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Buttock pain

MedGen UID:
68548
•Concept ID:
C0231710
•
Sign or Symptom
Synonyms: Buttock Pain; Pain in buttock; Pygalgia
SNOMED CT: Buttock pain (279043006); Pygalgia (279043006); Pain in buttock (279043006)
 
HPO: HP:0034805

Definition

An unpleasant sensation characterized by physical discomfort (such as pricking, throbbing, or aching) localized to the buttock (round fleshy area at the lower rear area of a human trunk). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVButtock pain

Professional guidelines

PubMed

Lumbar Disc Herniation: Diagnosis and Management.
Zhang AS, Xu A, Ansari K, Hardacker K, Anderson G, Alsoof D, Daniels AH
Am J Med 2023 Jul;136(7):645-651. Epub 2023 Apr 17 doi: 10.1016/j.amjmed.2023.03.024. PMID: 37072094
Piriformis Syndrome: A Narrative Review of the Anatomy, Diagnosis, and Treatment.
Probst D, Stout A, Hunt D
PM R 2019 Aug;11 Suppl 1:S54-S63. Epub 2019 Jul 22 doi: 10.1002/pmrj.12189. PMID: 31102324
Piriformis syndrome, diagnosis and treatment.
Kirschner JS, Foye PM, Cole JL
Muscle Nerve 2009 Jul;40(1):10-8. doi: 10.1002/mus.21318. PMID: 19466717

Recent clinical studies

Etiology

Sacral Insufficiency Fractures.
Rickert MM, Windmueller RA, Ortega CA, Devarasetty VVNM, Volkmar AJ, Waddell WH, Mitchell PM
JBJS Rev 2022 Jul 1;10(7) Epub 2022 Jul 8 doi: 10.2106/JBJS.RVW.22.00005. PMID: 35849657
Is It Radiculopathy or Referred Pain? Buttock Pain in Spinal Stenosis Patients.
Shim DM, Kim TG, Koo JS, Kwon YH, Kim CS
Clin Orthop Surg 2019 Mar;11(1):89-94. Epub 2019 Feb 18 doi: 10.4055/cios.2019.11.1.89. PMID: 30838112Free PMC Article
Effectiveness of Exercise Therapy and Manipulation on Sacroiliac Joint Dysfunction: A Randomized Controlled Trial.
Nejati P, Safarcherati A, Karimi F
Pain Physician 2019 Jan;22(1):53-61. PMID: 30700068
Sacral stress fractures.
Lin JT, Lane JM
J Womens Health (Larchmt) 2003 Nov;12(9):879-88. doi: 10.1089/154099903770948104. PMID: 14670167
Septic sacroiliitis.
Osman AA, Govender S
Clin Orthop Relat Res 1995 Apr;(313):214-9. PMID: 7641483

Diagnosis

Lumbar Disc Herniation: Diagnosis and Management.
Zhang AS, Xu A, Ansari K, Hardacker K, Anderson G, Alsoof D, Daniels AH
Am J Med 2023 Jul;136(7):645-651. Epub 2023 Apr 17 doi: 10.1016/j.amjmed.2023.03.024. PMID: 37072094
Deep Gluteal Syndrome: A Pain in the Buttock.
Hu YE, Ho GWK, Tortland PD
Curr Sports Med Rep 2021 Jun 1;20(6):279-285. doi: 10.1249/JSR.0000000000000848. PMID: 34099604
Piriformis Syndrome: A Narrative Review of the Anatomy, Diagnosis, and Treatment.
Probst D, Stout A, Hunt D
PM R 2019 Aug;11 Suppl 1:S54-S63. Epub 2019 Jul 22 doi: 10.1002/pmrj.12189. PMID: 31102324
Piriformis syndrome, diagnosis and treatment.
Kirschner JS, Foye PM, Cole JL
Muscle Nerve 2009 Jul;40(1):10-8. doi: 10.1002/mus.21318. PMID: 19466717
Diagnosis and management of piriformis syndrome: an osteopathic approach.
Boyajian-O'Neill LA, McClain RL, Coleman MK, Thomas PP
J Am Osteopath Assoc 2008 Nov;108(11):657-64. doi: 10.7556/jaoa.2008.108.11.657. PMID: 19011229

Therapy

Sacroiliac Joint Fusion: Approaches and Recent Outcomes.
Yson SC, Sembrano JN, Polly DW Jr
PM R 2019 Aug;11 Suppl 1:S114-S117. Epub 2019 Jul 22 doi: 10.1002/pmrj.12198. PMID: 31169362
Effectiveness of Exercise Therapy and Manipulation on Sacroiliac Joint Dysfunction: A Randomized Controlled Trial.
Nejati P, Safarcherati A, Karimi F
Pain Physician 2019 Jan;22(1):53-61. PMID: 30700068
Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management.
Goom TS, Malliaras P, Reiman MP, Purdam CR
J Orthop Sports Phys Ther 2016 Jun;46(6):483-93. Epub 2016 Apr 15 doi: 10.2519/jospt.2016.5986. PMID: 27084841
Piriformis syndrome, diagnosis and treatment.
Kirschner JS, Foye PM, Cole JL
Muscle Nerve 2009 Jul;40(1):10-8. doi: 10.1002/mus.21318. PMID: 19466717
Diagnosis and management of piriformis syndrome: an osteopathic approach.
Boyajian-O'Neill LA, McClain RL, Coleman MK, Thomas PP
J Am Osteopath Assoc 2008 Nov;108(11):657-64. doi: 10.7556/jaoa.2008.108.11.657. PMID: 19011229

