Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 7 , Pages 534-538, September 2005

Possible Generators of Retrotrochanteric Gluteal and Thigh Pain: The Gemelli–Obturator Internus Complex

  • James M. Cox, DC

      Affiliations

    • Post Graduate Faculty, National University of Health Sciences and Private practice, Fort Wayne, Ind
    • Corresponding Author InformationSubmit requests for reprints to: James M. Cox, DC, 3125 Hobson Road, Fort Wayne, IN 46805
  • ,
  • Barclay W. Bakkum, DC, PhD

      Affiliations

    • Department of Anatomy, National University of Health Sciences, Lombard, Ill

Received 10 March 2003; received in revised form 25 February 2004 and 13 July 2004

Objective

To investigate and correlate the anatomy of the gluteal region with the clinical findings of retrotrochanteric and posterior thigh pain, as seen in clinical chiropractic practice, and describe potential treatment options.

Methods

A descriptive gross anatomic study is correlated to a case presentation of a patient with deep persistent aching pain in the retrotrochanteric region of the left hip and upper posterolateral thigh.

Results

The structures that are located in the same location as the retrotrochanteric pain described by the patient are the gemelli–obturator internus muscle complex and associated bursae.

Conclusions

In patients with persistent gluteal and sciatica-like pain, especially when centered in the retrotrochanteric region, the gemelli–obturator internus muscle complex and associated bursae should be considered as a possible source of the pain.

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 Sources of support: no external funding was received for this study.

PII: S0161-4754(05)00190-9

doi:10.1016/j.jmpt.2005.07.012

Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 7 , Pages 534-538, September 2005