Pain in the seat
Seat pain and seat pain can be both painful and bothersome. Pain in the seat can be due to muscle dysfunction / myalgia, sciatic nerve irritation in the back or seat, as well as joint locks in the pelvis, lower back or hip. Some of the most common causes are overload, trauma, poor sitting position, wear and tear, muscular failure loads (especially the gluteal muscles) and mechanical dysfunction in nearby joints (eg the pelvis or lower back). Sore pain is a nuisance that affects a larger proportion of the population - both old and young.
Some of the most common causes of seat pain are dysfunction in musculature / myalgia, muscle strain, joint restrictions and referred pain from nearby structures (eg lumbar spine, pelvis, seat, groin and / or hip).
What can I do even against muscle and joint pain?
1. General exercise, specific exercise, stretching and activity are recommended, but stay within the pain limit. Two walks a day of 20-40 minutes make good for the body and aching muscles.
2. Trigger point / massage balls we strongly recommend - they come in different sizes so you can hit well even on all parts of the body. There is no better self help than this! We recommend the following (click the image below) - which is a complete set of 5 trigger point / massage balls in different sizes:
3. Training: Specific training with training tricks of various opponents (such as this complete set of 6 knits of different resistance) can help you train strength and function. Knit training often involves more specific training, which in turn can lead to more effective injury prevention and pain reduction.
4. Pain Relief - Cooling: Biofreeze is a natural product that can relieve pain by cooling the area gently. Cooling is especially recommended when the pain is very severe. When they have calmed down then heat treatment is recommended - it is therefore advisable to have both cooling and heating available.
5. Pain Relief - Heating: Warming up tight muscles can increase blood circulation and reduce pain. We recommend the following reusable hot / cold gasket (click here to read more about it) - which can be used both for cooling (can be frozen) and for heating (can be heated in the microwave).
Recommended products for pain relief in pain
Biofreeze (Cold / cryotherapy)
Where's the seat?
The seat is also called the gluteal region or in good Norwegian; rumpa. Inside the seat we find the iliac crest, hip, sacrum, coccyx, sciatica and pelvis - with associated muscles and muscle attachments.
Also read:
- Complete overview of muscle knots and their reference pain pattern
- Pain in the muscles? This is why!
Seat anatomy (from front, left, and back, right)
Front part of the seat muscles:
In the picture we take special note iliopsoas (hip flexor) which can cause myalgia pain to the front of the seat, to the groin. On the outside of the seat in the attachment to the hip ball we also see TFL (tensor fasciae latae) which can pain on the outside of the seat against the hip and outside of the upper the thigh.
Rear part of the seat muscles:
This is where we find most muscular causes of seat pain. Especially the trio gluteus maximus, gluteus medius og gluteus minimus is often responsible for pain in the buttocks - gluteus medius and minimus can actually both contribute to so-called false sciatica / sciatica with referenced pain down the leg and leg. piriformis is also a muscle often involved in false sciatica - and has had the dubious honor of having a false sciatica syndrome named after him, namely piriformis syndrome. Piriformis is the muscle that is closest to the sciatic nerve, and thus muscle dysfunction here can give sciatic symptoms.
As we note from the pictures above, the body's anatomy is both complex and fantastic. This, in turn, means that we must focus holistically on why the pain occurred, only then can effective treatment be provided. It is also important to remember that it never does 'just muscular', there will always be a joint component, an error in movement pattern and behavior that also forms part of the problem. They only work together as a unit.
Nerves in the seat
As you can see from the picture, there are a number of nerves in the seat - these can become irritated or dysfunctional to varying degrees due to poor function in nearby muscles and joints. It is especially the sciatic nerve that can be painful with too tight gluteal muscles and / or joint restrictions in the pelvis and lower back.
Anatomy of the pelvis
What we call the pelvis, also known as pelvis (ref: large medical lexicon), consists of three joints; the pubic symphysis, as well as two iliosacral joints (often called pelvic joints). These are supported by very strong ligaments, which give the pelvis a high load capacity. In the 2004 SPD (symphysis pubic dysfunction) report, obstetrician Malcolm Griffiths writes that neither of these three joints can move independently of the other two - in other words, movement in one of the joints will always lead to a counter-movement from the other two joints.