Prognosis

Clinical features of middle cluneal nerve entrapment neuropathy.
Fujihara F, Isu T, Kim K, Sakamoto K, Matsumoto J, Miki K, Ito M, Isobe M, Inoue T
Acta Neurochir (Wien) 2021 Mar;163(3):817-822. Epub 2021 Jan 6 doi: 10.1007/s00701-020-04676-0. PMID: 33404869
Hamstring injuries: anatomy, imaging, and intervention.
Linklater JM, Hamilton B, Carmichael J, Orchard J, Wood DG
Semin Musculoskelet Radiol 2010 Jun;14(2):131-61. Epub 2010 May 18 doi: 10.1055/s-0030-1253157. PMID: 20486024
Clinical features and epidemiology of spondyloarthritides associated with inflammatory bowel disease.
Salvarani C, Fries W
World J Gastroenterol 2009 May 28;15(20):2449-55. doi: 10.3748/wjg.15.2449. PMID: 19468993Free PMC Article
Septic sacroiliitis.
Osman AA, Govender S
Clin Orthop Relat Res 1995 Apr;(313):214-9. PMID: 7641483
Hip pain.
Roberts WN, Williams RB
Prim Care 1988 Dec;15(4):783-93. PMID: 3068695

Clinical prediction guides

Review of Interventional Treatments for Cluneal Neuropathy.
Gill B, Cheng DS, Buchanan P, Lee DW
Pain Physician 2022 Aug;25(5):355-363. PMID: 35901475
Is It Radiculopathy or Referred Pain? Buttock Pain in Spinal Stenosis Patients.
Shim DM, Kim TG, Koo JS, Kwon YH, Kim CS
Clin Orthop Surg 2019 Mar;11(1):89-94. Epub 2019 Feb 18 doi: 10.4055/cios.2019.11.1.89. PMID: 30838112Free PMC Article
Effectiveness of Exercise Therapy and Manipulation on Sacroiliac Joint Dysfunction: A Randomized Controlled Trial.
Nejati P, Safarcherati A, Karimi F
Pain Physician 2019 Jan;22(1):53-61. PMID: 30700068
Surgical Treatment of Piriformis Syndrome.
Han SK, Kim YS, Kim TH, Kang SH
Clin Orthop Surg 2017 Jun;9(2):136-144. Epub 2017 May 8 doi: 10.4055/cios.2017.9.2.136. PMID: 28567214Free PMC Article
Piriformis Syndrome and Endoscopic Sciatic Neurolysis.
Knudsen JS, Mei-Dan O, Brick MJ
Sports Med Arthrosc Rev 2016 Mar;24(1):e1-7. doi: 10.1097/JSA.0000000000000088. PMID: 26752779

Recent systematic reviews

Diagnostic Accuracy of Patient History in the Diagnosis of Hip-Related Pain: A Systematic Review.
Wright AA, Ness BM, Donaldson M
Arch Phys Med Rehabil 2021 Dec;102(12):2454-2463.e1. Epub 2021 Apr 28 doi: 10.1016/j.apmr.2021.03.029. PMID: 33930328
Screening of Inflammatory Bowel Disease and Spondyloarthritis for Referring Patients Between Rheumatology and Gastroenterology.
Sanz Sanz J, Juanola Roura X, Seoane-Mato D, Montoro M, Gomollón F; Grupo de Trabajo del proyecto PIIASER
Gastroenterol Hepatol 2018 Jan;41(1):54-62. Epub 2017 Sep 4 doi: 10.1016/j.gastrohep.2017.03.012. PMID: 28882616
Four symptoms define the piriformis syndrome: an updated systematic review of its clinical features.
Hopayian K, Danielyan A
Eur J Orthop Surg Traumatol 2018 Feb;28(2):155-164. Epub 2017 Aug 23 doi: 10.1007/s00590-017-2031-8. PMID: 28836092
Surgical Management of Deep Gluteal Syndrome Causing Sciatic Nerve Entrapment: A Systematic Review.
Kay J, de Sa D, Morrison L, Fejtek E, Simunovic N, Martin HD, Ayeni OR
Arthroscopy 2017 Dec;33(12):2263-2278.e1. Epub 2017 Aug 31 doi: 10.1016/j.arthro.2017.06.041. PMID: 28866346
The clinical features of the piriformis syndrome: a systematic review.
Hopayian K, Song F, Riera R, Sambandan S
Eur Spine J 2010 Dec;19(12):2095-109. Epub 2010 Jul 3 doi: 10.1007/s00586-010-1504-9. PMID: 20596735Free PMC Article

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