Symptoms
Deep buttock pain
Deep gluteal pain with sitting frequently involves piriformis, obturator internus and quadratus femoris.
Overview
Deep gluteal pain with sitting frequently involves piriformis, obturator internus and quadratus femoris. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Coordinate with imaging if neurological signs.
Red flags — when to refer
Progressive neurological signs — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction