Another Pain in the Gluteus Maximus

Medgeeks with Andrew Reid

Medgeeks

Education, Medicine, Health & Fitness

4.8 • 997 Ratings

🗓️ 29 May 2023

⏱️ 11 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

This week's podcast will point out the pain in the butt (gluteus maximus). Where we will explore key aspects of this pain known as Piriformis Syndrome.

The main points of this podcast will be the anatomy and the role of the piriformis muscle. Along with the symptoms your patient might present with and the risk factors that come with this syndrome. Next, is the diagnosis and the various treatments such as the different exercises and medications to help relieve the pain.

Join Dr. Niket Sonpal as he sheds some light where the sun doesn't shine.

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Transcript

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0:00.0	When it comes to discussing a pain in the butt, I, Dr. Niket Son Paul, your friendly
0:04.4	neighborhood internist and gastrantroologist are pretty much the most specified person you can ask.
0:09.4	In fact, I'd probably be an expert.
0:11.2	The reason why is, well, I'm a gastrantrologist and I deal with a lot of peri rectal
0:15.0	conditions with my patients. Things like hemorrhoids, fissures, perianal disease like Crohn's disease.
0:21.0	I also deal with traumas and sometimes deal with patients
0:24.2	getting things stuck where they weren't supposed to. Very similar to George
0:27.2	Costanza's father in Seinfeld. And if your patient's having a lot of
0:30.7	deep gludial pain or a pain in the button.
0:33.4	When they Google it, they're going to get a host of images, a host of videos, and a bunch of people
0:37.4	telling them things that could be the diagnosis.
0:39.7	And as a gastronautologist, I can tell you that a lot of those differentials are
0:42.2	correct, but there's one that often gets missed and many of your patients will suffer with it for years before somebody figures out that this pain in the butt is actually not coming from the rectum,
0:53.6	it's not coming from the anus, but it's actually coming from the gluteal muscles.
0:56.7	And all those spasming muscles end up causing something called puriformis syndrome.
1:01.7	So ladies and gentlemen, welcome to this week's
1:03.2	podcast where we're going to talk about another type of pain in the butt known as
1:06.2	pure formis syndrome. So stay tuned, kick off the music, and let's find out what it is. So many of you've heard what the Piriformis muscle is, but what's Pariformis syndrome?
1:28.0	Well, it's a condition in which the sciatic nerve actually becomes entrapped at the level of the isial tuberosity.
1:34.4	There are numerous risk factors for it, but the presentation is pretty consistent.
1:38.3	Patients will come to you and report that they've got this deep,awing sharp stabbing pain,
1:43.1	the gluteous muscles or the buttock region.
	...

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