A 55-Year-Old Woman with Chronic Gluteal Pain



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.


Chronic gluteal pain Gluteal pain Spinal stenosis Piriformis syndrome Sacroiliac joint pain 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of AnesthesiologyNorthwestern UniversityChicagoUSA
  2. 2.Department of Anesthesia and Critical Care University of ChicagoChicagoUSA

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