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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
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

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
Back Pain and Its Change After Surgery in Adolescents and Young Adults With Idiopathic Scoliosis.
Fekete TF, Mannion AF, Haschtmann D, Loibl M, Kleinstück FS, Jeszenszky DJ
Spine Deform 2019 Sep;7(5):754-758. doi: 10.1016/j.jspd.2019.02.004. PMID: 31495476
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

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
Back Pain and Its Change After Surgery in Adolescents and Young Adults With Idiopathic Scoliosis.
Fekete TF, Mannion AF, Haschtmann D, Loibl M, Kleinstück FS, Jeszenszky DJ
Spine Deform 2019 Sep;7(5):754-758. doi: 10.1016/j.jspd.2019.02.004. PMID: 31495476
Pain and activity after vaginal reconstructive surgery for pelvic organ prolapse and stress urinary incontinence.
Barber MD, Brubaker L, Nygaard I, Wai CY, Dyer KY, Ellington D, Sridhar A, Gantz MG; NICHD Pelvic Floor Disorders Network
Am J Obstet Gynecol 2019 Sep;221(3):233.e1-233.e16. Epub 2019 Jun 12 doi: 10.1016/j.ajog.2019.06.004. PMID: 31201809Free PMC Article
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

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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