The sciatic nerve is the longest and largest nerve in the body and pain in the buttocks area may occur when the nerve is pressed or impinged. The nerve descends from the lumbar area of the spine into two branches down to each buttock, back of the leg and to the foot.
There are many causes of pain in the buttocks including anal and rectal medical conditions. Osteoarthiritis or wear-and-tear hip arthritis is a degenerative joint disease wearing away the cartilage of the joint that may also be causing buttocks pain. Another cause for pain in the buttocks is claudification caused by obstruction of the aorta or the common iliac artery. There are also incidences of sacroiliac joint inflammation called sacroilitis which maybe caused by arthritis, traumatic injury or a blow to the buttock or pelvic region causing injury to the joint connecting the spine to the pelvis and lower skeletons. Spondyloarthropaties on the other hand, are inflammatory conditions usually found in the vertebral column sometimes involving the sacroiliac joint and affect the ligaments and tendons attached to the bone in the knee, foot or hip. Inflammation from these and other types of inflammation causes the pain in the buttocks symptoms
A very serious condition that requires long courses of antibiotic treatment is Pott's disease or the TB infection of the spine. Brucellosis is another bacterial infection that may affect the sacroiliac joints that have discovered to be transmitted from goat's milk. Another infection characterized by local inflammation caused by pyogenic bacteria is called pyogenic infection causing common disease processes and pain in buttocks. And there are of course the primary tumor and the secondary tumor of the pelvic bone which causes considerable pain in the area of the buttocks. In elderly persons specially, a pelvis fracture involving the pelvis, hip bone, coccyx and sacrum will bring pain in the buttocks.
Paget's disease happens when the bones grow abnormally larger and weaker and may cause bones in the spine, skull, legs and pelvis to break easily. Another inflammatory disorder involving the hip and shoulder area is called polymyalgia rheumatica which can occur in people over 50 years old. Ankylosing spondylitis is another term which causes inflammation of the joints between the spine and pelvis eventually causing the affected bones to join together.
Trochanteric bursitis is also known as the greater trochanteric pain syndrome or GTPS, another inflammation of the bursa, the shock absorber adjacent to the femur. When the inflammation is in the hip area, the pain in the buttocks is often felt radiating down to the thigh.
Also a probable cause of buttocks pain is Leriche's syndrome which may involve the abdominal aorta and may also be occurring in one or both of the iliac arteries. The syndrome's symptoms may consist of the atrophy of the leg muscles, impotence and paralysis of the nerve and claudification of the thighs and buttocks. Physical trauma, accidents, inflicted wounds or accidental wounds are other causes of the pain in the buttocks and thigh areas. Pregnancy should never be removed from the list of probable causes, as the growing baby causes pressure on muscles and nerves of the soon-to-be mother.
Piriformis syndrome causes pain in the buttocks because the muscles press down on the nerve bringing about inflammation of the sacroiliac joint at the base of the spine, resulting in sprain of the iliolumbar ligament, or brings about referred pain from the lower back problems.
The buttocks are thick muscular areas that are seemingly impenetrable. But pain in the buttocks and lower thighs are usually from disorders and diseases in the spinal and lumbar areas that should not be taken lightly. A thorough examination by your doctor will keep you healthy and prevent further degeneration and damage to your most vital body parts.
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