Lower back pain, two buttocks pain. What's going on

Lower back pain accompanied by lower back pain may be related to factors such as lumbar disc herniation, piriformis syndrome, lumbar muscle strain, sacroiliitis, osteoporosis, etc. It usually manifests as symptoms such as lower back soreness, radiating pain in the buttocks, and restricted mobility. It can be relieved through hot compress therapy, medication analgesia, traditional Chinese massage, functional exercise, surgical treatment, and other methods.

1. Lumbar disc herniation

When lumbar disc herniation compresses nerve roots, it can easily cause dull pain in the waist and radiate to the buttocks and lower limbs. The onset of the disease is often related to long-term bending and weight-bearing, as well as intervertebral disc degeneration. In the acute phase, bed rest is required, and medication such as Yaotongning capsules, methylcobalamin tablets, and celecoxib capsules can be used according to medical advice. Cooperating with pelvic traction can reduce nerve compression.

2. Pear shaped muscle syndrome

Pear shaped muscle spasm or inflammation can stimulate the sciatic nerve, causing deep pain in the buttocks and spreading to the lower limbs. Commonly seen in prolonged sitting or sports injuries, manifested as significant tenderness in the affected hip. It is suggested to use acupuncture and moxibustion to relax muscles, cooperate with diclofenac sodium sustained-release tablets, Tongzhi Surunjiang capsules and other drugs, and avoid bad posture such as crossing legs.

3. Lumbar muscle strain

Chronic damage to the lumbar muscles can cause bilateral soreness, which worsens after prolonged sitting and radiates to the buttocks. Due to poor posture or excessive fatigue, it can be relieved through infrared therapy, and treated with external pain relief patches combined with compound chlorzoxazone tablets. Daily core muscle group exercise should be strengthened.

4. Sacroiliac arthritis

Sacroiliac arthritis can cause persistent pain in the lumbar and sacral regions, with a noticeable stiffness in the morning and pain often radiating to the buttocks. Ankylosing spondylitis patients are common and require comprehensive imaging examinations. Loxoprofen sodium tablets and sulfasalazine enteric coated tablets should be used to control inflammation, combined with joint function training.

5. Osteoporosis

Vertebral compression fractures can lead to sudden back pain accompanied by pelvic involvement pain, commonly seen in postmenopausal women. Bone density examination can confirm the diagnosis, and anti osteoporosis drugs such as calcium carbonate D3 tablets and alendronate sodium vitamin D3 tablets need to be supplemented. When the pain is severe, tramadol hydrochloride sustained-release tablets can be used for a short period of time.

Avoid prolonged sitting and standing in daily life, choose a hard bed for sleep, and pay attention to keeping the waist warm. Acute pain can be relieved through hot compress, while chronic pain patients are recommended to swim or exercise three times a week. If there are neurological symptoms such as numbness in the lower limbs and dysfunction in urination and defecation, immediate medical attention should be sought to diagnose emergencies such as cauda equina syndrome. Pay attention to supplementing high calcium foods such as milk and shrimp skin in diet. Osteoporosis patients should expose themselves to sunlight for 20 minutes a day to promote vitamin D synthesis.