The symptoms

The pain in the right buttock can manifest itself in many different ways. It can be diffuse in the muscle, concentrated at a specific point or spread along certain lines across the cheek and into the leg. Accordingly, the pain is described as pulling, burning, stabbing or dull.

The timing of the pain can also vary. Thus, the pain may be permanently present or become worse while walking, sitting or lying down. In the case of muscular problems, rapid fatigue is often described.

This often manifests itself in increased effort when getting up or climbing stairs. Since pain in the buttocks is largely an orthopedic problem, accompanying symptoms such as fever are rare. If the nerves are impaired, there may also be tingling, numbness and, more rarely, paralysis in the legs.

Pain in the lower back is often mistakenly referred to as pain in the buttock. The back is very susceptible to pain, muscular tension and orthopedic problems of all kinds. Especially the lumbar spine, which is located at the level of the buttocks, is often affected by pain.

Pain that originates in the back can lead to radicular symptoms, whereby the pain continues along the nerves into the buttock. An indication of this is the unilateral symptomatology. Pain in the back is also often mistaken for a slipped disc.

A herniated disc is a rupture of an intervertebral disc, which causes the fluid inside the disc to leak out and, depending on the extent of the herniation, can lead to damage to the nerves and spinal cord. By far not all pain in the back must be due to the disc. Tensions and muscle complaints of the spine are also conceivable.

Under certain circumstances, these can affect the nerves. Piriformis syndrome is also often mistaken for a herniated disc. Here, the pain is caused by irritation of the sciatic nerve by the piriformis muscle.

Pain in the groin in combination with pain in the buttock makes one think of a joint disease. Often the hip joint is affected. Arthrosis of the femoral head may be the cause.

Long-term incorrect loading can lead to such a clinical picture and cause pain in the groin with pain in the buttocks. The so-called “impingement syndrome” of the hip also causes such pain. If the symptoms persist for several days, an orthopedist should be consulted for clarification of these clinical pictures.

Pain originating in the back or buttocks can extend along a line to the leg and in some cases to the foot. This results in a pulling pain. This type of pain is also known as radical pain or pseudo-radicular pain.

The spread along the buttock into the leg suggests that a nerve coming from the lower back and supplying the leg is affected. Pseudoradicular pain is the same pain that does not directly affect the nerve in the spine. The causes of pain can be a herniated disc, rheumatic complaints of the spine, ISG blockages, tension, injuries or medical interventions.

Initially, there is a tingling sensation, later pain and possibly even paralysis. Before the nerve suffers permanent damage, therapy must be started urgently. This can be done physiotherapeutically, with medication or, if necessary, surgically.