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What causes persistent pain in buttocks?

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Posted on Thu, 19 May 2016
Question: I have had pain in my buttocks area for the last two weeks. It comes and goes, more when I am sitting. Not constant but it comes and goes, heating pad or hot baths relax the pain if I have it at night. Anti-inflammatory (tylenol, bayer,) seem to help as well. A month or so ago I had pain in the crevice of my thigh (groin) region where pelvic and thigh come together, but no pain there anymore. What could be causing this issue in my buttocks?
The pain hasn't gotten any worse in the past 2 weeks, there has been no other abnormalities in going to the bathroom or other issues I have read which are caused by certain conditions. Any enlightenment would be appreciated.
doctor
Answered by Dr. T Chandrakant (28 minutes later)
Brief Answer:
Please give additional information.

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: male/43 - pain in buttocks area - 2 weeks - not constant - comes and go - more so on sitting - heating pads and hot pads and Tylenol relax pain - not worsened in 2 weeks - no other abnormality in going to bathroom - had pain in groin 1 month ago and has not recurred...

Read and re-read the history.
Please give additional information:
- Where exactly is the pain? Whether at the lowest part of the spine that is above the anus in the center? or at the inter-gluteal furrow? Or in the buttock area? Or over the sacro-iiliac joints?
- Any fever or chills?
- Any other information that you would like to share.

Awaiting your feedback so that we can discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (20 minutes later)
Please give additional information:
- Where exactly is the pain? In the general buttock area, middle of buttocks, sometimes upper buttocks area (upper glutes) ... don't know exactly where the "sacro-iiliac joints" are...

- Any fever or chills? no fever or chills

- Any other information that you would like to share.

NO headaches no other health issues I have noticed. As said previously ... groin area seemed to ache a month or so ago, at crevice of thigh and pelvic area, but that hasn't been prevalent much anymore. Nothing has seemed to get worse in any case, that's why I'm confused as to what the pain in the glutes or buttocks area could be from now the past few weeks.
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
Course of an anti-inflammatory medicines.

Detailed Answer:
Thank for your feedback.
In the general buttock area, middle of buttocks, sometimes upper buttocks area (upper gluteus) ... don't know exactly where the "sacro-iiliac joints" are..
These joints are at the back and at the upper part of buttocks.
This problem can be due to sacro-iilitis or myo-fascitis (muscles and fascia).

Since your symptoms non-specific I would advise you the following:
- Take a course of anti-inflammatory medicines like Ibuprofen or Diclofenac three times a day after food preferable have a PPI like Omeprazole top avoid acidity, say for 5-7 days.
- Get an X-ray of the pelvic bones.
- Avoid all the movements like climbing stairs, bending too much and then getting up straight from such positions, sitting for a long time.
- Get examined by an Orthopedic Surgeon and undergo further tests if asked for.

I hope this answer helps you, please feel free to ask for further relevant queries.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (15 hours later)
So with this issue just arising a month or so ago, would you think it is connected to the groin/thigh crevice issue I have off and on?

What is a PPI ? Is the Omeprazole over the counter?

You say to avoid acidity ? Could that be part of the cause?

I am a teacher so I do sit at a desk off and on.. and I have stopped exercising as much as I have before... I do feel better when going for 2-3 mile walks/jogs...

doctor
Answered by Dr. T Chandrakant (11 minutes later)
Brief Answer:
As explained below.

Detailed Answer:
Myofascitis can occur anywhere as also in the groin or so, wherever there are muscles and tendons and fascia.
Yes, PPI is Proton pump inhibitor like Omeprazole and in many countries it is OTC- over the counter medicine.
Since the medicines like Diclofenac and Ibuprofen can cause acidity you can use PPI to counter that. Acidity is not the part of the cause.
Well, Teacher by profession, can not stop from sitting at the desk.
Continue walking or jogging or any such activity that can help and not cause the pains to increase.

I hope this further clears your doubts, please feel free to interact more till you re satisfied.


Above answer was peer-reviewed by : Dr. Deepak
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

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What causes persistent pain in buttocks?

Brief Answer: Please give additional information. Detailed Answer: Hi. Thanks for your query. To recapitulate: male/43 - pain in buttocks area - 2 weeks - not constant - comes and go - more so on sitting - heating pads and hot pads and Tylenol relax pain - not worsened in 2 weeks - no other abnormality in going to bathroom - had pain in groin 1 month ago and has not recurred... Read and re-read the history. Please give additional information: - Where exactly is the pain? Whether at the lowest part of the spine that is above the anus in the center? or at the inter-gluteal furrow? Or in the buttock area? Or over the sacro-iiliac joints? - Any fever or chills? - Any other information that you would like to share. Awaiting your feedback so that we can discuss further.