Read below about butt pain, including causes, treatment options and remedies. Or get a personalized analysis of your butt pain from our A.I. health assistant. At Buoy, we build tools that help you know what’s wrong right now and how to get the right care.

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Butt Pain Symptoms

Having pain when standing and walking AND not being able to sit and rest may leave you feeling hopeless and wanting to crawl back into bed. You may be among many of us who spend too much time worrying about whether it has a nice appearance. However, the butt is incredibly important in that it allows us to sit comfortably and walk properly.

Butt or buttock pain can disrupt almost any activity, even those that are passive. The primary components of the butt include the gluteal muscles (glutes) and the anus. The rounded glutes allow us to sit without putting full pressure on our feet and are strongly linked to the lower back. As you may know, the anus assists with bowel movements. Issues with both of these components can lead to butt pain. Recognizing your butt pain symptoms and working to identify the cause can lead to relief.

Butt pain symptoms include:

  • Discomfort in the anus and rectum
  • Discomfort while walking and/or sitting
  • Bruising or discoloration
  • Itching
  • Radiating pain

Butt Pain Causes Overview

Sometimes the cause of butt pain is obvious. If the person behind you had been paying attention and didn't hit you with their shopping cart, you probably wouldn't be in pain. Other times, the cause can be an internal issue associated with other parts of the body like the lower back or legs.

Environmental causes:

  • Trauma: Direct injuries to the glutes (for example falling or collision) will result in butt pain symptoms of varying severity. 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:

  • Nerve Damage: Damage to the sciatic nerve often results in the symptom set known as sciatica. The sciatic nerve starts in the lower back and extends through the butt. A variety of conditions related to the sciatic nerve result 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:

  • 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.

A.I. Health Assistant Causes for Butt Pain

Updated on Aug. 29, 2018

The list below shows results from the use of our A.I. Health Assistant by Buoy users who experienced butt pain. This list does not constitute medical advice.

  1. 1.Hemorrhoids

    Hemorrhoids are a very common condition that affects more 50% of the population, typically after the age of 30. Hemorrhoids are enlarged, bulging blood vessels in the anus that can bleed or clot.

    Chronic and can worsen with time. But, 90% of people are successfully managed with non-surgical treatments.

    Top Symptoms:
    constipation, rectal pain, rectal bleeding, pain when passing stools, anal itching
    Symptoms that never occur with hemorrhoids:
    unintentional weight loss
  2. 2.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.

    Bruises begin to heal within one week.

    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
  3. 3.Coccydynia

    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.

    May take weeks to months for significant pain relief to set in.

    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
  4. 4.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.

    Bruises will begin to heal over the course of a week

    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

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  5. 5.Anal Fissure

    Anal fissures are splits or tears in the part of the anus closest outside of the body. They're very common and typically affect the young and middle-aged and both genders, equally. 11% of people will have an anal fissure in their lifetime.

    Conservative treatment leads to 50% healing rate. More aggressive treatments are needed for those with chronic anal fissures.

    Top Symptoms:
    rectal pain, pain when passing stools, painful rectal bleeding, hard stools, mild rectal bleeding
    Symptoms that never occur with anal fissure:
    unintentional weight loss
  6. 6.Piriformis Syndrome

    Piriformis syndrome is a condition when a muscle spanning the lower spine to the top of the thighbone presses upon the sciatic nerve, causing pain and numbness.

    1-2 months

    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
    Primary care doctor
  7. 7.Sciatica

    The sciatic nerve is the largest nerve of the human body, and it runs through the buttock, down the thigh and into the calf, sending information to the muscles in the back of the thigh and leg, as well as the surrounding skin. The sciatic nerve itself is supplied by nerves coming from the spine in the lower back. Sometimes, one of the disks separating the vertebrae (bones of the spine) may bulge out a little bit, putting pressure on one of these nerve roots, causing sciatica, or shooting pain down the sciatic nerve.

    Problem will resolve itself within several weeks in 80-90% of cases.

    Top Symptoms:
    back pain, back pain that shoots down the leg, numbness in one foot, pain in one leg, numbness in one thigh
    Symptoms that always occur with sciatica:
    back pain that shoots down the leg
  8. 8.Anal Cancer

    Anal cancer is a highly (75%-90%) curable cancer of the opening of the anus.

    Varies by severity of tumor

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

Butt Pain Treatments and Relief

Butt pain symptoms could be directly associated with the butt itself, larger issues with the lower body, or could be a sign of something more significant internally. Treatments will vary dramatically based on the diagnosis.

It is recommended to contact your doctor for any of the following butt pain symptoms:

Sometimes the simplest thing, like stretching, can provide relief, but more complex issues could lead to long-term physical therapy or even surgery.

Treatments for the range of butt pain issues include:

  • Rest and stretching may be all that is needed to help heal hamstring pulls or other muscular issues that cause butt pain symptoms.
  • Medications of varying forms could be prescribed for pain related to sciatica, arthritis, or traumatic pain. Anti-inflammatory medications such as NSAIDs and narcotics have been successful.
  • Antibiotics could be recommended by your doctor to treat infection.
  • Spinal injections could be used to treat chronic or extreme pain.
  • Surgical procedures can be used if the body does not respond to less invasive techniques or it is deemed that aggressive action is necessary to prevent long-term effects.

Your butt does not stand on its own. The muscles and nerves found in the butt are part of a larger network tied to the lower back and legs. Muscular or radiating pain can be an important sign of larger problems. If the pain is located in or around the anus, there is the potential for infection or internal damage. Butt pain is sometimes more of a nuisance than a cause for concern, but it is always important to monitor butt pain symptoms and seek treatment, if necessary, to avoid long-term complications.

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 conditions of the lower back result in radiating pain to the butt. These issues can be magnified after sitting for extended periods of time. The sciatic nerve, for example, begins in the lower back, passes through the butt and 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 and a strain, pull, or cramp in one of them could result in butt pain during motion. Other, more chronic, conditions related to blood flow and circulation to the lower back can cause pain while walking as well.

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. Sometimes symptoms may disappear for periods of time, but if treatment is necessary, piriformis syndrome is treated by several procedures. How invasive the procedure is and the amount of therapy required post-procedure will dictate the length of recovery.

Why is my anus burning when I poop?

A burning sensation while pooping can result from several conditions. Hemorrhoidal issues and anal fissures result in many painful symptoms of the anus, including burning sensations. Conditions such as these result in inflammation of damage to the anus that create undue strain while pooping.

Questions Your Doctor May Ask About Butt Pain

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

If you've answered yes to one or more of these questions, try our butt pain symptom checker to find out more.

Butt Pain Quiz

Butt Pain Symptom Checker Statistics

  • People who have experienced butt pain have also experienced:

    • 19% Lower Back Pain
    • 6% Hip Pain
    • 4% Upper Leg Pain
  • People who have experienced butt pain had symptoms persist for:

    • 31% Over a Month
    • 27% Less Than a Week
    • 22% Less Than a Day
  • People who have experienced butt pain were most often matched with:

    • 33% Hemorrhoids
    • 33% Bruised Buttocks
    • 33% Coccydynia
  • Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

A.I. Health Assistant

Take a quiz to find out why you’re having butt pain

Butt Pain Quiz