When you have pain in your buttocks, it hurts when you first start walking, but after walking for a while, it no longer hurts. Generally, piriformis syndrome is not considered for this symptom, but gluteus medius syndrome should be considered. Why do you say this? Let me analyze it step by step. The logic of this analysis is not troublesome!

Piriformis syndrome

Why is the symptom of walking not consistent with piriformis syndrome? Mainly, piriformis syndrome does not cause pain when walking, but pain when sitting for a long time or sitting on something hard. Walking often does not cause pain in the buttocks. The pain is also located on the back of the buttocks. Can you see if it matches yours? A small number of people with piriformis pain are limited in walking due to sciatica and cannot take steps!

Gluteus medius syndrome

The gluteus medius muscle is the stabilizing muscle of our pelvis when walking. You can try it. When walking, put your hand on the gluteus medius muscle and it will contract. This will This is the reason why the gluteus medius will hurt when you first start walking. After a while of activity, which is equivalent to a stage of muscle adaptation, the pain will disappear. However, for people with severe pain, the pain will reappear after walking for a long time, which is reflected on the outside of the buttocks. pain!

It’s not a herniated disc

In many cases, hip pain does not rule out the possibility of lumbar disc herniation. However, generally speaking, the pain is not mild after walking for a while, but it is just the beginning. It is inconsistent to find that the pain is mild when walking, but will become more severe the more you walk. Therefore, from this direction, you can basically rule out the possibility of lumbar disc herniation. Especially if you only have pain in the buttocks, consider gluteal muscle strain first!

Treatment method

For buttock pain when walking, you can try to palpate the painful area to see if there is any tenderness point in the gluteus medius muscle. If so, you can Try to massage with a force that feels comfortable to the pain. Massage one pain point for 5 minutes every day. If you insist on it for a week, the pain will get better. When the pain point is eliminated, the symptoms will also disappear? ('ω')? Remember to deal with it early to avoid triggering it. Nerve pain in my legs!

The disease of piriformis syndrome is relatively unfamiliar to everyone. As an orthopedic surgeon, I only learned about it from books at the beginning. I often encounter such patients at work and give them certain treatments and suggestions. Later, when I suffered from this disease because of fitness and running, I gained a deeper understanding of it. Is the situation in the question piriformis syndrome? Let me tell you about it below!

Piriformis syndrome

The piriformis muscle is a very small muscle in the buttocks, but its position is very special. The largest nerve in the human body, the sciatic nerve, passes through it. This provides conditions for its onset.

The main function of the piriformis muscle is to assist the movement of the lower body, externally rotate the thigh, and stabilize the pelvis and hip joint.

Due to factors such as external force or repeated strain, piriformis muscle congestion, edema, adhesion and contracture may occur, resulting in buttock pain symptoms. Later, the sciatic nerve will be stimulated and cause lower limb symptoms.

Its main symptoms: 1. Soreness or discomfort in the buttocks, which will be aggravated by leg adduction or cold stimulation. 2. Symptoms of sciatica. In severe cases, you cannot walk, or the pain worsens after walking a certain distance and requires rest to relieve it. 3. There are obvious tender points on the buttocks, and relatively hard cord-like objects can be touched. 4. The piriformis muscle tension test is positive.

The symptoms mentioned in the title are consistent with the early manifestations of piriformis muscle. The pain is felt at the beginning of the activity, but it subsides after a while. At this time, the main problem is the strain of the piriformis muscle itself, which has not yet affected the sciatic nerve.

For its treatment

1. Rest and do not do anything that causes pain. Such as climbing mountains, going up and down stairs, or running. 2. Oral muscle relaxants, such as compound chlorzoxazone or eperisone. 3. Piriformis muscle acupuncture treatment. 4. Massage. Because the piriformis muscle is relatively deep, you must find a professional. You can also use massage balls at home. 5. Partial sealing treatment, because the piriformis muscle is close to the sciatic nerve, so be careful. 6. Surgical release or cutting. It can solve the problem, but it will affect the activities of the lower limbs.

This disease is very torturous and easy to relapse. So be sure to take preventive measures. 1. Avoid sitting for long periods of time and get up regularly to move around. 2. Be sure to warm up before exercising and stretch afterwards. 3. The amount of exercise must be done gradually and not in a hurry. 4. Pay attention to keeping your buttocks warm. 5. Strengthen off-collision training, such as back swinging legs, stretching training, five-point exercises and massage balls.

