Myofascial Pain in Buttock Muscles

Myofascial pain or trigger points in the Gluteus medius and Piriformis muscles can cause pain in the buttock area. A trigger point is a tiny localized knot in the muscle.

Symptoms of Myofascial Pain

  • Pain and tension in the buttock or very lower back area.
  • Pain may radiate into the back of the thigh, particularly when the trigger points are pressed (palpated).
  • Hip internal rotation may be reduced.

Treatment of Myofascial Pain


What can the athlete do?

  • Begin a comprehensive stretching routine for the muscles of the lower back, hip and groin.
  • See a sports injury specialist or physiotherapist.

What can a sports injury specialist do?

  • Identify the cause of the myofascial pain and trigger points. They are a secondary condition which will have been caused by another problem such as low back conditions or a muscle imbalance or instability or the pelvis.
  • Apply deep tissue massage techniques combined with proprioceptive neuromuscular facilitation (PNF) stretching.
  • Dry needling or acupuncture may help release tension and lengthen muscles.