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Chiropractors/Upper buttock pain but not back! Sport injury!
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Question
Hi doctor,
Last week I was at my local gym using the seated press machine with upward press and on completing a set of 15, I felt a sharp pain in the mid to upper buttock. I have had the pain that I notice depending on how I stand or lie around a week (sometimes it seems fine) and wondered what I should do and what you think it is?
I am guessing I have torn something. Apologies if you have answered this before but I have checked the previous questions and see many dealing with lower back rather than actually what feels like in the deep upper buttock.
My fear is some sort of trapped nerve, which I know can be problematic in resolving!
Many thanks for any advice and I for one appreciate the service you are providing in helping people on this site!
Warm thanks,
Alexandra
Dear Alexandra,
Chances are that you just have a strain of the buttock musculature. To test this, the best thing to do is figure out exactly what movements increase the pain and determine what muscles are firing during those motions. For example, squats, hip extension, and lunges all engage the buttock musculature. If you perform these activities and the pain increases then a strain is likely. If the pain is sharp and you see some loss of strength, then you did likely tear the musculature.
Now, the joints in the back of the pelvis are also sources of pain into the buttock. These are called the sacroiliac joints and commonly result in buttock and hip pain when stressed. The joints have some of the strongest ligaments in the body which keep them very tight and allow only small movements in the joint. If you sprain the ligament or if the joint is restricted, the pain can be light to severe. The best way to address this joint is with an examination performed by a chiropractic physician.
I would take a wait and see approach for the next few days and take it easy in the gym for that time period and see how your symptoms improve. If you are not noticing less pain and more function, then schedule an examination of the low back to include the pelvis at a local chiropractor's office. Good Luck.
Respectfully,
Dr. J. Shawn Leatherman
www.suncoasthealthcare.net
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Dr. J. Shawn Leatherman
Expertise
I can answer questions on general chiropractic care, sports injury, whiplash and auto crash, mild traumatic brain injury, structural and functional rehabilitation of the spine, nutrition for inflammation and repair, fitness training, nutrition for sports performance and other general health and nutrition related inquiries. I currently lecture on automobile trauma, occupant kinematics, and forensic risk analysis to local EMS, Fire and Police, as well as nutrition and sports injury to community groups. Rest assured all answers are generated from my clinical experience, and scientific research.
Experience
I have accumulated over 1100 hours of post-doctoral training to include; Certifications in Spinal Trauma and Mild Traumatic Brain Injury from the Spine Research Institute of San Diego, Certification in Chiropractic Spinal Trauma from the International Chiropractic Association, Certification in Low Speed Auto Crash Reconstruction and Certification in Forensic Risk Analysis from The Center for Research Into Automotive Safety and Health, Certified Proficiency in spinal and extremity diagnostic procedures from The Motion Palpation Institute, Certified in Sports Injury and Rehabilitation from the National University of Health Sciences and The American Chiropractic Board of Sports Physicians, Nationally Certified Fellow of Structural Rehabilitation from The Chiropractic Biophysics Organization, and I have advanced training in manipulation under anesthesia and nutrition. Feel free to check out my website for course listings: www.suncoasthealthcare.net
Organizations
International Chiropractic Association, Florida Chiropractic Association, American Chiropractic Board of Sports Physicians, American Academy of Pain Management, Chiropractic Biophysics, Spine Research Institute of San Diego, Center for Research Into Automotive Safety and Health, Motion Palpation Organization, American Academy of Manual and Physical Medicine, Fort Walton Beach Chamber of Commerce
Education/Credentials
B.A. (Psychology)The University of Cincinnati
B.S. (Human Biology)Cleveland Chiropractic College
D.C. (Doctor of Chiropractic) Cleveland Chiropractic College
C.C.S.T. (Certification in Chiropractic Spinal Trauma)The International Chiropractic Association
C.C.S.P. (Certified Chiropractic Sports Physician)The American Chiropractic Board of Sports Physicians.
*CCST and CCSP 120 hour certification courses are not recognized by the Florida Chiropractic Board due to the fact that they are not 300 hour diplomate level courses*
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