Tendonitis of the butt????

by Vicki

I have pain in my buttocks.

The pain is in two places. Across the widest part of the buttocks down the middle, and then in the lower part, about where the leg attaches.

The pain is the same on each side. I had this pain previously, and it lasted for several months.

I sat on pillows and did a lot of standing as I recall. There is no pain on standing, but any bending or sitting type movement is painful. The previous episode eventually went away, but now that it has returned, I want to find out what it is and how to deal with it.

I am an active individual and work out several times a week in cardio classes, which includes kick boxing and toning.

I would appreciate any insight you can provide on this condition, and any suggestions on how to prevent and/or improve it.



Joshua Answers:

Hi Vicki.

Anywhere that there is a muscle, there is tendon. Anywhere there is muscle and tendon, there is the possibility of Tendonitis.

Could also be a ligament issue, if something in your pelvis is out of whack.

So, I'm thinking piriformis muscle. Could have tendonitis of 1 or more of the glutes muscles. Could be your hamstrings are too tight, pulling/tilting your pelvis down, and disrupting happy patterns of the rest of the butt.

Could be, but probably isn't tight Psoas muscle(s) tiling the pelvis one way or the other and again making things unhappy.

At this point, I recommend that you get on Google and start looking for anatomy pictures. Terms like 'ligaments of the pelvis', 'glutes anatomy', 'glutes tendons', 'piriformis anatomy', etc.

Do some research and see if you can self identify what exactly might be going on in there.

Then, we can do some self massage,
and/or have you find the right professional that can deal with this.

Pelvis stuff can be tricky. It's either a straightforward tendonitis issue, or it's pain related to a muscle/structural imbalance.

It could be possible I guess that it's disc related. Do you have any pain down your leg, shooting pain, numbness anywhere? Doesn't really sound like it so far, just covering my bases.

And it makes sense that there's no pain when standing, in that the glutes and hamsrings are in a shortened position when standing, but lengthen and are likely thinking that they are getting overstretched when sitting.

I will also suggest that you supplement with magnesium, more on that shortly.


1. How long has this been going on?

2. Did something specific start it, or did it just start coming on over time?

3. Pain anywhere else?

4. Any shooting pain or numbness down the leg/foot?

5. Does stretching help? Have you been stretching it at all?

Please reply using the comment link below. Do not submit a new submission to answer/reply, it's too hard for me to find where it's supposed to go.

And, comments have a 3,000 character limit so you may have to comment twice.

Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert

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Nov 23, 2009
PART 2 - Glutes problem - Tendonitis of the butt????
by: Vicki

So sorry it's taken me a while to respond.

I did some research as you suggested and definitely believe it may be piriformis syndrome.

While I do on occasion have some pain going down the leg, as in sciatica, this does not appear to be part of the problem I am asking about. As I indicated, the pain is when I sit and extends from the butt to the back of the upper thigh where pressure is put when I sit.

Currently, this condition is fairly chronic, varying in intensity, but may worsen after an intense glutes workout. I definitely am thinking that some massage may help.

In my research, I found a mention of sitting on a tennis ball to help break up any adhesions. Is this a good regime or is there something else to do?

I really would like to try to make this problem lessen or better yet, go away entirely. Thanks for your help.




Hey Vicki. Long time no hear. And yes, this is exactly how to comment back.

I would definitely spend a couple weeks doing a lot of massage, on a tennis ball, on a couch corner, edge of a cabinet, etc.

There could be a lot going on in there, but definitely there is too tight muscle and connectdive tissue.

Perhaps your pelvis is tilted too far anteriorly (tilted forward which lengthens hamstrings). Could just be too tight.

There's a lot of muscles and a lot of connections in that area.....

So get to it with the self massage. Just get on a massage tool and work everything that you have the patience for.

Maybe yourself watch an hour of tv everynight, and just keep working it.

Or work it while sitting at the computer, etc.

Yoga class? Or at home, just slow easy stretching everyday. Stretch everything.

Might as well make sure you have enough Magnesium for Tendonitis.

Whether it's piriformis or hamstrings or both, first you have to loosen things up, then you can start looking at alignment and balance and whatnot so that this won't come back.

Nov 21, 2010
tendonitis of the butt - me too!
by: Kelli

Hi there
I just read the tendonitis on the butt conversayion and I have to say I have the same issue. It has been going on for 8 months and in that time I have had chiropractic, massage therapy, I have had orthotics made and I have had no relief.

It started when I was training for a 10 K and it hasn't healed. I am totally frustrated. I have completely quit running (for now) and just do lots of walking. Walking irritates it but not as much.

I have been doing pelvic tilts, a pirformis stretch and other sretching and nothing is helping.

What should I do?


Joshua Comments:

Hi Kelli.

This is a tough one to do over the internet....

1. Yoga. And lots of it. This will help you get a feel for what's tight and what's not, everywhere.

2. Can you do a full squat with your bodyweight, with toes pointing forward or a little in (pigeon toed)? Keeping your lower legs mostly vertical, and knees not going forward over toes? I suspect you can't. Start practicing.

