Awkward question: Pain in the buttocks

<p>So awkward!</p>

<p>My 15 year old D is complaining of pain in her upper cheeks. Not her back, not pain down her leg, just sore, constant limited pain. She has not done anything strenuous. There is no rash or anything viable. She had trouble sleeping last night and I can tell she is somewhat uncomfortable today.</p>

<p>Had her take ibuprofen. Had her do a few stretching exercises. Not sure if applying heat or ice is best? Any other recommendations??? I don’t know what to recommend to her - so odd!</p>

<p>Moving her brother back to school tomorrow…will try doc Monday if not better.</p>

<p>Is it constantly hurting or just when sitting? It could be a broken tail bone.</p>

<p>Not constantly. Also hurts when she is laying down (in bed). Says it feels best when she is laying on her side. She hasn’t fallen or anything.</p>

<p>Heat works best ive found.</p>

<p>For the longest time, i had an issue in the similar area of my leg. It would get so bad that i couldnt walk on it at times. Doc never figured out what was wrong with it. Still have issues with it on occasion, but rarerly occurs now.</p>

<p>I’m so very sorry your DD has these aches. I’m going to tell you what happened to me and how I handled it. I am not at all a doctor or PT, and I don’t know anything about anatomy, but this is what worked for me.</p>

<p>Every once in a while, my muscles contract and stay that way. Oooo, it can hurt. And I don’t know what can set them off. Most of the times, these muscles are in my lower back, but I have had this problem in my upper arm, shoulder, and yes. Deep, deep in my right but t cheek. (And yes, I have a cute, young but t.)</p>

<p>When that first happened to me, the pain was excruciating, but also unidentifiable. For a time, I thought it was my back, and eventually went to my ortho guy, sure I’d need another back operation. I’ve had two already. He couldn’t find anything, but recommended an MRI and PT. For some reason, I couldn’t easily schedule the MRI, but I did start the therapy right away. Mind you, I didn’t know what I was dealing with, so the therapist took all my data and I left. Still in pain. The next visit, however, wow — relief!!! He went right to the core of this darn tight muscle and unleased it.</p>

<p>Now, whenever I get these uncomfortable contractions, I know just what to do. I just push really hard into that tight muscle to break the tension. Fortunately I haven’t experienced pain like that since then.</p>

<p>There is an area at the end of your tailbone right above your butt where there is a void of sorts. One can get an infection there and it causes pain especially when lying down. She should see her md and ask if this may be the case. Won’t get better without antibiotics if this is the problem. Good luck.</p>

<p>One idea, look at what she’s sitting / perching on. Could she be pinching a nerve by spending, for example, hours sitting on the edge of a chair this summer using the computer/drawing/playing an instrument or computer game/using an iPad or smart phone?</p>

<p>It could be a pilonidal cyst. I had one and had to had surgery twice o remove it. It is extremely painful when it gets bigger and will eventually get big enough to either pop or need lancing.</p>

<p>Don’t think she sits for longer periods doing anything in particular. She told me a couple nights ago when going to bed that it hurt but then she seemed fine for a couple days…today it seems to have bothered her a good bit of the day and started stressing her out ( and me!) cause she is worried she won’t be able to sleep.</p>

<p>I had her take a 800 mg ibuprofen before she went to bed - just hoping she can at least sleep then we will reevaluate in the morning.</p>

<p>There is no mark or indication of swelling on the outside .</p>

<p>Sounds like a manifestation of lower back pain, caused mostly by stress and emotional factors. You can probably get just about any diagnosis you are willing to pay for, as shown by all of the theories presented above.(pulled muscle, pinched nerve, bruised bone, tumor, cyst… blood vessel, parasite. ) I recommend, “Mind Over Back” by Dr John Sarno, but see your doctor of choice first.</p>

<p>It could also be sciatica. </p>

<p>Google Piriformis Stretch. If she does that, and feels relief, there’s a good chance it’s sciatica.</p>

<p>I’ve had something similar to this before and have absolutely no idea what triggered it or stopped it. Mine was incredibly painful when sitting (almost like I’d broken my tailbone), but hadn’t fallen or anything. I think it was a muscle issue…try having her massage it out a bit and see if she can feel any knots or if it’s hot/tender to the touch</p>

<p>I had a pilonidal cyst at that age. Is her tailbone tender to the touch? The pain dod radiate out from my tailbone. It was a terrible condition and I did have surgery. I think though, that surgery is no longer the usual course of treatment for them. They give a course of antibiotics when there is a flare up. Hope she feels better, no matter what it is!</p>

<p>Is she doing at all different? Like driving? My daughters knee was bothering her. Turns out she was too far from gas peddle somwas hyperextending her leg.</p>

<p>When did pain start and what position if any make it better. Dpes she have cramps?</p>

<p>I find that often pen part of our body hurts, and we over adjust thus hurting another part. </p>

<p>What if anything is she doing now that is nre and itndoesnt have to be uber physical.</p>

<p>Pilonidal cyst it is! Just got back from the ER. - it was a rough night, so we went in this morning (sunday 8am apparently great time for ER visit - walked in and seen right away). She is on antibiotics , Motrin and warm compresses. Crossing fingers that this resolves it so no further steps are necessary. </p>

<p>Thanks for your comments and support!</p>

<p>Poor kid. Glad that you have a diagnosis and a treatment plan! Better than being in pain when no one can figure our exactly what is causing it or what to do about it. (BTDT with that part of the body…)</p>

<p>Hope that works for her! I had one when I was 15 (3 years ago) and it was brutal. My doctor said once you have it it is likely to come back so suggested we have it removed surgically.</p>

<p>I did have mine removed surgically at age 16 and it came back anyway. Of course, that was a few thousand years ago so maybe they are better at it now. When mine did flare up again about five years ago, my doctor told me to avoid sitting in really cushiony seats for long periods of time (like theater seats) That compressed pressure on the tailbone can cause a flare up. I haven’t had one since.</p>

<p>Good luck to your D! I hope she feels better soon. By the way, they are hereditary.</p>