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Stiff Low Back with Pain in the Lower Buttock

Table of Contents


This is one of several posts about a stiff, fragile low back. This particular pattern also involves pain in the lower buttock. A stiff low back is usually a combination of a binding intervertebral joint with more than one muscle involved. If you have a stiff low back, you should compare these posts.

How People Describe This Pain Pattern

These people complain of stiffness at the base of their low back.  Additionally, they may press into the fleshy part of the lower buttock and say that it hurts there.

Typically, one of the focuses is a primary complaint that is more aggravating. Some people primarily complain of notable pain in the low back with some hip soreness. Conversely, others primarily complain of an achy buttock with some stiffness at the base of the spine.

Low Back Stiffness

Often, with stiffness in the base of the spine, they have noticed some tenderness when they press into their back just above the dimple in their hip. Occasionally, this area is sharp, fragile and debilitatingly painful.

Buttock Pain

The hip pain can be sudden, sharp, dull, and achy. These people are fidgety and adjust their seating to try to get relief.  The pain in the hip can be sharp when it twists unexpectedly.  Older people are concerned about their hip joint and may have recently had an orthopedist check their hip for pain, only to have the doctor say that their hip is just fine.

How You Activate and Intensify This Pain Pattern

Leaning, Teetering, Picking Things Up

Like other QL problems, this condition is usually activated by a teetering activity like sweeping, mowing the grass, moving boxes, or washing dishes. It is also activated by leaning forward and reaching out. For example, this stiff low back and/or lower buttock pain may flare up after stacking things in the back of a low cabinet.

The Musculoskeletal Anatomy Behind Your Pain

Musculoskeletal Anatomy

About these Illustrations…

This post on anatomy contains standard information about the origin, insertion, function, and innervation of muscles. Additionally, it includes information on functional considerations and anomalies.

Find Related Posts

Anatomy posts have a grid of all related posts. This includes posts on pain patterns, self-care, therapy notes, NMT protocols, cranial techniques, and cases.

Getting Relief on Your Own

Clinically Proven
Self-Care Strategies

Self-Care Posts have common sections to make them easy to follow and understand:

  • Activities to Avoid or Change
  • Strategies for Quick Relief
  • Stretches and Exercise for Longer-Lasting Relief
  • Yoga Corner

Therapy Notes for Massage and Bodywork

Better Bodywork
Through Shared Expertise

Therapy Notes provide details for cranial, spinal, and local joint work. These notes also link to a traditional neuromuscular protocol.

By treating integrative components first, direct work on the muscle becomes less intense while providing longer-lasting relief.

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Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written materials and instructed classes since the mid-90s. This includes anatomy, trigger points, cranial, and neuromuscular.

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*This site is undergoing significant changes. We are reformatting and expanding the posts to make them easier to read. The result will also be more accessible and include more patterns with better self-care. Meanwhile, there may be formatting, content presentation, and readability inconsistencies. Until we get older posts updated, please excuse our mess.