2020 was certainly a 'pain in the ass', so I thought we should kick off 2021 with a Review about butt pain!
A number of disorders, such as sciatic nerve entrapment, can result in the common patient presentation of buttock and posterior hip pain. The term ‘piriformis syndrome’ has commonly been used by clinicians to diagnostically describe sciatic nerve entrapment by the piriformis muscle. Current evidence has demonstrated that other muscles such as obturator internus, levator ani, gemelli muscle, and coccygeus muscle can also result in sciatic nerve entrapment and its resultant symptomatology. Therefore, the more general and appropriate term of ‘deep gluteal syndrome’ has been introduced as early as two decades ago and now adopted by many.
Unfortunately, there is ambiguity surrounding deep gluteal syndrome, resulting in clinicians not feeling confident with diagnosing this condition. The purpose of this systematic review was to identify the definition for deep gluteal syndrome and deep gluteal space, as well as propose a general diagnostic pathway for deep gluteal syndrome. This will hopefully allow clinicians to confidently add this condition to their list of possible differential diagnoses in this area, while updating the oft-overused diagnosis of ‘piriformis syndrome’.
THIS WEEK'S RESEARCH REVIEW: “Deep Gluteal Syndrome – A Non-Discogenic Sciatic Nerve Disorder”
This paper was published in Knee Surgery, Sports Traumatology, Arthroscopy (2020) and this Review is posted in Recent Reviews, Hip, Lumbar Spine - Disc & Neurological and the 2021 Archive.
Deep gluteal syndrome