Painful bottom buttocks what can be the causes

The buttocks actually are composed of some powerful muscles on which we normally can sit softly. Due to indirect disorders these muscles can give pain resulting in an unpleasant feeling. We don’t get enough rest and walk in a strange way resulting in more discomfort. Why do you have a sore buttock and what are the consequences?


Problems with sitting

Everyone likes to sit comfortably and easy. Most important muscle for sitting is the buttock or bottom. It is soft and provides a good posture then sitting so that we don’t have any complications during sitting. This will change if disorders result in painful sitting problems. Which disorders result in sitting painfully?



The trochanter is located at the side of your legs at the topside of your upper leg. It is a sticking out bone to which muscles from the back, buttock and leg are connected. This means it is an important crossroad of muscles and tendons which pass each other on several levels. With this the mucous membrane is very important providing a supple movement. If there is an inflammation then it can have serious painful consequences. Or pain radiates into the leg, in the buttock or a combination of it. Most typical of this inflammation is that the person will start to move wobbly from side to side and a cane needs to be used in order to walk properly.


Sciatica or hip arthritis

A very painful disorder is sciatica also called hip arthritis. A nerve passing the hip is jammed or pressed resulting in a painful back of the leg. The nerve has ending at the complete back of the leg resulting in pain from heel to buttock. When changing the walking movement or posture in most cases it can be helped.


Overloaded SI joint

The connection between the sacrum and hips is formed by the SI joint. This is a rugged connection and needs to transfer much weight and absorbing shocks from walking or running. Also during pregnancy this joint will have much influence. Due to the hormone relaxin muscles relax so that the pelvis can widen more before giving birth. This can lead to early pelvis instability during pregnancy. Also overloading it with much physical work or intensive training can have great influence on this joint. The buttock, legs, groin and back can hurt badly. 


Hamstring injury

The hamstring is located at the back of the upper leg and consists of three muscles. These muscles are responsible for the backward movement of the leg, so that the walking movement can be made. It also gives the possibility to do a movement sideways. The biggest muscle is made-up from muscle and halfway goes over into tendon. A lash can occur resulting in swelling of the leg giving hemorrhage and pain radiating to the buttocks. With some people it can occur regularly or chronic.


Radiating lumbago or hernia

The spine is relatively flexible whereby muscles pull at the vertebrae and the disks in between. If a disc is dislocated it can give a hernia. This can give lower back pain radiating to the bottom and shoulders. If it is a hernia on the third till fifth vertebra then it has to be corrected with an operation. Is it concerned with the first till third vertebra then it isn't a hernia but lumbago. This can be caused by too salty nutrition resulting in cramped kidneys and back muscles. It gives tension in the lower back making nerves getting pressed to hard giving a tingly feeling in the upper leg. By avoiding salt, coffee and alcohol combined with sufficient water intake it can pass quickly.


Pelvic floor problems

During pregnancy a lot of tension is put on the pelvic floor so that it stretches, especially during birth. Normally it is responsible for keeping the intestine, bladder, vagina and rectum in the correct position. As the pelvic floor is stretched far during birth it is necessary that proper exercises for recovery are done after birth. Insufficient muscle exercises can result in a variety of problems. Think about painful buttocks, back and belly also giving regular urinary infection. 


Broken tailbone

The tailbone is the lower part/ ending of the spine and consists of three till five bones. It is a remainder of the tail we lost during evolutionary processes and has no significant function. Due to a fall the tailbone can be broken giving painful complaints. This pain can radiate to the buttocks and under back. Next to this it can have influence on the defecation as it will hurt when squeezing. 



A painful rectum can be caused by hemorrhoids making that the person sits painfully. A cushion is needed to relief the pain. With a hemorrhoid a vain is blocked by blood clots giving an inflammation which can give much pain. Mostly it gives painful complaints for several weeks before it goes away. If it is a chronic problem then surgical removal can be considered.


If you constantly have a sore painful buttock it can be caused by several disorders. Sometimes these can easily be treated giving you a quick recovery. Ask your general practitioner for more information on how to treat it.