Deep Gluteal Syndrome: A Pain in the Buttock
- 1 June 2021
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Optometry and Vision Science
- Vol. 20 (6), 279-285
- https://doi.org/10.1249/jsr.0000000000000848
Abstract
While buttock pain is a common complaint in sports medicine, deep gluteal syndrome (DGS) is a rare entity. DGS has been proposed as a unifying term referring to symptoms attributed to the various pain generators located in this region. While not all-inclusive, the diagnosis of DGS allows for focus on pathology of regionally associated muscles, tendons, and nerves in the clinical evaluation and management of posterior hip and buttock complaints. An understanding of the anatomic structures and their kinematic and topographic relationships in the deep gluteal space is pivotal in making accurate diagnoses and providing effective treatment. Because presenting clinical features may be unrevealing while imaging studies and diagnostic procedures lack supportive evidence, precise physical examination is essential in obtaining accurate diagnoses. Management of DGS involves focused rehabilitation with consideration of still clinically unproven adjunctive therapies, image-guided injections, and surgical intervention in refractory cases.This publication has 32 references indexed in Scilit:
- Imaging of neuropathies about the hipEuropean Journal of Radiology, 2013
- Isolated posterior femoral cutaneous neuropathy following intragluteal injectionMuscle & Nerve, 2009
- Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria)Neurourology and Urodynamics, 2007
- Reliability of electromyographic normalization methods for evaluating the hip musculatureJournal of Electromyography and Kinesiology, 2007
- The Proximal Origin of the Hamstrings and Surrounding Anatomy Encountered During RepairThe Journal of Bone & Joint Surgery, 2007
- Sciatica of nondisc origin and piriformis syndrome: diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatmentJournal of Neurosurgery: Spine, 2005
- Piriformis syndrome: Diagnosis, treatment, and outcome—a 10-year studyArchives of Physical Medicine and Rehabilitation, 2002
- Nerve Entrapment Syndromes as a Cause of Pain in the Hip, Groin and ButtockSports Medicine, 1999
- Gluteal nerve damage following total hip arthroplasty: A prospective analysisThe Journal of Arthroplasty, 1990
- Superior gluteal nerve entrapment syndromeMuscle & Nerve, 1980