Diagnostic Tests for Buttock pain

Diagnostic Test list for Buttock pain:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Buttock pain includes:

• Physical examination
  • Point exactly to the area of greatest discomfort
  • Observe walking and gait
  • Feel lumbosacral, hip and sacroiliac joints for tenderness
  • Observe range of movement of lumbosacral spine and hip joint
  • Test the sacroiliac joint
  • Examine for signs of peripheral arterial insufficiency e.g. absent peripheral pulses including femoral pulse, cool foot, loss of hair over the lower leg
  • Digital rectal examination - note any pain, lumps, swellings on examination (anal and rectal conditions may refer pain to buttocks); move the coccyx during examination to elicit pain in Coccygodynia.
• Blood tests
  • Full blood count and ESR
  • Rheumatoid factor
• Ankle-brachial index - compares the resting systolic blood pressure at the arm and ankle and can indicate occlusive peripheral vascular disease.
• Radiological investigations
  • X-ray of Lumbosacral spine and Hip can detect arthritis, fractures
  • CT Scan or MRI of Lumbosacral spine may be required to demonstrate narrowing of the spinal canal and compression of nerve roots causing sciatica
  • Bone Scan may be required to detect fractures and tumors that are not detected on X-Ray
  • Ultrasound scan of hip may assist in diagnosing Trochanteric bursitis
  • Arteriography can detect the site and degree of arterial obstruction if suspect gluteal claudication due to peripheral vascular disease

Home Diagnostic Testing

These home medical tests may be relevant to Buttock pain causes:

• Nerve Neuropathy: Related Home Testing:
  • Home Diabetes Test Kits
  • Home Blood Glucose Testing Kits

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