Deep Gluteal Syndrome (DGS)

Deep Gluteal Syndrome (DGS) is a condition characterised by pain in the buttock region, typically due to compression of the sciatic nerve within the deeper structures of the buttock. This can lead to pain in the buttock region, sometimes radiating into the leg.

It is an umbrella term for deep gluteal pain. However, various structures can cause this pain (lower back, sacroiliac joint, piriformis muscle, sciatic nerve, ischiofemoral impingement, posteroinferior hip osteoarthritis, etc.).

Specific imaging and clinical examination can provide more clarity on the underlying cause.

How does Deep Gluteal Syndrome develop?

The cause is increased pressure on the sciatic nerve. This increased pressure can have several causes:

• Increased muscle tension of the deep gluteal muscle (piriformis). The sciatic nerve runs through this muscle. If the muscle has increased tension, it can cause compression of the nerve. Increased muscle tension can have various causes.
• History of surgery: In a previous procedure on the sciatic nerve and/or the gluteal muscle, scar tissue can form, irritating the sciatic nerve.
• From the lower back: Sciatic nerve irritation can also occur with lower back problems.

Typical symptoms of DGS include pain that worsens with sitting and hip extension, along with tenderness of the deep gluteal muscles (piriformis). Driving, sitting on a hard chair, etc., are all uncomfortable. Movement is often better tolerated than sitting.

Treatment for Deep Gluteal Syndrome may include:

• Specific exercise therapy and manual therapy
• Lifestyle adjustments
• Injections
• Possible surgery (piriformis release)

We will discuss with you which treatment option is most suitable based on your specific situation and needs.