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What Causes Butt Pain? Your Symptoms Explained

Buttock pain can affect either the right or left cheek, as well as the anus. Butt pain can also occur when walking or sitting. Butt muscle pain can be caused by trauma from an injury that may result in a bruise or pulled muscle, damage to the sciatic nerve, or hemorrhoids. Read below for more information on causes and treatment options on pain in the buttocks.

Common butt pain symptoms

Experiencing pain in the butt may make daily activities difficult. Puns may be easy to make; however, the butt is incredibly important as it allows us to sit comfortably and walk properly. The primary components of the butt include the gluteal muscles (glutes) and the anus. The glutes allow you to sit without putting full pressure on your feet, and the anus assists with bowel movements. Issues with either of these components can lead to butt pain.

Common characteristics of butt pain

The following may describe your butt pain.

Common accompanying symptoms

You may also experience the following in addition to your butt pain.

  • Bruising or discoloration
  • Itching or redness around the anus

What is causing your butt pain?

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What causes pain in the buttocks?

The following details may help you better understand your symptoms. See a physician for persistent butt pain that doesn't resolve on its own.

Environmental causes

Environmental causes may be related to certain habits or events.

  • Trauma: Direct injuries to the glutes, for example, falling or a collision, will result in butt pain symptoms. Similarly, trauma to the anus will cause pain in the butt. Pain from spinal injuries may also radiate to the butt.
  • Pulls and strains: Muscular injuries to the lower back leads to upper butt pain, such as pulling hamstring tendons or a long-term strain on the abductors.

Medical causes

Other medical issues may result in butt pain, such as the following.

  • Nerve damage: Damage to the sciatic nerve often results in sciatica. The sciatic nerve starts in the lower back and extends through the butt. A variety of conditions related to the sciatic nerve cause in butt pain, including piriformis syndrome.
  • Cancer: Prostate cancer is one of the most common cancers in men. The prostate is located near the rectum in the butt.

Inflammatory causes

Inflammation may result in butt pain, such as the following.

  • Autoimmune: The strong relationship between the butt and the lower back makes it susceptible to pain caused by inflammation. Osteoarthritis, for example, is a condition that affects the lower back and can cause butt pain symptoms.
  • Infections: Open wounds caused by trauma, if not properly treated, can become infected. The anus is also susceptible to infection.
  • Bursitis: The sac surrounding the sit-bone, or ischial tuberosity, can be inflamed.

8 butt pain conditions

The list below shows results from the use of our quiz by Buoy users who experienced butt pain. This list does not constitute medical advice and may not accurately represent what you have.


Hemorrhoids, also known as piles, are swollen veins in your anus and lower rectum that can cause pain, itching, and rectal bleeding. Hemorrhoids may be seen or felt on the outside of the anus (external) or may be hidden from view inside of the rectum.

Hemorrhoids are common occurring in 10 million Am..

Bruised buttocks

A bruise is the damage of the blood vessels that return blood to the heart (the capillaries and veins), which causes pooling of the blood. This explains the blue/purple color of most bruises. Bruises of the buttocks are common, given the location on the body.

Rarity: Rare

Top Symptoms: constant butt pain, butt pain, butt pain from an injury, recent buttocks injury, butt bruise

Symptoms that always occur with bruised buttocks: butt pain from an injury, recent buttocks injury, constant butt pain

Urgency: Self-treatment


The tailbone, called the coccyx, is the most bottom portion of the spine. Coccydynia is pain around the area of the tailbone, which is triggered by pressure on the tailbone such as during sitting on a hard chair. Symptoms get better with standing or walking. Doctors are not completely sure what causes this pain.

Rarity: Uncommon

Top Symptoms: back pain, lower back pain, painful sex, back pain that shoots to the butt, constant butt pain

Symptoms that always occur with coccydynia: constant butt pain

Symptoms that never occur with coccydynia: warm and red tailbone swelling

Urgency: Self-treatment

Tailbone bruise

A bruise is the damage of the blood vessels that return blood to the heart (the capillaries and veins), which causes pooling of the blood. This explains the blue/purple color of most bruises. Bruises of the tailbone are common, given the location on the body.

Rarity: Rare

Top Symptoms: constant butt pain, tailbone pain, tailbone pain from an injury, tailbone injury, butt bruise

Symptoms that always occur with tailbone bruise: tailbone pain from an injury, tailbone injury, constant butt pain

Urgency: Self-treatment

Anal fissure

An anal fissure is a break, or tear, in the mucous membrane lining of the anus. The anus is the opening at the end of the digestive tract where stool leaves the body. A fissure is caused primarily by constipation, which leads to straining to pass large hard stools; trauma caused by insertion of objec..

Piriformis syndrome

The two piriformis muscles, left and right, each run from the base of the pelvis to the top of the thighbone. The two sciatic nerves, left and right, are each attached to the spine and run down between the pelvic bone and the piriformis muscle to the back of each leg.

