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Learn about your 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.

Butt Pain Checker

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Your Butt Pain May Also be Known as:
Aches and pains in bottom
Aches and pains in butt
Aches and pains in rear
Aches and pains in rear end
Bottom ache
Bottom discomfort
Bottom hurts
Bottom is painful
Bottom pain
Bottom soreness

Butt Pain Symptoms

Having pain when standing and walking AND being unable to sit and rest is never any fun. Many of us spend too much time worrying about its appearance, but the butt allows us to sit comfortably and assists with walking.

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. 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 help lead to relief.

Butt pain symptoms include:

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

Butt Pain Causes Overview

Sometimes the butt pain cause is obvious. If the person behind you had been paying attention and had not hit you with their shopping cart, you would not 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, such as pulling hamstring tendons or long-term strain on the abductors, to the lower back leads to upper butt pain.

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.

Top 2 Butt Pain Causes

  1. 1.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.

    You should visit your primary care physician, who would perform a physical exam, looking for other possible causes of your symptoms. Treatment involves NSAIDs (Ibuprofen), massage, and physical therapy.

    Top Symptoms:
    pelvis pain, butt pain, pain when passing stools, leg numbness, back pain that shoots down the leg
    Primary care doctor

    Butt Pain Checker

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

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  2. 2.Pressure Ulcer

    Pressure Ulcer, or bed sores, are areas of damaged skin caused by staying in one position for too long. They commonly form where the bones come close to the skin, such as the ankles, back, elbows, heels and hips.

    A pressure ulcer can be diagnosed by having doctors just look at it; no further testing is needed. Treatment involves cleaning the wound and dressing it properly.

    Top Symptoms:
    pain in one shoulder, painful rash, loss of appetite, butt pain, sunken area of the rash has broken the skin
    Symptoms that always occur with pressure ulcer:
    sunken area of the rash has broken the skin, rash resembling a pressure ulcer
    Primary care doctor

Butt Pain Treatments and Relief

Butt pain symptoms could be directly associated with the butt itself or larger issues with the lower body or 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 symptom.
  • 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 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.How long has the pain around your buttocks been going on?
  • Q.How severe is the pain around your buttocks?
  • Q.Have you had any changes in your weight?
  • Q.Do your symptoms worsen when sitting?

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

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Butt Pain Symptom Checker Statistics

  • People who have experienced butt pain have also experienced:

    • 7% Lower Back Pain
    • 4% Abdominal Pain (Stomach Ache)
    • 2% Back Pain
  • People who have experienced butt pain had symptoms persist for:

    • 28% Less Than a Week
    • 28% Over a Month
    • 23% Less Than a Day
  • People who have experienced butt pain were most often matched with:

    • 30% Piriformis Syndrome
    • 3% Pressure Ulcer
  • Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

Butt Pain Checker

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

Take a quiz