If there is uneven movement in these three joints we can get a combined joint and muscular torment. This can become so problematic that it will require musculoskeletal treatment to be corrected, e.g. physiotherapy, chiropractic or manual therapy.
Pelvic anatomy - Photo Wikimedia
What is pain?
Pain is the body's way of saying that you have injured yourself or are about to hurt you. This is an indication that you are doing something wrong. Not listening to the body's pain signals is really asking for trouble, as this is its only way to communicate that something is wrong. This applies to pain and aches all over the body, not just back pain as so many people think. If you do not take the pain signals seriously, it can lead to long-term problems, and you risk the pain becoming chronic. Naturally, there is a difference between tenderness and pain - most of us can tell the difference between the two.
Treatment and specific training guidance by a musculoskeletal expert (physical therapist, chiropractor or manual therapist) is often advised to overcome the problem for a long time. The treatment will target and treat dysfunctions in the muscles and joints, which in turn will reduce the incidence of pain. When the pain is attenuated, it is necessary to weed out the cause of the problem - maybe you have a slightly bad posture that leads to some muscles and joints being overloaded? Unfavorable working position? Or maybe you do not perform the exercises in an ergonomically good way?
Some common causes / diagnoses of seat pain are:
Osteoarthritis (The pain depends on which joints are affected, but lateral seat pain may be due osteoarthritis of the hip)
pelvic locker (pelvic lock with associated myalgia can cause pelvic pain and in the seat, as well as further to the hip)
Gluteal myalgia (pain in the seat, against the hip, lower back or hip)
Hamstrings myalgia / muscle damage (causing pain on the back of the thigh and against the seat, depending on the area that is damaged)
Iliopsoas bursitis / mucus inflammation (often results in reddish swelling in the area, night pain and extreme pressure)
Iliopsoas / hip flexors myalgia (Muscular dysfunction in the iliopsoas will often cause pain in the upper thigh, the front, the groin and the seat)
Iliosacral joint locking (locking in the iliosacral joint can cause pain in the seat and lower back)
Ischiofemoral impingement syndrome (most common in women, preferably athletes - involves a pinch of the quadratus femoris)
Sciatica / sciatica (Depending on how the nerve is affected, it may cause referred pain against the seat, thigh, knee, leg and foot)
Joint locker / dysfunction in the pelvis, hip or lower back
Lumbar prolapse (nerve irritation / disc injury in the L3, L4 or L5 nerve root can cause referred pain in the seat)
Piriformis syndrome (may give rise to false sciatica)
Tuberositis may cause pain syndrome
Rare causes of pain in the seat:
Fraktur
Infection (often with high CRP and fever)
Cancer
Pain in the seat may be due muscular tension, joint dysfunction and / or irritation of nearby nerves. One chiropractor, manual therapist or another expert in musculoskeletal and skeletal disorders can diagnose your ailment and give you a thorough explanation of what can be done in terms of treatment and what you can do on your own exercises, ergonomic adjustment and cold treatment (eg Biofreeze) or heat treatment. Make sure that you do not walk with pain in the seat for a long time, rather consult a clinician and diagnose the cause of the pain - this way you will make the necessary changes as early as possible.
Common Reported Symptoms and Pain Presentations in Seat Pain:
- Deafness in the seat
- Burning in setet
Deep pain in setet
Electric shock in setet
- Hogging i setet
- Knute i setet
- Cramps in setet
- Joint pain in the seat
- Ant in the seat
- Murmur in the seat
- Muscle pain in the seat
- Nerve pain in the seat
- Nummen i setet
- Shake in setet
- Skewed i setet
- Tired i setet
Stitching in setet
Støl i setet
- Wounds in setet
- Effect i setet
Tender in setet
Imaging diagnostic examination of seat pain
Sometimes it may be necessary imaging (X, MR, CT or diagnostic ultrasound) to determine the exact cause of the problem. Normally, you will be able to do without taking pictures of the seat - but this is relevant if there is a suspicion of muscle damage, hip fracture or lumbar prolapse. In certain cases, X-rays are also taken with the intention of checking for changes in wear and any fractures. Below you see various pictures of what the seat / pelvis looks like in the different forms of examination.
X-ray of the seat and pelvis (from front, AP)
X-ray image of female pelvis - Photo Wiki
X-Ray Description: In the x-ray above you can see a female pelvis / pelvis (AP view, front view), consisting of sacrum, ilium, iliosacral joint, tailbone, symphysis etc.
