Pain in the buttocks / lower back

Muscles under stress, sciatica, coccyx fistula and more: For pain in the buttocks and lower back, a wide variety of causes require appropriate therapies

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Low back and buttock pain in a nutshell: The main causes

  • Muscle and Ligament Problems: Myofascial Pain,
    blocked sacrum-iliac joint (lumbago), piriformis syndrome
  • Wear on the back: intervertebral discs, arthrosis and thickening of the small vertebral joints: Spondylarthrosis (facet joint arthrosis), Baastrup phenomenon (kissing spine syndrome)
  • Changes to the lumbar vertebrae, irritation of nerve roots: vertebral slippage (spondylolisthesis), ossification of vertebral ligaments, radiculitis, "sciatica"
  • Inflammation of the sacrum and iliac joint: for example, Bechterew's disease
  • Special cases: abscess, injection abscess, coccyx fistula (pilonidal sinus), bleeding in the gluteal muscle
  • Rare: hip arthrosis, vascular problems (narrowing of the internal pelvic artery with possible buttocks pain when walking on one side of the body), diseases of organs in the lower abdomen with pain transmission), pain disorders such as fibromyalgia syndrome
  • Everyday problems: bicycle saddle, sore muscles

First information on the causes listed here below. Further chapters of this article will go into more detail on the first five points.

We're not just there to sit

Anyone who, as a seated professional, is aware of how many hours he or she spends in the same posture, will be able to confirm what statisticians have known for a long time: on average, it is almost eighty percent of working time or 6.4 hours a day.

How does the body endure this in the long run? You can also sit comfortably in your free time, especially comfortably.

Doctors call constant sitting "static overload". In fact, considerable weights are involved. When sitting, the entire upper body, including the head and arms, rests on the lumbar spine and pelvis - one and a half times as much as when standing.

The fact that buttock pain (technical term: gluteal) is related to chronically overloaded muscles and ligaments in the pelvis therefore seems obvious: You have to keep your back upright when sitting. And who sits ergonomically correct for eighty percent of an eight-hour day or longer?