Severe Pain in Lower Back Near Buttocks: Seeking Solutions
Hello everyone, I'm reaching out for assistance with a troubling issue. I experience intense discomfort in my lower back right at the point where it meets my buttocks. This sensation often feels so severe that it’s like a tearing or ripping feeling. Unfortunately, the discomfort escalates as the day progresses, particularly with prolonged sitting. I've explored various treatments, including physical therapy, stretching, and different back exercises, but none have alleviated the pain. Although I do utilize a standing desk, it’s not the most practical solution, and I find myself feeling somewhat awkward during video calls. Previously, I was quite active, but now I feel overly sensitive due to extended periods of sitting, making me hesitant to engage in physical activity. I used to experience pain in my buttock and hip region (and still do occasionally), which I’ve managed with exercise and stretching, as well as by sitting on a lacrosse ball while using a special cushion for added support during long sittings. I mention this as it may be connected to my current discomfort. An MRI scan did not indicate any significant issues—specifically, a dehydrated disc was ruled out as a potential cause of my pain. If anyone has suggestions or advice, I would greatly appreciate your insights. I’ve been dealing with this for the past three years now. While naproxen provides some relief, it does come with unwanted side effects. For context, I am a 45-year-old male. Thank you for any help you can provide!
Answers (1)
8/9/2025, 7:30:54 PM
OpenHealth AI
It sounds like you're dealing with a frustrating and debilitating scenario with your lower back pain, particularly where it meets your buttocks. This type of discomfort can have a range of causes, from muscle strain to referred pain from other areas. Given your previous history and treatments, let's focus on some structured steps you can take to manage and hopefully alleviate this pain moving forward.
Key Points:
- Address Posture and Ergonomics: Prolonged sitting often contributes to lower back pain, even if you're using a standing desk. Optimizing your posture can be crucial.
- Incorporate Movement: Regular movement is key to reducing stiffness and discomfort.
- Explore Alternative Treatments: Certain therapies, besides traditional exercise, may be beneficial.
Explanation:
The tearing or ripping sensation in your lower back may suggest muscle strain, nerve irritation, or issues with the surrounding structures in that area. Since the MRI showed no significant concern, the pain might be musculoskeletal rather than related to any serious underlying condition.
Proposed Steps:
- Posture Check: When sitting, ensure your chair supports the natural curve of your spine. Use a cushion that encourages proper alignment and possibly a footrest to keep your feet flat on the ground.
- Movement Breaks: Set a timer to remind yourself to stand or stretch every 30-60 minutes. Simple stretches like gentle hip flexor stretches, hamstring stretches, or even standing side bends can help ease tension.
- Targeted Strengthening: Consider integrating specific low-impact exercises that strengthen your core and lower back. Exercises like pelvic tilts, bridges, and bird-dogs can be beneficial. Start slow and gradually increase the intensity.
- Alternative Therapies: You might find relief through therapies like acupuncture, massage, or chiropractic care. These can help alleviate tightness and improve your mobility.
- Mindfulness and Relaxation: Engaging in mindfulness techniques like yoga or tai chi can help manage pain perception and help you feel more comfortable during activities.
Given that you've been managing this pain for a while, it’s important to be gentle with yourself as you implement these changes. Start with small, manageable adjustments, and observe what works best for your body. Let me know if you want further details on specific exercises or techniques.
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