3. Strengthen your hamstrings.

4. How's your overall flexibility?

Dec 21, 2011
mum diagnosed with tendonitis due to Levaquin eye drop
by: lili

hi tehre i need your help.
my mum was given an eye drop that contained LEVOFLOXACIN , which one of the side affect was you can get tendonitis, doctors did bot diagonose the tendonitis quuickly and she is now en constant pain, they have not done a scan or anything to confirm the severity of it, she was just given pain killers, these work sometimes, but now a month after the pain has got worse, she can not walk properly, cant sit , and the pain is from her left buttock all the way down her leg . what can she do??? can she requeste a scan?? they are very hesitant and just say she has tendonitis and that she can only take pain killers. can we request other treatments? physio? anyother medication she can take that wont contain that harmfull ingredient? please help !!!


Joshua Comments:

How in the world did you end up posting this in the 'Tendonitis of the Butt' thread????

If those symptoms are from Levaquin, read this page: Levaquin

and this page: Levaquin Tendonitis Treatment

And get the The Levaquin Tendonitis Solution ebook.

If it's Levaquin, unfortunately a scan isn't going to help the situation, physio won't help anything, and there is no medication on the market to fix the problem.

Jan 25, 2012
butt muscle pain
by: Anonymous

I had a terrible bout of butt muscle pain several years ago. It appeared in January and ran from the lower tailbone and back/hip deep muscle down to the very upper thigh and was so intense that I couldn't stand still or sit.

It was only tolerable while I was walking, so I would pace back and forth to keep the pain away. We ended up calling our local doctor who was still making house calls and he came over and gave me a shot in the hip.

I don't know what it was, but it relaxed me and put me to sleep and when I woke up I was all better. On thinking hard about it, I believe that I had severely overstretched the butt muscles while tuckpointing with cement the foundation of our home. I had been stoopinglow and reaching with tools and heavy cement for very long periods of time.

Oddly enough, I did this in late summer and the severe pain didn't show up until January, and it was during a very cold spell when the temps were single digits and I was under quite a bit of stress and sitting a lot and likely re-strained the muscles.

I still get a little aching from time to time in these glutteal muscles where they are attached to the hip and tailbone, but never again anything so severe. Anyway, I do think that the overstretching and re-straining combined with the cold weather did something to tighten and cause severe spasms.

The muscles in those areas are so thick, it took some powerful medicine to get them to relax and stop hurting.


Joshua Comments:

When muscle works hard, it contracts hard.

Long story short, the brain sometimes does stupid things. For instance, if it registers that the muscles is SUPER contracted, or if it fears that there's danger, it will clamp those muscles down to 'guard' and protect.

And you can get stuck there, with muscles tight and the pain signal on fire.

There's something to be said for an injection to MAKE the structure relax. It disrupts the 'too tight' signal and the brain can reset, or partly reset.

It's safe to say your muscle in there is still set tighter than is optimal (thus the occasional ache), but it sounds like it worked out well with the house call. Gotta like that!

Aug 26, 2013
Same pain.
by: Janice

I also have the butt, back of the upper leg pain. I was crawling around putting a baby quilt together with it's back and batting and now I am in bed with heat on the area which is helping. I am 70 years old and should have known better. :( The pain is like the shin splints I get from excursive. I am knock kneed and that seems to be the culprit. I do take magnesium but maybe not enough.

Thank you for your website. It is very good.

Oct 01, 2013
I would like to get to the bottom of this
by: Anonymous

I teach Zumba 4 X a week and 4 months ago I felt pain in the middle of my right cheek glut muscle.
I have been to my Dr. a sports medicine Dr. and acupuncture Dr. had an x-ray then an MRI.

Dr says I have tendonitis of the hamstring (butt feel nothing there) :=) and also a little arthritis. I am 63 years old and have exercised most of my life. I am very flexible and have danced forever.

I wish someone could tell me what to do. It hurts especially in bed at night and in the morning.



Joshua Comments:

You, sir/madam, are a lover of puns! It took me a minute to catch the title. Ha!

1. See: Magnesium For Tendonitis. It's self explanatory.

2. See: Hip Pain And see if it's relevant. You have (theoretically) in your hip, or elsewhere?

3. Read this page too, it's directly relevant: Carpal Tunnel and Arthritis

4. It might be worth forking out the money for a good massage therapist that knows what they're doing (you'll have to hunt around for that). A lot of it is nutritional (your body can't operate optimally because it doesn't have the building blocks it needs to do so), but part of the dynamic is muscle and connective tissue stuck too tight.

5. If you have arthritis elsewhere, you may want to go completely off gluten. Gluten is an inflammatory agent and, long story short, causes rheumatoid arthritis.

6. Get your Vit D level tested and get it up to between 60-80ng/ml pronto.

Jan 19, 2015
Buttock pain progressed to tingling down both legs
by: Maria


I have came across your website and find it very useful.. I actually have had pain in my buttocks since 6 months now.. I am only 23 and am very worried as it is getting much worse.

