Trigger Points that Refer Pain to the Pelvis, Sacrum and Gluteal Region
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Pain Referred to the Sacrum and Sacroiliac (SI) Joint Region
Quadratus Lumborum (Lower Fibers):
Deep aching pain across the sacroiliac joint and top of the sacrum.
Gluteus Maximus (Medial Fibers):
Deep, dull pain across the sacrum and upper gluteal area.
Gluteus Medius (Posterior Fibers):
Refers pain directly to the sacroiliac joint and upper buttock.
Gluteus Minimus (Superior Fibers):
Pain radiating toward the sacroiliac joint and sometimes extending slightly into the sacrum.
Deep pain at the sacroiliac joint and sometimes radiating through the buttock into the thigh.
Iliocostalis Lumborum (Lower Fibers):
Referred aching pain over the sacroiliac joint.
Multifidi (Lumbar and Sacral Attachments):
Deep, vertical pain at the sacroiliac and lower lumbar spine.
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Pain Referred to the Coccyx and Tailbone Area
Gluteus Maximus (Lower Fibers):
Aching pain near the coccyx and surrounding area.
Coccygeus:
Sharp or aching pain in the coccyx area, aggravated by sitting.
Levator Ani (Pubococcygeus, Iliococcygeus):
Deep pain referred to the coccyx and rectal area, can feel internal.
Piriformis:
Occasionally radiates pain downward to involve the coccyx.
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Pain Referred to the Buttock (Gluteal Region)
Gluteus Maximus (All Fibers):
Generalized deep aching pain throughout the buttock.
Gluteus Medius (All Fibers):
Referred pain deep into the upper buttock and sometimes toward the hip.
Gluteus Minimus (All Fibers):
Referred pain deep into the buttock and sometimes down the posterior thigh.
Piriformis:
Sharp or burning pain in the center of the buttock; can mimic sciatica symptoms.
Tensor Fasciae Latae:
Referral to the upper lateral buttock, sometimes wrapping toward the hip.
Obturator Internus and Externus:
Deep pain inside the buttock, often mistaken for hip joint pain.
Gemelli (Superior and Inferior):
Localized deep aching in the mid-buttock area.
Quadratus Femoris:
Deep buttock pain extending toward the hip and sometimes into the posterior thigh.
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Pain Referred to the Hip and Lateral Pelvis
Gluteus Medius (Anterior and Middle Fibers):
Strong pain around the lateral pelvis and greater trochanter.
Gluteus Minimus (Anterior Fibers):
Pain at the hip and lateral thigh, sometimes mimicking hip joint pain.
Tensor Fasciae Latae:
Pain in the lateral pelvis and hip area.