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Buttock Pain

Buttock pain is commonly see with muscles strains, bruising or contusions from falling or a symptom related to back pain. Pain can sometimes be localized within a specific muscles or it can radiate into different areas of the buttock or even down the leg.

General Anatomy

Bones
provides structural support for the body and serves as an anchor points for ligaments and tendons.

Ligaments
Ligaments are non-elastic tissues which connect one bone to another bone giving our body structure its stability. When frequently or severely injured, ligaments become "stretched out" causing the joint to become loose or more unstable. Ligaments have a poor blood supply so have a tendency to heal more slowly than other tissues. Injuries to ligaments are called "sprains".

Tendons
Tendons are elastic tissues that connect a muscle to a bone.

Muscles
Muscles are elastic tissues. Muscles and tendons work together to create the body's motion. Injuries to muscles and tendons are called "strains".

Cartilage
Cartilage is the spongy material that lines the ends of the bones. It works as the body's "shock absorber", helping to cushion the impact placed upon the bones during activity as well as directly protecting the ends of the bones. This is called articular cartilage.

Bursa
Bursa are fluid filled sacs that lie between tissues or tissues and bones preventing friction.

Muscles

Piriformis Muscle DiagramPiriformis
The piriformis is a muscle that needs to be mentioned for it often plays a role in back and posterior leg pain. The reason for this that the sciatic nerve either passes through or under the piriformis muscle so the tighter the piriformis the more pressure is placed upon the sciatic nerve which can lead to butt, thigh or leg pain.

Nerve

Sciatic Nerve
The Sciatic Nerve can be common to back, buttock and back of the leg pain. This is due to where it is located and it's pathway down the leg to the foot. The sciatic nerve is a large nerve the exists the back, runs down the buttock and back of the leg, then branches into two separate nerves that lead to the foot.
Piriformis Syndrome Piriformis Muscle and Sciatic Nerve Sciatic Nerve Diagram