MR picture / examination of the seat and pelvis
Coronal MRI image of female pelvis - Photo IMAIOS
MR description: In the MR image / examination above you see a female pelvis in a so-called coronal cross-section. In MRI examination, versus X-ray, soft tissue structures are also visualized in a good way.
CT image of the seat
Here we see a CT examination of the seat, in a so-called cross-section. The picture shows the gluteus medius and maximus.
Diagnostic ultrasound of the seat (above the right tuberosity majus)
Here we see a diagnostic ultrasound examination of the seat. The examination shows the gluteus medius and gluteus maximus.
Time classification of pain in the seat. Is your pain classified as acute, subacute or chronic?
Seat pain can be divided into acute, subacute and chronic pain. Acute seat pain means that the person has had pain in the seat for less than three weeks, subacute is the period from three weeks to three months and the pain that has a duration of more than three months is classified as chronic. Pain in the seat can be caused, among other things muscle dysfunction / myalgia, joint locks in the lumbar spine, hip, pelvis and / or irritation of nearby nerves. One chiropractor, manual therapist or another expert in muscle, skeletal and nerve disorders, can diagnose your ailment and give you a thorough explanation of what can be done in the form of treatment and what you can do on your own. Make sure that you do not walk with pain in the seat for a long time, rather contact a publicly authorized therapist (chiropractor, physiotherapist or manual therapist) and have the cause of the pain diagnosed.
First, a mechanical examination will be performed where the clinician looks at the movement pattern of the hip, lower back and pelvis or any lack of this. Pressure sensitivity, muscle strength, as well as specific tests that give the clinician an indication of what gives the person pain in the seat are also investigated here. In case of seat problems, it may in some cases be necessary imaging diagnostic. A chiropractor has the right of referral to such X-ray examinations, MR, CT and ultrasound. Conservative treatment is always worth trying for such ailments, before possibly considering more invasive interventions or measures. The treatment you receive will vary, depending on what was found during the clinical examination.
Clinically proven effect on relieving pain in the seat
A study published in 2013 (Barton et al) showed that those with weak gluteal muscles had a higher risk of developing PFPS (patellofemoral pain syndrome - in the knee). Chiropractic traction bench therapy can provide symptom relief and functional improvement in spinal stenosis (Cox et al, 2012) which can be a cause of seat pain. A study published in 2015 (Pavkovich et al) showed that dry needling combined with stretching and exercises had symptom-relieving and function-improving effects in patients with chronic thigh and hip pain. A systematic meta-analysis published in 2010 (Kalichman) found that dry needling can be effective in treating musculoskeletal pain problems.
Some forms of conservative treatment of pain in the seat
home Practice is often printed and used to address improper use of musculature, with the intention of providing a long-term, long-lasting effect.
Ultrasound can be used both diagnostically and as ultrasound therapy, the latter works by providing a deep-warming effect aimed at musculoskeletal problems.
Electrotherapy (TENS) or power therapy is also used against joints and muscle problems, it is intended as a direct painkiller, aimed at the painful area.
Traction Treatment (also known as ligament treatment or flexion distraction) is a treatment used especially in the lower back and neck / transition chest to increase the movement of the joints and stretch out nearby muscles.
Joint Mobilization or corrective chiropractic joint treatment increases the movement of the joints, which in turn allows the muscles that attach to and near the joints to move more properly.
Massage It is used to increase blood circulation in the area and thus reduce muscular tension, which in turn can cause less pain.
heat treatment used to give a deep-warming effect on the area in question, which in turn can give a pain-reducing effect - but it is generally said that heat treatment should not be applied to acute injuries, as is ice treatment to prefer. The latter is used for acute injuries and pains to help ease the pain in the area.
laser treatment (also known as anti-inflammatory laser) can be used at different frequencies and thus achieve different treatment effects. It is often used to stimulate regeneration and soft tissue healing, plus it can also be used anti-inflammatory.
Hydrotherapy (also called hot water treatment or heated pool treatment) is a form of treatment where hard water jets should stimulate improved blood supply, as well as dissolve in tense muscles and stiff joints.
