Associated symptoms
Depending on the underlying cause of the pain over the buttocks, accompanying symptoms may occur. In the case of disorders of the musculoskeletal system, restrictions of movement or tension are added to the pain symptoms. In the case of functional disorders of the joints and muscles, the pain can usually be caused by targeted movements or after overloading.
Inflammatory processes such as fistulas or eczema can cause purulent or weeping outpourings from the sore region. Itching can also be accompanied by a fistula or eczema. In the case of inflammatory diseases, the pain also occurs at rest without certain movements, or it is triggered by local pressure, for example when lying down.
Due to the inflammation, a fistula, for example, can also be accompanied by a slight fever and a general feeling of illness as an accompanying symptom. Hemorrhages often lead to eczema, which is why blood deposits in the stool, which the patient may notice when going to the toilet, are not uncommon. In addition to haemorrhages, infections, e.g. by fungi, are often involved in the development of anal eczema; this basic symptom must be treated in order to achieve an improvement of the eczema.
Localization
If the complaints occur more frequently on the right side, hip problems on the right side should also be considered. For example, if the joint is altered by arthrosis or other inflammatory or degenerative diseases affect the right hip joint, this can lead to pain radiating to the right buttock. Often the tissue directly above the iliac crest is highly sensitive to pressure, and muscular tension of the gluteal muscles can also occur.Joint diseases of the spine, which are increasingly localized on the right side, can also lead to nerve irritation and pain over the right buttock.
Left-sided buttock pain can also be caused by functional disorders of the left hip joint. Nerve irritations caused by problems of the vertebral joints are often responsible for buttock pain. In such cases, pain often occurs in an area belonging to the segment.
Left-sided pain in the buttock region or above the buttocks can also be caused by tension in a particular gluteal muscle. This muscle is called the piriformis muscle and tends to become tense, especially in people with sedentary jobs. This can lead to irritation of the sciatic nerve and then to pain in the buttocks, which often radiates to the thigh.
Of course, in the case of left-sided buttock pain, an examination of the region should also take place to rule out eczema or fistulas. Buttock pain that radiates into the back and occurs on both sides is often caused by tension and adhesions of the connective tissue. The gluteal muscles also attach to the lower lumbar spine and are connected to the back muscles by a fascia plate that forms a connective tissue skin.
One-sided postures, such as when bending forward in a sitting position, which constantly stretch the muscles, can lead to circulatory disorders and adhesions in the tissue. Pain/trigger points can also occur. The pain then occurs with under to lower back areas. The mobility of the lumbar spine and the hips can be limited. An examination of the kidneys can rule out an organ-related cause, which can cause similar symptoms as deep flank pain.
