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View Full Version : Pain in the you-know-what


Melissa Whittle
09-22-2009, 10:24 AM
I've been having issues with gluteal pain for 3 weeks. I think I know what's going on, but I thought I would check with the knowledge base here and make sure I am on the right track.

The initial injury occurred during a DL 1-1-1 session. Unfortunately I was not well rested and probably should not have tried deadlifting for 1RM. But I train at an affiliate and also enjoy lifting so when a WOD comes up like that I don't like to miss it. Anyway, my focus was off. I lifted my first rep (215), then bumped up the weight to 225 which I have previously lifted. I made multiple unsuccessful DL attempts at that weight. On the last attempt, I felt something strange in the middle of my right glute. It felt like I had just overtaxed one little area. But then later on that night and the next day it hurt and had limited range of motion. It initially hurt a lot at night while lying on my back, and it still hurts during the motion of sitting down or standing up. The pain has lessened and now only bothers me a little. But during workouts involving squats, I feel weakness coming up out of the squat. This has been impacting my workouts and also causing me pain afterwards. My range of motion, usually very flexible for that area, has also been much less during warm-ups - for example, doing punter kicks and air squats.

I think what is going on is a mild-to-moderate gluteal strain, in which case the course of action seems to be to rest it, ice it several times a day, etc. Luckily my lower back hasn't been bothering me at all, only the glute. I have been foam rolling the area and using a tennis ball to get deeper into the muscle...that seems to help a little but I really don't feel that much in the way of painful trigger points when I do that. I feel more trigger points in my hamstrings and IT band, so that could be related. Stretching the hip doesn't seem to help at all. I've also been icing the area.

I'm somewhat limited on funds and I know that if I went to see a doctor, a chiropractor and a massage therapist, they would probably all give me different advice as to the underlying issue. If the best answer is just to rest it more and ice it, that's much cheaper and only costs me patience.

So...helpful advice? Does this sound like a gluteal strain, or is there possibly something else going on that needs to be addressed?

Steven Low
09-22-2009, 01:21 PM
Sounds like you have it under control.

The biggest thing is to NOT AGGRAVATE IT. That means stop doing workouts that involve your glutes (which is pretty much everything legs).

Mike Mallory
09-22-2009, 01:21 PM
Could just as easily be an SI joint issue, causing the muscles to strain in a kind of emergency mode.

Glute strains are fairly rare

Melissa Whittle
09-23-2009, 07:16 AM
Sounds like you have it under control.

The biggest thing is to NOT AGGRAVATE IT. That means stop doing workouts that involve your glutes (which is pretty much everything legs).

Could just as easily be an SI joint issue, causing the muscles to strain in a kind of emergency mode.

Glute strains are fairly rare


Thanks for responding, Steven and Mike.

The suggestion of an SI joint issue is interesting, because although I don't currently have any back pain, I do have a long history of recurrent lower back pain on the same side, along with an overly tight psoas only on that side.

http://www.sportsinjuryclinic.net/cybertherapist/back/buttocks/sacroiliac.htm
(w/f/s)

This jumped out at me:
Classic symptoms are difficulty turning over in bed, struggling to put on shoes and socks and pain getting your legs in and out of the car.
Stiffness in the lower back when getting up after sitting for long periods and when getting up from bed in the morning.

I think there is definitely a muscle or ligament strain going on the glute, because the symptoms that I'm feeling are congruent with that. But now I am wondering if the SI joint is implicated as the underlying issue.

Steven Low
09-23-2009, 09:47 AM
SI joint pain, and sciatic nerve issues run in the same vein. Usually pain deep inside the butt is due to sciatic nerve issues (not glute strains or anything), so now that you mentioned it, heh. People never include enough information.

Anyway, if your SI joint is out of place a chiro should be able to pop it back in place.. but if it's been that way for a while then you might have to see a PT to help recorrect your movements in accordance with an SI adjustment.

Also, get your hip flexors stretched out. That's part of the problem.

Melissa Whittle
09-23-2009, 10:39 AM
Here's a neat resource I found:

http://www.thelowback.com/fix.htm (w/f/s)

I'll definitely explore the SI joint stuff. I did the standing correction from the link above a few moments ago and it felt good. There is still significant inflammation obviously but I prefer not to just treat the symptoms and ignore an underlying issue.

Steven Low
09-23-2009, 08:07 PM
Here's two more wfs

http://www.youtube.com/watch?v=lo3DZrYW580&feature=channel_page
http://www.youtube.com/watch?v=RkltzrvatlU&feature=channel_page

But I wouldn't do them unless there's no inflammation or anything.

If you've had it a while I would still say to get checked out by a professional, heh.

Melissa Whittle
09-24-2009, 07:02 AM
Here's two more wfs

http://www.youtube.com/watch?v=lo3DZrYW580&feature=channel_page
http://www.youtube.com/watch?v=RkltzrvatlU&feature=channel_page

But I wouldn't do them unless there's no inflammation or anything.

If you've had it a while I would still say to get checked out by a professional, heh.

Will do. At least now I have an idea of what could be going on, so I know which kind of professional to see. Thanks again for your help.