How To Cure Sciatic Pain Quickly
For a long time my father was told that the shooting pain in his legs and buttocks were due to sciatica, but like so many others his condition didn't respond to sciatica treatment. It was only after many months of misery that he finally visited a physical therapist, who correctly diagnosed the source of the pain as myofascial trigger points in his gluteus minimus rather than pressure on his sciatic nerve. Sciatica is not the only condition that is commonly misdiagnosed in relation to myofascial triggers in the gluteus muscles. A vast proportion of lower back pain cases are actually due to trigger points in the gluteus maximus, and these can easily be resolved by regular massage and stretching if caught early enough.
Trigger Points in the Gluteus Muscles
The gluteus muscles are made up of the gluteus maximus, the gluteus medius, and the gluteus minimus, and triggers can occur in any of these with a variety of symptoms. In large muscle groups such as the gluteus muscles it's quite common to have clusters of these points of muscle spasm. The gluteus maximus is the largest of these muscles and contains the most common location for a gluteus trigger. They are common at the top of the gluteus maximus muscle, where it joins the pelvis, and this point can be found just below those lower back dimples that we all have.
Trigger points in the gluteus maximus are usually felt as acute lower back pain, which is often worse at night, preventing sufferers getting a good night's sleep. They may be caused by regular stair climbing or jumping, but are also common in people that sit incorrectly in a chair for most of the day, resulting in the gluteus maximus being continually stretched outside of its neutral position. Gluteus medius and minimus triggers tend to be felt as pain that is concentrated in the buttocks, or that radiates down the back of the thighs, especially when the active points are pressed. It is points of spasm located in these muscles that are commonly misdiagnosed as sciatica.
Trigger points in the gluteus medius or minimus are commonly caused by muscle imbalance or instability in the pelvis. In athletes a prime cause of muscle spasms is sprinting from a start when the gluteus medius is not strong enough to support the pelvis in a stable position and therefore has to contract outside of its usual capacity. Strengthening the core muscles can help to reduce triggers in the smaller gluteus muscles.
Combat Trigger Points by Stretching
One of the best ways to avoid myofascial triggers in the gluteus muscles is to do regular stretching exercises; you'll be amazed at the impact a few simple stretches can have on back, buttock and leg pain. The gluteus muscles are often neglected during warm up sessions, but they require stretching in the same was as leg and upper body muscles.