A 55-Year-Old Woman with Chronic Gluteal Pain
- 349 Downloads
Chronic gluteal pain is a common yet varied complaint that persists especially among athletes and the aging population. Generating a broad differential diagnosis including vascular, neurogenic, and musculoskeletal etiologies is key to selecting the proper workup and successive treatment. The most common causes are neurogenic claudication from spinal stenosis, piriformis syndrome, and sacroiliac joint pain. Pain is often localized over the buttock area, but it can also radiate down the leg; its common for pain to radiate along the back of the leg upto the knee. Sometimes it can radiate all the way upto the foot as in the case of piriformis syndrome, where the piriformis muscle is irritating the sciatic nerve. This chapter explores the diversity of gluteal pain, how to evaluate it, and what therapies are available for the particular diagnoses discussed.
KeywordsChronic gluteal pain Gluteal pain Spinal stenosis Piriformis syndrome Sacroiliac joint pain
- 6.Kalbaugh CA, Kucharska-Newton A, Wruck L, Lund JL, Selvin E, Matsushita K, Bengtson LGS, Heiss G, Loehr L. Peripheral artery disease prevalence and incidence estimated from both outpatient and inpatient settings among medicare fee-for-service beneficiaries in the atherosclerosis risk in communities (ARIC) study. J Am Heart Assoc. 2017;6:e003796.CrossRefGoogle Scholar
- 7.Rooke TW, Hirsch AT, Misra S, Sidawy AN, Beckman JA, Findeiss L, Golzarian J, Gornik HL, Jaff MR, Moneta GL, Olin JW, Stanley JC, White CJ, White JV, Zierler RE, American College of Cardiology Foundation Task, Force; American Heart Association Task, Force. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA Guideline Recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;61(14):1555–70.CrossRefGoogle Scholar
- 8.Starlanyl DJ, Copeland ME. Fibromyalgia & chronic myofascial pain: a survival manual. 2nd ed. Oakland: New Harbinger Publications; 2001.Google Scholar
- 14.Filler AG, Haynes J, Jordan SE, Prager J, Villablanca JP, Farahani K, McBride DQ, Tsuruda JS, Morisoli B, Batzdorf U, Johnson JP. Sciatica of nondisc origin and piriformis syndrome: diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment. J Neurosurg Spine. 2005;2(2):99–115.CrossRefGoogle Scholar
- 18.Low back pain. NIH U.S. National Library of Medicine. https://www.clinicaltrials.gov. 13 Jun 2018.