Chartered Physiotherapists

Specialists in Musculoskeletal Physiotherapy

There are a number of potential causes of buttock pain

  1. The hip joint, Sacroiliac Joint and Lumbar spine all have the potential to generate pain in this area.
  2. The muscles in the buttock which include the gluteal muscles and the hamstrings may also be a source of pain due to a strain or muscle spasm.
  3. Piriformis Syndrome
    The sciatic nerve which originates in the lumbar spine passes down through the buttock region before entering the leg where it is responsible for supplying information on sensation and movement back up to the brain. As the nerve passes through the buttock region it can sometimes become compressed by the piriformis muscle due spasm or tightness. This compression leads to a disruption in the flow of signals being passed along the nerve in the same way as you would have a disruption in the flow of water if you pinched the garden hose. This disruption can lead to pain and symptoms of pins and needles in the buttock and down the leg.
  4. Ilio-lumbar ligament strain
    This is a strong ligament which runs diagonally from your lumbar spine and attaches into the tip of your pelvic bone. Its function is to provide stability to the lumbosacral joint. Occasionally this ligament can become injured and strained resulting pain in the lower back and buttock region.


Our Chartered Physiotherapists will carry out a thorough examination to identify the cause of your buttock pain. Once the cause is identified our physiotherapists may use a combination of joint mobilisation, joint manipulation, myofascial release, heat therapy, dry needling and/or rehabilitation exercises to help restore normal pain free function.

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