Buttock Pain: Symptoms, Causes, Treatments

Buttock Pain may originate in the gastrointestinal tract, as in the case of haemorrhoids, or it may originate in the muscles or nerves that pass through the buttocks, as in the case of sciatica, piriformis syndrome, bursitis, a herniated disc, or torn muscles.

What are the symptoms of buttock pain?

There are a variety of diseases, disorders, and conditions that can cause buttock pain, and each of these might be accompanied by a unique set of symptoms. In addition to soreness in the buttocks, you may also have the following symptoms:

  • Limping
  • Ache in the lower back
  • Weakness or numbness in the muscles
  • Experiencing discomfort, pains, or stiffness in the groyne, hips, or legs
  • Bruising
  • Restricted motion in either the back or the hip
  • Edema of the buttocks is characterised by swelling.
  • Alterations in temperature, including a feeling of warmth or burning.
  • A sensation similar to snapping, popping, or grinding in the hips or lower back

Buttock pain can sometimes be accompanied by additional symptoms that could point to a serious or life-threatening condition that has to be investigated as soon as possible in an emergency environment. In these instances, it is important to seek medical attention as soon as possible. Seek emergency medical attention if you experience any of the following symptoms:

  • Hip or thigh malformation that develops all of a sudden
  • Instability or paralysis affecting the hips and legs
  • Constipation or severe bleeding from the rectal area
  • Incapability to walk or bear weight on the affected leg(s) or hip(s)

What causes pain in your buttocks?

Buttock pain has many causes. Prolonged sitting might induce buttocks pressure and numbness. Inadequate stretching, warming up, or cooling down can lead to buttock sprains and strains.

Buttock pain can also be caused by accidents, diseases, and abnormalities in the buttocks, pelvis, tailbone (coccyx), hips, upper legs, and lower back. Referred pain is buttock pain induced by another disease or condition.

Sciatica and Buttock Pain


Sciatica is a symptom. Sharp or searing pain radiates from your lower back into your buttocks and down each leg. Affected legs can be numb or tingly.

Stretching may assist. Herniated discs or spinal narrowing can stress on the sciatic nerve, causing sciatica. Sciatica issues grow increasingly common in your 40s and 50s. Some studies suggest that 40% of adults suffer sciatica.

coccycodynia and Buttock Pain

Herniated disk

Each spine bone is separated by jelly-like cushions. Disks. If a disk’s outer layer rips, inside material can leak out. Herniated discs can cause pain, numbness, and weakness.

If your lower back (lumbar spine) is injured, you’ll feel pain in your buttocks. Leg pain can also occur. Also, numbness, stingling and sweakness.

Disks degrade with age, making herniated discs more common. Obesity and excessive lifting are other dangers.


Your sacroiliac joint connects your sacrum to your pelvis. This joint can produce lower back pain that radiates to the buttock and upper leg when inflamed.

Walking, running, and stair climbing can increase pain, but there are treatments. Physical therapy improves joint strength and flexibility.

Misdiagnosing sacroiliac joint pain as low back pain is common. 10 to 25% of low back pain sufferers have sacroiliac joint problems.


In bursitis, the fluid-filled sacs that cushion the bones become inflamed. Most impacted are the shoulder, hip, elbow, and knee.

Pain when sitting or lying down Pain that extends down the back of your thigh Swelling and redness
If you hurt the ischial bursa or sit on hard surfaces, you may get bursitis. This bursitis is dubbed “weaver’s bottom” or “tailor’s seat” after the jobs that produce it. Exercises may help your symptoms.

Disk degeneration

Back discs degrade with age. As discs decrease, spine bones scrape against each other without cushioning.

Lower back disc degeneration causes buttocks and thigh pain. Sitting, bending, or lifting may aggravate the pain. Walking can help. Leg numbness and tingling may occur.

Abscess perirectal

A perirectal abscess originates in a gland near the anus, where stool leaves the body. Bacterial infection causes abscess.

Baby abscesses are common. Diarrhea, constipation, or other digestive issues make adults more susceptible to infection.

Some people have a skin-to-anus link. Fistula. In this context, bacteria can produce an abscess. The fistula may be removed surgically.


The aorta is the primary heartartery. It separates into two iliac arteries that carry blood to the legs. Atherosclerosis blockage can cause buttock pain.

Walking causes achy pain. The pain may stop if you stop walking. Lower legs can be weak and lose hair.



Disease that causes joint pain and stiffness. 100 kinds of arthritis affect almost 54 million Americans. Age and activities can cause gradual joint damage. Some joints are attacked by the immune system.

Hip arthritis causes buttocks pain. Morning pain and stiffness may improve with movement. Medication and PT assist manage pain.


An anal fissure is a tear in the anus’s lining. Anus is the digestive tract’s exit point.

Constipation, which causes straining to pass large, hard stools, trauma caused by insertion of items or anal sex, and disorders such as inflammatory bowel disease or STDs induce fissures.

Symptoms include pain and bleeding during and after bowel movements, urination discomfort, and a visible rip in the anal tissue with a foul-smelling discharge.

Hip replacement

Following a hip replacement, you may feel a similar pain in the thigh and buttocks in the first few weeks of your recovery. 2 weeks of this is normal but it can lead to implant failure if it is not properly treated.

Buttock Pain Treatments

Pain is caused by muscle spasms, and this pain needs to be treated both with medication and in non-medical ways.

Medications to Treat pain

Ibuprofen and other nonsteroidal anti-inflammatory medicines are the most effective treatment for muscular spasms and more severe injuries. Medicines that are available over-the-counter are a viable treatment option for minor muscle rips.

Alternative Treatments

One of the most effective treatments for piriformis syndrome is a stretch of the piriformis muscle. It is a method of physical treatment in which the piriformis muscle is stretched while the patient is lying on their back with their legs in a straight position. A physical therapist will evaluate the range of motion that is possible while the patient is experiencing buttock pain in order to make an appropriate workout recommendation. In order to facilitate a successful recovery, the treatment strategy typically combines various forms of therapy with medicinal intervention. Orthopaedic surgeons will only recommend surgery as a last resort when the patient’s condition is extremely bad and there is little hope for recovery.


You can treat buttock pain that is brought on by arthritis or injuries to your lower back or hips by engaging in regular physical activity. This is one of the most effective treatments you can utilise.

Always with your physician before beginning an exercise routine, especially if you are a beginner. Your primary care physician or physical therapist can help you determine whether or not the workouts are appropriate for you. Begin softly and proceed with caution. Stop exercising immediately if your joint pain is made worse by any activity, or if it lingers for more than a few days after you’ve finished a workout.

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