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Resolving Deep Gluteal Syndrome with OMT

Journal: The AAO Journal Date: 2025/06, 35(2):Pages: 7-8. doi: Subito , type of study: case report

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/2/article-p5.xml)

Keywords:

case report [710]
deep gluteal syndrome [1]
DGS [1]
female [607]
geriatrics [117]
hip [384]
OMT [3752]
osteopathic manipulative treatment [3772]
women [562]

Abstract:

Introduction: Deep Gluteal Syndrome (DGS) is a cause of posterior hip pain that frequently presents with radiating pain, which is most commonly caused by compression of the sciatic nerve by muscles in the deep gluteal space. First line treatment is conservative. For more rapid relief, many specialists will do ultrasound- guided injections. Surgical intervention is recommended in cases that do not respond to conservative treatment. However, there is an option that would avoid unnecessary invasive treatment—that is Osteopathic Manipulative Treatment (OMT). Case: A 69-year-old female with PMHx of lumbar spinal surgery (2011) presents with pain of the right lower back/buttocks into the anterior right thigh. She was evaluated and treated throughout four office visits at the ONMM clinic. She was referred from the ED where she described 10/10 pain. On exam at the ONMM clinic, she had severe pain when reproduced by palpating an area of hypertonicity in the right gluteal region. Particularly, counterstrain of that counterstrain point, as well as BLT and other treatment modalities of the rest of her body, contributed to the positive outcome. Results: From the first to last visit, the patient reported 10/10 severity of pain to 0/10. She was worried the onset of back pain meant that she would need surgery again, and experiencing the pain remit with a hands-on treatment, was a relief for the patient. She was grateful that we were able to resolve it with non-invasive techniques. Conclusions: OMT is an important adjunctive or, in this case, stand-alone treatment for those with DGS. More physicians should be aware of the positive outcomes this treatment can have and how it can help patients live an improved quality of life.


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