right buttock pain

by Mary
(New York)

right buttock pain

I do not have pain elsewhere. I have been diagnosed with a herniated disc. Could this be the source of the pain? If so, what is the solution for this problem. The pain is not accompanied by numbness or tingling of the sort.

Hello Mary,
Buttock pain is notoriously difficult to diagnose. A lesion called Maignes syndrome (use the search function at Chiropractic Help to find it) can cause buttock pain, but coming from the facet joint at T12/L1.

It can be sacroiliac joint pain, and also a piriformis syndrome.

Then, yes, it can be a herniated disc in which case bending forwards (usually, unless the herniation is into the foramen) will usually hurt in the butt, and usually radiating down the leg; you'll have pain when coughing, sneezing and bearing down, and sitting will hurt. And, depending on the level of the herniation, the Slump Test for Sciatica will be positive. You can do it at home; it's a simple test.

It can be definitely diagnosed with an MRI scan; xrays are useful but won't tell you definitely whether there is a herniation.

In short, the diagnosis is made from the examination. Any change in reflex, skin sensation and muscle weakness?

See our Slipped disc symptoms page.

Be careful now; one wrong move and it will go down your leg. Start our lower back exercises.

I hope this contributes.

Dr B

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