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. It will cause pain in the buttock or lower back which may spread to other areas. Movement around the hip will be difficult, but this can be helped by stretching and massage.
Symptoms of Myofascial Pain
Myofascial pain symptoms include pain and tension in the buttock or very lower in the back. Pain may radiate into the back of the thigh, particularly when the trigger points are pressed or palpated. Mobility of the hip may be affected especially internal rotation of the thigh bone or femur.
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 of 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.