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2009-01-16 2:47 AM

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Expert
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Boise, Idaho
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Subject: Pain DEEP in butt cheek
Help!  For 6 mos. now I've had a nagging pain in my R butt cheek.  I can almost put my finger on it-it's in the fleshiest part of my cheek, almost directly on top of my hip joint.  The pain is a rather constant, dull ache that only gets worse at the end of a fairly long run.  It doesn't really hurt when I try to press on it, but I've never really been able to press directly on the sore area. It seems to be underneath some other muscles.  I've tried the tennis ball, I've tried rest-no real progress.  I'm looking for ideas as to what it could be so i can research some remedies.  I'm thinking ad/abductor attachment maybe? PLEASE don't suggest PT or a Drs. visit (yet).  I'm mostly poor and would prefer to try and help myself before i spend any $$$.  Thoughts/suggestiions are most welcomed.  Thanks. jeff


2009-01-16 7:07 AM
in reply to: #1911339

Subject: RE: Pain DEEP in butt cheek

If it's hurt for 6 months, I'd go see a doc. Unless you don't have health insurance, how much is it going to cost, really? I have an HMO and my pcp copay is $15 and a specialist is $35, which may seem like a lot, but if it means continuing to be able to do this sport, then $35 is NOTHING compared to how much we spend elsewhere on tri-stuff.

Have you tried stretching at all? And make sure you stretch everything from your waist down, since it's all connected and a problem in one ligament/tendon/muscle can cause problems elsewhere.

2009-01-16 8:16 AM
in reply to: #1911339

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Subject: RE: Pain DEEP in butt cheek

If you've been in pain for months then the rehab gets tougher without assistance from PT/Deep Tissue massage.  However, you can try these exercises to see if you get relief:

 http://www.fairview.org/healthlibrary/content/sma_piriform_rex.htm

 As well - a thread that may offer insight:

 http://www.physiobob.com/forum/sports-physiotherapy-sports-medicine/637-piriformis-syndrome-optimum-rehab.html

 g

2009-01-16 9:19 AM
in reply to: #1911339

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Subject: RE: Pain DEEP in butt cheek
It could be piriformis syndrome/pain.  Look it up online and try some of the stretching routines.
2009-01-16 9:43 AM
in reply to: #1911339

Illinois
Subject: RE: Pain DEEP in butt cheek

If it is truly muscular, then you need deep soft tissue work.  If PT is not an option, try sitting on a tennis ball or golf ball to massage it out.  Find some stretching exercises online.  See how it goes for a week or two.  Also, a lot of PT groups perform free injury screenings.  That is a great free way to get the ball rolling and get a possible diagnosis.

BB

2009-01-16 1:36 PM
in reply to: #1911339

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Master
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Subject: RE: Pain DEEP in butt cheek
I'm going to agree with bmass, and say piriformis muscle...as I'm dealing with it right now (but on the LEFT side of butt). I feel a very deep, sometimes stabbing/piercing pain that is definitely aggravated by running. The piriformis muscle lies directly on top of where the sciatic nerve runs through your butt, so if it's inflamed or spasming...it will irritate that sciatic nerve. I stretch a LOT, although I sometimes find that stretching the piriformis actually makes it hurt more. I've been getting weekly therapy from my chiro for it. He refers to the technique he uses as "cross friction" or something like that. Basically just presses really hard and deep onto the painful area while rotating my leg/hip in small circles at the same time. Hurts like crazy, and my instinct is to just kick him...but so far I've managed to refrain from doing that.


2009-01-17 6:03 PM
in reply to: #1911339

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Subject: RE: Pain DEEP in butt cheek
Had / Have a similar issue on the left side. Past PT treatments have fosuced on the lower back to see if that might have been the initial cause. This met with mixed results. While my butt cheek problem was not a huge issue for me it did have unintended concequences. I did not realize that the butt cheek problem tightened the chain of musels down the leg. Once the calf tightened up, it transferred the load to the achiellies tendon. And, now I am trying to deal with achilies tendenosus.

Long story - short. Make sure your current problem does not cause other more sever problems. An initial visit to a PT might be in order.

Best of luck.
2009-01-18 9:22 PM
in reply to: #1911339

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Subject: RE: Pain DEEP in butt cheek
Thanks, all.  I'll do some "google'n" and follow up on the advice. 
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