It started with pain in one muscle (I guess the piriformis one) of my right buttock. Went to see A LOT of doctors and each one told me something different, to in the end send me back home and tell me that it will go by its own..

Pain started to get worse around 3 months ago and I felt that my nerves in my tight and down my leg was hurting and tingling (I researched and it may be piriformis syndrome).

However, about 2 months ago the other buttock (the left one) started hurting too and now it is very very bad. I feel a burning sensation in both of my buttock and hips and am not able to walk without being hurt. I also always feel tingling sensation down both of my legs. They told me to do an MRI because it may be a disc.

I am still waiting for my MRI results and as usual it is taking ages.

I badly need help, I have no hope now and feel very bad.

What do you think it is? I really want to know what it may be so that i can start a treatment. Because staying like that and not knowing what to do to treat it, is not helping at all.

Please help.

I can send you the MRI results once I get them.

Thank you



Joshua Comments:

Joshua Comments:

Hi Maria.

What happened with the MRI?

How are things now?

Give me an update and we'll go from there.

May 20, 2016
Pain in the Butt!
by: jayjAnonymous

Similar complaints as the persons above. Am 61 very loose out of shape and not overweight. I have had back surgery and have neck issues. Chronic pain for years, tmj included. Trigger point injections have been helpful and also chiropractor adjustments.

About a year ago I started having slight charlie horse feelings in my buttocks. Over time it has gotten to the point I cant even squat. Now my butt is in constant pain.

Went for trigger points into the masseter which is helpful for the tmj and told the doctor. "I hurt so much and now can you believe my butt." He pressed places and said to have xrays done. Not conclusive but the Doc is good. He opined it was bursitis causing the butt pain and said some painful injections may help.

I have had this doc for 20 years and he is good.

Is there any exercise that is good that will help something like this?


Oct 30, 2016
Have you ever heard of coccyx tendon pain?
by: D. Smith

For the past two years I have experienced pain just to the right of my coccyx and sitting for any length of time is a "pain in the rear end."

An MRI shows inflammation in this area and the physical therapist likens it to overexertion such as with tennis elbow, because it first began after a day of riding a bicycle.

Do you have any tips for getting this area to heal?

I read what you wrote about diet and supplements and I'm willing to try your suggestions. I have had one steroid injection which helped for about nine months, but just turned down an offer for another injection as I believe my otherwise healthy body should be able to heal itself.


Joshua Comments:

Hi D.

Potentially you sitting on the bike seat pushed your coccyx a wee bit out of where it's happy to be.

Hopefully you just have a muscle imbalance that has pulled and/or kept the sacrum/coccyx out of alignment.

Not hopefully, your cocyxx is subluxated, out of alignment, out of joint. (Probably not, or just barely, because if it was really out you'd be in A LOT of pain.)

Either scenario can cause chronic and/or extreme pain.

Nutrition can help and there's no reason not to get the Pain Causing Dynamic.

You're going to need some specific work done on the muscles etc around there by somebody that knows what they're doing.

Worst case scenario, get somebody/anybody to very specifically massage all around the coccyx and surrounding (expanding out) tissue...hopefully loosening it up will break the pain dynamic and/or allow the coccyxx/sacrum to adjust back to where it should be.

And it's gets to potentially uncomfortable personal areas....but you gotta do what you gotta do.

You can do it yourself, technically, though it can be a tough reach.

Aug 21, 2017
Pain in butt after right hip replacement
by: Evelyn

I had hip replacement in July and right after surgery I started with the butt pain going down my leg. I went back to the surgeon and he told me that I have tendonitis. I have a bad back (spinal stenosis, scoliosis and arthritis) I had a Laminectory on L3 and L4 in May and the back doctor thought it would help.

It's actually worse. My hip surgeon gave me a (cocktail shot of Cortisone) and the pain in the butt is gone. What else can I do for this as he said it's my back that is causing this pain not my hip.

HELP please as I can only walk about 150 steps before I'm in agony.


Joshua Comments:

Hi Evelyn.

All that back issue is due to long term compression of the joints.

All that long term compression is from muscle and connective tissue tightness (and the other factors of the tendonitis dynamic).

It's safe to say that the same goes for your hip. Meaning, you had a hip replacement because your hip 'went bad', but nobody has ever explained to you WHY it went bad and thus 'required' replacement surgery.

Tightness, inflammation, and nutritional insufficiency cause compression of a joint, and it's all downhill from there.

You've had a laminectomy procedure on your spine (and I presume they fused those couple of vertebrae), so there's that. And what is still in play is all the tightness, inflammation, and nutritional lack that was there before...and it's still doing it's thing - causing tightness and pain...that causes more tightness and pain.

Same for the hip. (and of course, depending on how long ago the hip surgery was...it's just going to hurt.

I don't know exactly where your pain is coming from (but of course the hip surgeon said it's coming from your back and not your hip), I do know that in the short and the long run, you want to REVERSE (or, reduce) the tightness, the inflammation, and the nutritional insufficiency if you want things to go in a better direction than a 'stays the same' or 'worse' direction.

I'd start by reading this entire thread, and following the links and reading those pages too.

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