List of treatments (both much alternative and more conservative):
- acupressure
- Acupuncture
- aromatherapy
- behavioral therapy
- Atlas Correction
- Ayurvedic medicine
- Bioelectromagnetic therapy
- blockade Treatment
- Soft tissue work
- Bowen Treatment
- Coxtherapy
- Electrotherapy
- Ergonomics
- Dietology
- Reflexology
- Physiotherapy
- gonstead
- Healing
- home Practice
- Homeopathy
- Hydrotherapy
- hypnotherapy
- Infrared light therapy
- insoles
- Intramuscular needle therapy
- Ice therapy
- remedy
- kinesiology
- Kinesiotape
- chiropractic
- Cognitive processing
- crystal Therapy
- contrast Treatment
- Cupping
- Cold Treatment
- Laser
- Joint Correction
- Joint Mobilization
- Medical treatment
- Lymphatic drainage
- Light Therapy
- magnet Treatment
- manual Therapy
- Meditation
- Muscle Relaxing Medications
- muscle Knute treatment
- Myofascial technique
- Naprapathy
- Naturopathy
- Neurological rehabilitation training
- qigong
- Osteopathy
- breathing
- reflexology
- Shockwave Therapy
- Foam roll / foam roll
- Pain medication
- Spinology
- Sports support
- Stretch bench
- Power Management
- sole Customization
- Thought Field Therapy
- TENS
- Thai Massage
- Traction
- Exercise
- Trigger point therapy
- Shockwave Therapy
- Dry needle
- stretching
- Vacuum Treatment
- heat treatment
- Hot water therapy
- Yoga
- Exercises
Chiropractic treatment of seat pain
The main goal of all chiropractic care is to reduce pain, promote overall health and improve quality of life by restoring normal functioning of the musculoskeletal system and nervous system. In case of seat problems, the chiropractor will both treat the seat locally to reduce pain, reduce irritation and increase blood supply, as well as restore normal movement in the lower back, pelvis and hip. When choosing a treatment strategy for the individual patient, the chiropractor places emphasis on seeing the patient in a holistic context. If there is a suspicion that the seat pain is due to another disease, you will be referred for further examination.
The chiropractor treatment consists of a number of treatment methods where the chiropractor mainly uses his hands to restore normal function of the joints, muscles, connective tissue and nervous system:
- Specific joint treatment
- Stretches
- Muscular techniques
- Neurological techniques
- Stabilizing exercise
- Exercises, advice and guidance
What does one do chiropractor?
Muscle, joint and nerve pain: These are things that a chiropractor can help prevent and treat. Chiropractic treatment is mainly about restoring movement and joint function that can be impaired by mechanical pain. This is done by so-called joint correction or manipulation techniques, as well as joint mobilization, stretching techniques, and muscular work (such as trigger point therapy and deep soft tissue work) on the involved muscles. With increased function and less pain, it may be easier for individuals to engage in physical activity, which in turn will have a positive effect on both energy, quality of life and health.
Exercises, exercise and ergonomic considerations.
An expert in muscle and skeletal disorders can, based on your diagnosis, inform you about the ergonomic considerations you must take to prevent further damage, thus ensuring the fastest possible healing time. After the acute part of the pain is over, in most cases you will also be assigned home exercises that also help to reduce the chance of relapse. In chronic conditions it is necessary to go through the motor movements you do in everyday life, in order to weed out the cause of your pain occurring time and time again.
- Here you will find an overview and list of exercises we have published in connection with counteracting, prevention and relief of pain in the seat, seat pain, osteoarthritis and other relevant diagnoses.
Overview - Exercise and exercises for seat pain and seat pain:
5 Good Exercises Against Sciatica
6 strength exercises for stronger hips
Recommended products for effective pelvic and hip training:
Training bands (mini-bands) are used regularly to provide optimized training of the hips and seat muscles. You can read more about these knits by clicking the image above.
Recommended products for pain relief
Biofreeze (Cold / cryotherapy)
exercises: - 8 good advice and measures against sciatica!
Also read: - Are you struggling with 'data neck?'
Also read: - Foam roller can give you increased movement and increased blood circulation
References:
Barton et al (2013). Gluteal muscle activity and patellofemoral pain syndrome: a systematic review. Br J Sports Med. 2013 Mar; 47 (4): 207-14. doi: 10.1136 / bjsports-2012-090953. Epub 2012 Sep 3.
