Sit pain > 3 years

by Lisa
(Texas )

I've had sit pain for more than 3 years. It is incredibly painful in my lower left buttock near bottom panty line. I have no back pain, have tried piriformis injections, epidural injections, PT, bursa injections, but still unable to pinpoint the source of the pain.

I've tried several prescriptions, but only a couple have made it tolerable for a good part of the day. I've read about all kinds of things about issues with SI, Pudendal Nerves, Piriformis, Sciatica. I'm 42 years old, weigh 125, and can't sit for more than 30 minutes at a time. Now the doctors want to try an SI injection along with medial branch block injections because my last MRI said "minor facet hypertrophy at some of the lower lumbar levels.

He says that if this doesn't pinpoint it, he's not sure what to do. I'm feeling like I'm at the end of my rope and am going to have to just live with it. Which is a terribly depressing thought. Anyone else have a similar story but with a happy ending?





Hello Lisa,
It may seem trite, but why on earth are you only thinking chiropractic now?

Having said that, this doesn't look straight forward. From what you describe, it would appear that you are having ischial pain, perhaps coccyx and perhaps hamstring insertion.

Could I ask you to do a couple tests please.

Bend slowly forwards, and compare the tightness in the buttock and back of your thigh. Are they equal? Now backwards, and then to the side, first right and then left.

Sitting in a chair, ask hubby to raise your right leg parallel to the ground, and then slowly flex your head and neck. Now the left leg. Is there any difference?

Some of the deep pelvic muscles attach to the ischium; starting the Kegel exercises would certainly do no harm. Find them at Chiropractic Help using the search function.

Personally I would start doing a lot of soft tissue work on the hamstring and buttock muscles around the ischium; then more controversially, those deep pelvic muscles are best reached rectally; you'll have to do some homework to find a chiropractor, or other, who would do that; take hubby with you.

Every chiropractor would start looking for sacroiliac fixations, and in the lumbar spine.

If you run your finger down the crease between the buttocks, is there any deep coccyx pain?

Let me have some answers, and perhaps we can take this further.

Dr Barrie Lewis



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