdominal aorta stenosis - likely to cause bilateral symptoms
    • internal iliac artery stenosis
    • complication of IIA stent/endovascular repair including gluteal compartment syndrome

isolated buttock pain

  • gluteal muscle strain
  • ischiogluteal bursitis
    • weaver's bottom
  • hamstring tendonitis
  • piriformis syndrome - muscle spasm or haematoma in the piriformis muscle
    • can also irritate the sciatic N causing sciatica
    • pain increases walking up stairs long walks, running, and with prolonged sitting
    • there may be reduced ROM of the hip joint
  • shingles
  • haematoma
  • abscess
  • pyomyositis gluteal muscle
  • sacro-iliitis - inflammatory, septic
  • sacral stress fracture
  • hip pain
    • avascular necrosis of the femoral head
    • osteoarthritis
    • bursitis
  • endometriosis
  • pelvic or urethral neoplasia
  • rarely, persistent sciatic artery aneurysm which is a rare congenital anomaly
buttock_pain.txt · Last modified: 2018/09/19 20:45 (external edit)