Cox et al (2012). Chiropractic management of a patient with lumbar spine pain due to synovial cyst: a case report. J Chiropr Med. 2012 Mar; 11 (1): 7–15.
Pavkovich et al (2015). EFFECTIVENESS OF DRY NEEDLING, STRETCHING, AND STRENGTHENING TO REDUCE PAIN AND IMPROVE FUNCTION IN SUBJECTS WITH CHRONIC LATERAL HIP AND THIGH PAIN: A RETROSPECTIVE CASE SERIES. Int J Sports Phys Ther. 2015 Aug; 10 (4): 540–551.
Kalichman et al (2010). Dry Needling in the Management of Musculoskeletal Pain. J Am Board Fam MedSeptember-October 2010. (Journal of the American Board of Family Medicine)
Images: Creative Commons 2.0, Wikimedia, WikiFoundy, Ultrasoundpaedia, LiveStrong
Frequently Asked Questions About Seat Pain:
Q: I hurt the upper part of the knuckle in the seat. What could be the cause?
Answer: It sounds like what you mean is PSIS - that is, part of the pelvic joint. This may mean that the cause is pelvic lock, which often occurs in combination with gluteal myalgias / myoses.
Q: Do you have nerves in the seat / butt?
Yes, you have. There is actually a rich network of nerves in the seat - but it is especially the sciatic nerve that controls the show there. Thanks to your question, we have now added an illustration that shows the nerves in the seat. You will find the picture further up in the article.
Has action and numbness in the seat against the crotch. What could it be?
First and foremost, it is important to make sure that this is not a classic symptom of Cauda Equina Syndrome (CES) - namely 'breeches paresthesia'. This means that you have reduced feeling in the area around the anal sphincter and in the area leading up to the crotch. In addition, if you have nerve pain down the legs, urinary retention (can not start urine jet) and lack of sphincter control (can not hold stool). If you have pain and numbness in this area between the seat and the crotch, we strongly recommend that you contact a doctor or clinic immediately for further investigation.
Has pain in the buttocks muscles. What butt muscles can it be due to?
You have a number of muscles in the seat, or buttocks as you say, and these, like other muscles, can develop poor function and general condition. When a muscle becomes overactive, sore and tight, this is called a myalgia or muscle knot. Some of the muscles that can hurt in the seat are gluteus maximus, gluteus medius, gluteus minimus and piriformis.
Q: Can foam rolls help me with the seat?
Answer: Yes, a foam roller / foam roller can help you in part, but if you have a problem with the seat, we recommend that you contact qualified health personnel in musculoskeletal disciplines and get a qualified treatment plan with associated specific exercises. Foam roller is often used against the outside of the thigh, against the iliotibial band and tensor fascia latae - which can take some pressure off the seat and hip.
Q: Why do you get pain in the seat?
Answer: Pain is the body's way of saying that something is wrong. Thus, pain signals must be interpreted as meaning that there is a form of dysfunction in the area involved, which should be investigated and further remedied with proper treatment and exercise. Causes of pain in the seat can be due to sudden misload or gradual misload over time, which can lead to increased muscular tension, joint stiffness, nerve irritation and, if things have gone far enough, discogenic rash (nerve irritation / nerve pain due to disc disease in the lower back, so-called lumbar prolapse with affection against L3, L4 or L5 nerve root).
Q: What should be done with a sore seat full of muscle knots?
Reply: muscle knots has most likely occurred due to muscle imbalance or incorrect load. Associated muscle tension can also occur around joint locks in nearby lumbar, hip and pelvic joints. Initially, you should get qualified treatment, and then get specific exercises and stretching so that it does not become a recurring problem later in life.
Follow Vondt.net on YOUTUBE
(Follow and comment if you want us to make a video with specific exercises or elaborations for exactly YOUR issues)
Follow Vondt.net on FACEBOOK
(We try to respond to all messages and questions within 24-48 hours. We can also help you interpret MRI responses and the like.)
Also read: - Rosa Himalayan salt's incredible health benefits
Also read: - Healthy herbs that increase blood circulation
Also read: - Pain in the chest? Do something about it before it gets chronic!
Also read: - Muscle aches? This is why…
Leave a reply
Want to join the discussion?Feel free to Contribute!