What are the trigger points for buttock pain?

Answered by Robert Dupre

Trigger points are specific areas of muscle tightness and tenderness that can cause pain and discomfort. In the case of buttock pain, there are several trigger points that can be responsible for the symptoms. Two common trigger points in the buttock area are MTP2 and MTP3.

MTP2 is located slightly above the ischial tuberosity, which is commonly known as the “sit bones.” This trigger point is often the most common culprit for buttock pain. When MTP2 is active, it can refer pain to the entire buttock area, as well as the lower sacrum (the triangular bone at the base of the spine) and below the crest of the ilium (the top part of the hip bone) laterally. This can result in a deep, aching pain in the buttocks that may worsen with sitting or certain movements.

On the other hand, MTP3 is associated with pain in the coccygeal area, which is the region near the tailbone. This trigger point is located within the most medial (innermost) and inferior (lower) muscle fibers. When MTP3 is active, it can cause localized pain in the coccyx area. This pain may be aggravated by sitting or pressure on the tailbone.

It’s important to note that trigger points can be caused by a variety of factors, including muscle overuse, trauma, poor posture, or even emotional stress. Additionally, trigger points in the buttock area can be linked to other conditions such as sciatica, piriformis syndrome, or sacroiliac joint dysfunction.

To help alleviate buttock pain caused by trigger points, several treatment options can be considered. These may include:

1. Trigger point release techniques: This involves applying pressure or massage to the specific trigger points to release the tension and reduce pain. This can be done through self-massage techniques using your hands, a tennis ball, or a foam roller. Alternatively, seeking the assistance of a qualified healthcare professional, such as a physical therapist or massage therapist, can provide more targeted and effective treatment.

2. Stretching and strengthening exercises: Stretching the muscles in the buttock area, such as the gluteus maximus and piriformis, can help relieve tension and reduce trigger point activity. Strengthening exercises, particularly for the core and hip muscles, can also provide support and stability to the area, reducing the likelihood of trigger point formation.

3. Heat and cold therapy: Applying heat, such as a hot water bottle or warm towel, can help relax the muscles and improve blood flow to the area. Cold therapy, such as an ice pack or cold compress, can help reduce inflammation and numb the area, providing temporary pain relief.

4. Posture correction: Poor posture can contribute to the development and persistence of trigger points in the buttock area. Making an effort to maintain proper posture, both while sitting and standing, can help alleviate strain on the muscles and reduce trigger point activity.

5. Stress management: Emotional stress and tension can contribute to the formation and activation of trigger points. Incorporating stress management techniques, such as deep breathing exercises, meditation, or engaging in relaxing activities, can help reduce overall muscle tension and promote healing.

It’s important to remember that each individual may experience buttock pain differently, and the effectiveness of treatment options can vary. If the pain persists or worsens despite self-care measures, it is recommended to consult with a healthcare professional for a thorough evaluation and appropriate treatment plan.