Pain in the buttocks

A very frequent localization of hip pain is in the area of the buttocks. The pain usually starts on the outside of the hip and moves to the buttocks. The cause of these complaints is usually the gluteal muscles that connect the greater trochanter with the pelvis.

These muscles tense the leg in a rotational position. If the pain is felt in the buttocks, it is usually not only the muscle attachments but the entire muscle that is tensed. Such tensions are usually caused by unfavorable postures or monotonous movements in everyday life.

Muscle-induced pain in the buttocks is especially caused by occupations in which a lot of sitting or standing is done. Sometimes palpable hardenings form in the tense gluteal muscles, which are also called contraction nodes or muscle hard tension. The most common cause of acute pain from hip to bottom is a blockage in the sacroiliac joint (sacroiliac joint, ISG).The pain can radiate into the leg, is felt more strongly after sitting and also increases when lifting the affected leg or when standing up from a bent position.

It can also lead to the so-called piriformis syndrome, in which the pear-shaped piriformis muscle (inner hip muscle) leads to a constriction of the sciatic nerve or one of its nerve branches when passing from the pelvis to the thigh. The piriformis muscle can become shorter and thicker if not used properly; it is responsible for abduction, stretching and external rotation of the thigh. This causes pain that extends deep into the buttocks and often radiates into the thigh, hip or cross.

Usually only one side of the body is affected, climbing stairs or lying on the affected side is very painful. The discomfort can be aggravated by prolonged sitting. The treatment options for hip pain radiating into the buttocks range from painkillers (e.g. paracetamol or other NSAIDs), local injections of narcotics, psychotherapy (for psychological trigger factors), physiotherapy, massages and suitable relaxation exercises for the tense muscles.

After jogging, pain in the hip area can occur due to overloading, wrong shoes or previous damage. In most cases, this is an indication that the training is too one-sided or that the hip is incorrectly loaded or overloaded when jogging. An uneven surface when running also carries the same risk of an irregular distribution of weight on the hip joint.

For this reason, protection and avoidance of chronic over-stimulation is usually the right approach to relieve the pain in the hip after jogging. The running training should be adapted to the pain and pain-increasing movements should be avoided. Depending on the location and cause of the hip pain, physiotherapeutic care and, in rare cases, pain-relieving and anti-inflammatory medication may be useful.

In addition, shortened muscles (muscle imbalances) and insufficiently stretched hip muscles before jogging can put incorrect strain on the hip during movement and thus lead to pain. In addition, many athletes overdo it with great ambition and provoke sports injuries such as strains or tears in the hip muscles through excessive training – pain is the result. It is also typical that stress fractures (fatigue fractures) are caused by permanent overloading.

These are micro-fractures in the skeleton, which also cause the surrounding periosteum to become inflamed. In many cases, the resulting pain is accompanied by limited movement of the hip joint. Not only during jogging but also after sporting activities, many feel an unpleasant pain in the hip.

Often this is a sign that the own load extent was exceeded. Here all have individually different load limits. Pain that occurs in the hip area after jogging is usually caused by the onset of tense muscles on the outside of the thigh.

Painful damage to the hip joint only occurs when there is long-lasting tension in the hip and thigh muscles. However, incorrect loading, incorrect positions in the joint, overstraining or a previous trauma can also lead to inflammation of a bursa (burstitis trochanterica) when jogging, since the tissue around the large trochanter (trochanter major, a bony prominence on the thigh bone) is very susceptible to inflammation. The bursa located in the hip is designed to prevent friction between the thigh bone and the tendons running there.

Pain in bursitis occurs particularly after a load or movement of the leg and is manifested by direct pressure and depth pain in the lateral hip. The occurrence of bursitis is particularly noticeable with new loads, so that often still untrained joggers are affected. In coxarthrosis (arthritis of the hip joint), the joint cartilage is already so badly worn that bony parts of the joint rub against each other when moving, thus leading to pronounced pain.

Rheumatism and gout can also cause complaints in the hip region when jogging. In rare cases, stabbing pain in the hip, which occurs after jogging, can also indicate diseases of the hip joint (e.g. hip dysplasia).More often such complaints are caused by blockages of the sacroiliac joint (joint between the sacrum and the pelvic bone). Such blockages can be diagnosed and treated by physiotherapy or chiropractic means.

In order to avoid pain during or after jogging, it is therefore particularly important to choose the right degree. A running unit adapted to the personal fitness level and sufficient stretching of the muscles can prevent unwanted pain. If you still have problems when jogging, you should consider exercising less hip-straining sports such as swimming or cycling.

Pain that occurs in the hip area after jogging is usually caused by the onset of tense muscles on the outside of the thigh. Painful hip joint damage occurs only when there is long-lasting tension in the hip and thigh muscles. However, incorrect loading, incorrect positions in the joint, overstraining or a previous trauma can also lead to inflammation of a bursa (burstitis trochanterica) when jogging, since the tissue around the large trochanter (trochanter major, a bony prominence on the thigh bone) is very susceptible to inflammation.

The bursa located in the hip is designed to prevent friction between the thigh bone and the tendons running there. Pain in bursitis occurs particularly after a load or movement of the leg and is manifested by direct pressure and depth pain in the lateral hip. The occurrence of bursitis is particularly noticeable with new loads, so that often still untrained joggers are affected.

In coxarthrosis (arthritis of the hip joint), the joint cartilage is already so badly worn that bony parts of the joint rub against each other when moving, thus leading to pronounced pain. Rheumatism and gout can also cause complaints in the hip region when jogging. In rare cases, stabbing pain in the hip, which occurs after jogging, can also indicate diseases of the hip joint (e.g. hip dysplasia).

More often such complaints are caused by blockages of the sacroiliac joint (joint between sacrum and pelvic bone). Such blockages can be diagnosed and treated by physiotherapy or chiropractic means. In order to avoid pain during or after jogging, it is therefore particularly important to choose the right degree. A running unit adapted to the personal fitness level and sufficient stretching of the muscles can prevent unwanted pain. If you still have problems when jogging, you should consider exercising less hip-straining sports such as swimming or cycling.