If the piriformis muscle is damaged through sudden trauma, or through overuse as in sports, the resulting inflammation or spasm of the muscle can trap the sciatic nerve between the pelvic bone and the muscle.

Piriformis syndrome is most often found in women over 30.

Symptoms include pain over one or both sides of the low back, and shooting pain (sciatica) down one or both legs.

Diagnosis is made through physical examination and sometimes imaging such as CT scan or MRI.

Treatment involves rest; over-the-counter, nonsteroidal anti-inflammatory drugs; physical therapy; therapeutic injections; and, rarely, surgery.

The best prevention is a good regimen of stretching before exercise, to help prevent damage to the piriformis.

Rarity: Common

Top Symptoms: pelvis pain, butt pain, pain when passing stools, leg numbness, hip pain

Symptoms that never occur with piriformis syndrome: involuntary defecation, leaking urine

Urgency: Primary care doctor


Sciatica is a general term describing any shooting pain that begins at the spine and travels down the leg.

The most common cause is a herniated or "slipped" disc in the lower spine. This means some of the cushioning material inside the disc has been forced outward, pressing on a nerve root. Bony irregularities..

Anal cancer

Most anal cancers are linked to the human papilloma virus, or HPV. However, many people carry HPV and have no symptoms or illness of any kind.

Most susceptible are men who have sexual contact with men; women who have had cervical cancer; and anyone who has engaged in anal intercourse, had anal warts, or is HIV positive. Smoking and lowered immunity are also factors.

Symptoms include minor anal bleeding and itching, which may be attributed to hemorrhoids; pain or fullness in the anal region; and abnormal anal discharge.

It is important to see a medical provider about these symptoms so that if needed, treatment can begin as soon as possible.

Diagnosis is made through patient history; physical examination; anal swab; and biopsy. CT scan, ultrasound, or endoscopy of the anus may also be done.

Treatment involves some combination of surgery, radiation therapy, and chemotherapy depending on the needs of each individual patient.

Rarity: Rare

Top Symptoms: abdominal pain (stomach ache), stool changes, constipation, diarrhea, pain when passing stools

Urgency: Primary care doctor

So... which condition is actually causing your butt pain?

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When and how to treat butt pain

Treatments for butt pain vary based on the diagnosis. You should see a physician for persistent or worsening butt pain that doesn't resolve with conservative treatments.

When it is an emergency

It is recommended to seek care immediately for:

At-home treatments

Simple stretching, rest, or improved form while exercising can sometimes provide relief.

  • Rest and stretching: This may heal hamstring pulls or other muscular issues causing your butt pain.
  • Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) may help.

When to see a doctor

Radiating pain can be an important sign of larger problems. If the pain is located in or around the anus, infection or internal damage is possible, which makes it important to see a doctor.

  • Prescription pain medication: Narcotics may be prescribed for pain related to sciatica, arthritis, or traumatic pain.
  • Antibiotics: These are used to treat infections.
  • Spinal injections: These are used to treat chronic or extreme pain.
  • Surgical procedures:* If the body does not respond to less invasive techniques or it is deemed that aggressive action is necessary to prevent long-term effects, surgery may be needed.

FAQs about butt pain

Here are some frequently asked questions about butt pain.

Why do I have pain in my buttocks when sitting for too long?

Many lower back conditions result in radiating pain to the butt. These issues can be worsened after sitting for extended periods of time. The sciatic nerve begins in the lower back, passes through the butt, and runs down the leg. Issues with the sciatic nerve, commonly called sciatica, can result in pain in the butt after prolonged sitting.

Why does my butt hurt when I walk?

Walking utilizes the many muscles found in the legs and butt. A strain, pull, or cramp in one of them can result in butt pain while moving. Other, more chronic conditions related to blood flow and circulation to the lower back can also cause pain while walking.

Why do I have buttocks pain on only one side?

Butt pain is frequently linked to lower back issues. Dysfunction in the joints and nerves of the lower back can affect the butt in a variety of ways, including pain on only one side. The pain may also be an isolated pull or strain of a muscle on that side of the butt.

How long does it take to recover from piriformis syndrome?

As with all medical conditions and treatments, the recovery time can vary. Symptoms may disappear for periods of time, or piriformis syndrome may require several procedures. Recovery will depend on how invasive the procedure is how much therapy is needed afterward.

Why is my anus burning when I poop?

A burning sensation while pooping can result from several conditions. Hemorrhoids and anal fissures can cause burning sensations exacerbated by straining due to anal inflammation.

Questions your doctor may ask about butt pain

  • Do your symptoms worsen when sitting?
  • Are you sexually active?
  • Have you had any changes in your weight?
  • Any fever today or during the last week?

Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

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