Pear-shaped muscle

Pear-shaped muscle is represented in the form of an isosceles triangle. Its base is located on the anterior plane of the tibia, and the apex - in the region of the large femur spit.

Pear-shaped muscle through the large opening (sciatic) leaves the cavity in the small pelvis, then passes along the back region of the hip joint. She attaches herself to the trochanter of the thigh, moving into a short and narrow tendon.

Pear-shaped muscle forms the lower and upper slit. Thus, it does not occupy the entire ischium hole.

Pear-shaped muscle is responsible for the removal and rotation of the thigh. With a fixed position of the leg, it has the ability to deflect anteriorly and toward the pelvis.

The muscle is innervated by the branches of the joint of the sacrum, from the spinal roots (S-1 and S-2). The blood supply is through the lower and upper artery buttocks.

Pathological tension in the pear-shaped muscle creates conditions for the appearance of compression. The lower gluteal artery and sciatic nerve are involved in the process . The compression of them occurs between the dense ligament (sacral-spinous) and the muscle itself.

The state can be primary. In this case, it is caused by pathological changes to the muscle itself. The secondary emergence of the condition is due to external spasm and compression.

Pathological changes of a primary nature can be caused by myofascial pain syndrome. The immediate reasons for its development include stretching, overtraining, hypothermia, trauma in the gluteal and lumbosacral zones. In addition, the soreness of this nature is often caused by unsuccessful injection, prolonged stay in antalgic position, ossifying myositis.

Due to diseases in the sacroiliac joint, small pelvis, gynecological nature in particular, a secondary pear-shaped syndrome can develop . Symptoms of the disease manifest as a painful aching or burning nature in the buttock area. At the same time, she can give back and thighs along the back plane. In addition, the condition is accompanied by difficulties in bending the legs. Together with weakness in the lower leg or foot, there is a feeling of numbness along their outer edge. Skin changes change color (as a rule, become cyanotic or pale), become dry. In many cases, a characteristic feeling of chilliness appears in the affected limb. Seizures in it can lead to intermittent claudication. The patient feels painful when bringing the limbs together (bringing the hip).

It should be noted that this disease prognosis is favorable and successfully treatable. As practice shows, its occurrence is associated with prolonged physical exertion in case of degenerative lesion in the spine (osteochondrosis). Therefore, the doctor's attention in the appointment of therapeutic measures is drawn, as a rule, to prevent the progress of the process. That is why it is recommended to see a doctor as soon as possible.

Medical measures have a similar direction as those prescribed for instability of the spine or compression in the nerve roots of its lumbosacral zone.

The main therapeutic manipulations are based on the elimination of the cause of the disease.

The expressed pain syndrome assumes the appointment of medications that have the ability to reduce spasm in the cervical muscles. Chronic character of the state is expedient and more effective to eliminate by means of physiotherapeutic procedures. Such activities should include:

• Spinal traction;
• Therapeutic gymnastics;
• Special massage;
• Acupuncture.

For relaxation, exercises for the pear-shaped muscle are also recommended.

The patient assumes a position lying on his back with half-bent legs, leaning on the couch with soles. Next, you should perform smooth movements of breeding and connecting the knees.

With half-bent legs, energetic shocks are produced - one knee pushes the other - within three to five seconds.