In addition, there is gluteus medius syndrome, which can also cause buttock pain, which is aggravated at night or in the morning and relieved with activity. There are obvious tender points on the buttocks, which can spread to the surrounding areas when pressed. Hope these can bring help to everyone.

There are many causes of buttock pain, and it is not necessarily piriformis syndrome. If pain occurs when you first start walking and disappears after walking for a while, the probability of piriformis syndrome is very low. First of all, we need to know what the symptoms of piriformis syndrome are. The common symptoms of piriformis syndrome are local pain, numbness, and weakness. Most of them are buttock pain, which radiates to the thigh and ankle. Symptoms such as pain, numbness, and weakness originate from the compression of the sciatic nerve by tight piriformis muscle due to long-term poor posture and other reasons. Moreover, the function of the piriformis muscle is to abduct and externally rotate the hip, and it is also involved in exerting force when walking. Normally, symptoms will appear appropriately when walking, so depending on your situation, consider piriformis syndrome. The probability is relatively low.

So what other problems can cause hip pain? It hurts when I first started walking, but it doesn't hurt after walking for a while. This is probably because the muscles of the hip are contracted and stretched during walking, so the pain disappears. When the gluteal muscles are over-strained, it will cause pain in the buttocks. In this case, the shape of the buttocks will generally become "flat" and not as round as normal, and pain will occur when pressed.

There are many aspects in the treatment of this symptom that are very similar to the treatment of piriformis syndrome. First, relax the gluteal muscles, and choose two methods of fascia relaxation and stretching. It is best to perform them at the same time. In this way It can not only relax the fascia but also increase the extensibility of the muscles, and then train the buttocks. It mainly focuses on the three parts of the gluteus maximus, gluteus medius, and gluteus profundus six minis. Select appropriate movements to target the gluteal muscle groups. Make comprehensive improvements, which will also appropriately improve your hip pain.

It may be that the intervertebral disc is filled with water after lying down for a long time. When the water moves away from the intervertebral disc, the pressure on the back of the intervertebral disc will not be so great, and then the compressed nerves will be less, and the symptoms will disappear naturally.

I wrote an article to discuss this problem from the perspective of anatomy and wrote specific solutions. If you are interested, you can read it.

There are many causes of hip pain, such as quadratus lumborum injury, gluteus maximus injury, gluteus medius injury, gluteus minimus and piriformis muscle injury.

However, in your case, it hurts when you first start walking, but it stops hurting after walking for a while. This shows that walking can relieve pain in the buttocks, and only gluteus maximus injuries meet this characteristic. Injuries to other parts of the body make the pain more and more painful as you walk, and you may even be unable to walk. This is especially true for injuries to the piriformis muscle. Therefore, your situation cannot be piriformis syndrome, but may be caused by gluteus maximus injury.

The gluteus maximus muscle originates from the lateral edge of the sacrum and inserts into the gluteal tuberosity below the greater trochanter of the femur. The function of the gluteus maximus is to extend the hip joint and keep the body upright. When we climb stairs, run, or jump, our gluteus maximus muscles provide enough strength to extend our hip joints. During a walk, gluteus maximus activity is minimal.

Long-term sitting and lack of exercise can cause trigger points in the gluteus maximus, leading to muscle stiffness and contracture. Sitting for long periods of time can also lead to poor blood circulation in the gluteus maximus, which is an important factor in creating trigger points. When you first start walking, your gluteus maximus is still in a stiff and contracted state, which causes hip pain. After walking for a period of time, the gluteus maximus muscles will be relaxed, blood circulation will be improved, and the pain will naturally reduce or disappear.

In this case, you can check the attachment point above the gluteus maximus and the lateral edge of the sacrum to find the pain point (that is, the trigger point) and try self-massage.

If the symptoms improve immediately after the massage, it means the diagnosis is correct, and consistent massage will eliminate the above symptoms. For specific massage methods, please refer to my waist and leg pain column.

I will communicate with my friends about pain issues in the live broadcast room at 8pm every Tuesday, Thursday and Saturday at 8pm. Friends are welcome to come into my live broadcast room on time to chat and communicate!

If you have not suffered any trauma before, it may be a lumbar spine problem and it is recommended to have a comprehensive examination.