Chiropractor Questions Back Pain

I am having pain in my buttocks when I sit. What could this be?

I am a 45 year old man and I am suffering from a lot of pain on one side of my buttocks when I sit or stand for long. I first thought it was due to my wallet. But the pain continues even after I remove it. What could this pain be?

24 Answers

Hard to diagnose without seeing you...best to come in for an evaluation....could be:

Piriformis syndrome also causes symptoms similar to sciatica. It occurs when the piriformis muscle in the buttocks irritates the sciatic nerve, which can cause pain to radiate along the path of the nerve into your leg.
Sciatica is my first thought.
Pain in the buttock worsened by sitting or standing sounds structural to me. The two most commonly found sources for that presentation could be the lumbar (low back) region or the sacroiliac joint (just above the hip). These two areas can become misaligned and irritate the nerves in those areas, which can effect the muscles in the buttock.

X-ray analysis and examination can reveal which area if affected and specific chiropractic adjustments can remedy the source.
It is not a one word answer, needs to consult a chiropractor doctor who will do a X-ray test additionally to the previous physical exam then he will let you know.
Most likely, it is something called "piriformis syndrome." Chiropractic can definitely help with that! It is tension, or spasm, in the piriformis muscle caused by structural imbalance in the back, pelvis or even the feet.
Pirifirmis syndrome
Chances are this is from the muscles in your hips going being spasmed and inflamed. The gluteal muscles in your hips get vastly overused. We use them every time we sit down, stand up, walk, go to the bathroom, breath, etc. They are contracting every second we are sitting, to prevent us from flopping over. They are major stabilizers for the core and legs, so they get tighter and tighter until they tear on a microscopic level, and go into a pattern of spasm and inflammation. This is what a sprain or strain or muscle pull is.

The best way to take care of this issue is by seeing a chiropractor who specializes in treating trigger points, and stretching and doing yoga. Ice will help out as well, by decreasing the inflammation.

I hope that this answer helps you.

dr. josh cohen
Hello,

Even though you have removed your wallet, years of passive stress from your wallet on your sacral nerves has accumulated. A chiropractic assessment and possibly treatment would be a good call. Friends and family are usually good referral sources for your area or google may be of benefit to you. If your are local to Webster, TX I would be happy to consult with you. You may schedule an appointment at 281-557-5525. I hope this helps you get back to better health.

Thrive, don’t just survive,
Dr. Duchon
That could be from sitting on your wallet causing your sacroiliac joint to move out of alignment. It's a good idea to periodically have your spine and pelvis evaluated by a good chiropractor.

Warm regards,
Melissa Perotti, D.C.
Pain is usually the last symptom to show up and the first to leave. There are always three components to any health problem. Physical (mechanical), which you tried to eliminate by removing the wallet. It could also be the work you do. Sitting, standing, lifting, leaning over etc., which could cause injury to the back. Even the bed we sleep in or chairs we use can affect the low back. There is always the emotional component, which will tighten muscles and create dysfunction from stress, anxiety, fear, anger, etc. The third component is chemical. Toxicity from things we eat, drink, rub or spray on our bodies. Food sensitivities, toxins from "bugs" we are exposed to, and lack of nutrients can all cause muscles and other structures to tighten (spasm) or weaken. I would suggest you find someone to discover the cause of your pain, not just cover it with drugs.
Sounds like you may have irritated a branch of the sciatic nerve. An adjustment and some muscle work should take care of it. In the mean time, you may try some light stretching to alleviate some pain until you get in to your chiropractor.
Pain in the buttocks when you sit is a very common complaint with lumbar nerve inflammation. Also very common with a sacroiliac sprain. Another possible cause would be gluteus strain and hamstring tightness.
You should see a chiropractor for a complete evaluation to determine what is the cause of your pain. In the meantime try alternating moist heat and ice pack therapy to alleviate nerve irritation and muscle spasm.
That may help with the pain but your pelvis will still need to be properly aligned and any possible lumbar vertebrae will need to be adjusted to reduce nerve inflammation.
Hi there!

Could be piriformis syndrome. I’d suggest visiting a local chiropractor.

Best,

Dr. Caitlin Zietz, B.Sc., D.C.
There are several possibilities. Sacroiliac joint sprain/strain, piriformis syndrome, sciatica, or worse compression in the L5-S1 due to subluxation, disc or nerve interference. Chiropractic orthopedic evaluation by as experienced chiropractor should help differentiate between those possibilities.
Hi! There are many reasons why a person could be experiencing leg pain. However, it sounds like you may be suffering from sciatica. Sciatica can be caused by a herniated disc, lumbar degeneration, lumbar stenosis (narrowing of a space in the spine), or spondylolisthesis (fracture of the spinal bone causing it shift forward or backward). Pain can originate from the lower back or buttocks and travel down the leg to the foot via the sciatic nerve. It can be worsened by prolong sitting or standing. However, it is relieved while walking or lying down. Also, you mentioned a wallet. Many men carry a wallet in their back pockets. Did you know if you sit with a wallet in your back pocket, you will apply additional pressure on the sciatica nerve and eventually aggravate the nerve leading to shooting pain down the leg. To relieve the pain, I suggest going to a local chiropractor to evaluate your spine for misalignments of the spinal vertebrae. They will provide a treatment which may include spinal manipulations or adjustments to place the misaligned bone back in place along with supportive physiotherapy.
More than likely a misaligned pelvis affecting the Ishial tuberosity (the bone at the bottom of the pelvis that you sit on). I believe I can help you.
It sounds like Sciatica Pain, and chiropractic care can help. Sciatica is a condition that is characterized by pain originating in the lower back or buttocks with symptoms felt down one or both legs. It's known as sciatica because it resembles a condition that would be caused by an irritation of the sciatic nerve. This nerve is a large collection of nerve fibres that originate in the lower back, travel down the back of the thigh and calf, and extend down to the foot.

A chiropractor often sees patients presenting with sciatica. You could feel an electric-shock sensation that shoots down the leg, or your leg may endure a burning, tingling or numbing sensation. Recovering from sciatica can be a painful and prolonged process, so buckle up. In addition to getting treatment, there are many things at home you can do to help. Ice therapy is an option. Applying a cold pack to the painful area for 10 to 15 minutes can sometimes provide immediate relief. Taking Omega-3 supplements can help reduce inflammation. Please see your local chiropractor for all advice and treatment options.
Great Question.

Do you live in the Rockford area?
Sounds like typical sciatica. I would encourage you to visit a chiropractor to get a proper history, exam, and X-rays. After this evaluation the doctor of chiropractic should be able to tell you whether it is sciatica or something else.
Medial cluneal nerve syndrome is what it sounds like. Obviously diagnosis dependant on more questions and exam. Probably do to sacral fixation or capsule adhesion. Hi get it checked. Should be an easy thing to fix.
Sounds like you may have a pinched sciatic nerve. A chiropractor may be able to help you.
Many times, the buttocks pain is coming from a problem with the piriformis muscle (a hip rotator) which is located just about where your wallet would sit in your pocket. There is often a problem with either the sacroiliac joint or the hip joint on the affected side. Stretching and massaging the muscle should be helpful, but many times manipulation of restricted joints will be necessary as well.

I hope this info is useful.

Dr. Eric Miller
Could be a pinched nerve or a herniated disc in your lower back.
Possible spinal issues if pelvis is not level there will be pain you will need a examination by a chiropractor to determine cause