Last week a 42-year-old male who competes in various Triathlons throughout California presented to my office with complaints of low back and right buttock pain. During training this pain would sometimes radiate down the right leg into the back of the knee. This would usually occur during long runs [...]
Hi Deb, I am truly sorry to hear about your situation. I too have been sidelined by running injuries from time to time and there is nothing more frustrating. You asked a very insightful questions. I added my response in red bold. Hi! I am recovering from many running injuries -seems it is always [...]
Ischial Bursitis Ischial Bursitis is a painful inflammatory condition that results in a deep aching sensation in the runners involved hip. The Ischial Bursa is a fluid filled sac that attempts to prevent friction between the Gluteus Maximus and the Ischial Tuberosity (SITS bone). This condition ha [...]
I examined a young women yesterday who presented with a 2 year history of lower back, gluteal and groin pain while standing, walking and running. She was at her wits end. She had seen many doctors who had referred her for physical therapy. In fact the last round of physical therapy had just been [...]
It happened again last night. A very pleasant woman came to my clinic having severe symptoms of right buttock pain that radiated into her hamstring. She had consulted multiple doctors including an orthopedic and a neurologist who had performed x-rays and MRI's of her back thinking she had sciatica [...]
A examined a women yesterday who complained of 10 months of hip and gluteal pain. She had been to medical doctors, chiropractors, physical therapists and acupunture. The MD gave a a shot in the hip bursae....diagnosis....hip bursitis. It helped a little. The Chiropractor told her her hips were t [...]
The Piriformis Muscle belongs with the gluteal group. The piriformis muscle laterally rotates the hip joint. Lateral rotation of the hip points the knee away from the midline of the body, or points the toes away from the midline of the body (duck feet). This action is important because it supports [...]
Not a day goes by that Ido not see a runner with severe butt pain. Often the condition is misdiagnosed as either Sciatica, Piriformis Syndrome or Bursitis. It is not that it is never one of these but much more often than not it is Gluteus Medius muscle strain. In runners Gluteus Medius muscle strain is far more prevalent than any of the other conditions. The Gluteus medius is one of three Gluteal muscles that work to stabilize your hip joint and sacroiliac joint. The Gluteus medius is crucial during the landing phase of gait. When your foot strikes the ground and you are putting all of your weight on one leg the Gluteus Medius on that side contracts to stabilize the hip and give you balance and support. The problem? Your foot impacts the ground up to 2000x per mile. That is 2000 Gluteus Medius contractions per mile! Try doing 2000 biceps curls and see what your biceps feels like!