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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Buttock Muscle Pain With Indentation Be Treated?

Hello! 18 years ago I fell in the street and him my right cheek (bottom) on the point of a cement block. After the enormous pain, swelling and bruising passed I had x-rays and an MRI. The doctor said I broke the muscle in my butt. The dent has never gone away. Every day I have this discomfort and from time to time I m told the muscle gets inflammed and I m given oral steroids - have had epidural blocks which work but do not last. I recently had a pelvic MRI requested by my spine doctor. What is he looking for? Thank you so much! Madalene I just saw that I have to pay $15 to receive an answer. I am sorry, being unemployed at this time I cannot afford to pay the fee. Thank you anyway for reviewing my question.
Thu, 16 Apr 2015
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Orthopaedic Surgeon 's  Response
hi
never mind the money part. this forum is always there to help and guide .
I believe Pelvic MRI may be to assess the parts of pelvic bone like symphysis pubis and its joint, the sacro-iliac joints, the tail bone or coccyx , the ischial tuberosities from where many hip muscles take origin and ilium bones from where buttock muscles originate.
apert from this soft organs like inary bladder ,uterus, rectum are seen on pelvic MRI
Any infammation in the joints mentioned, or at sites of muscles origin of buttocks, rents in muscles,ligaments,tendons shall be visible.
Your primary problem seems to be the seat of buttock,(we sit on ischium ,a seat bone
The workup may be for a comprehensive view
18 years is a long time and rent in muscle may have healed with fibrosis,fat deposits.Myositis or inflammation may be another possible cause or some bony changes in ischium ,its tuberosity may be recurring cause of pain
Sorry to have elaboreated medical terms, but thats how things can be explained
Remedy may be sitting in hot water tub twice a day for 10 minutes (sitz bath)for relaxation of the area
Regards,
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How Can Buttock Muscle Pain With Indentation Be Treated?

hi never mind the money part. this forum is always there to help and guide . I believe Pelvic MRI may be to assess the parts of pelvic bone like symphysis pubis and its joint, the sacro-iliac joints, the tail bone or coccyx , the ischial tuberosities from where many hip muscles take origin and ilium bones from where buttock muscles originate. apert from this soft organs like inary bladder ,uterus, rectum are seen on pelvic MRI Any infammation in the joints mentioned, or at sites of muscles origin of buttocks, rents in muscles,ligaments,tendons shall be visible. Your primary problem seems to be the seat of buttock,(we sit on ischium ,a seat bone The workup may be for a comprehensive view 18 years is a long time and rent in muscle may have healed with fibrosis,fat deposits.Myositis or inflammation may be another possible cause or some bony changes in ischium ,its tuberosity may be recurring cause of pain Sorry to have elaboreated medical terms, but thats how things can be explained Remedy may be sitting in hot water tub twice a day for 10 minutes (sitz bath)for relaxation of the area Regards,