What causes sudden buttock pain that makes walking impossible?

The buttocks generally refer to the gluteal region. In most cases, sudden pain in the buttocks that prevents walking may be caused by physiological factors or pathological conditions such as myofasciitis or sciatica. Treatment should be symptom-based and tailored to the specific cause. Details are as follows:

I. Physiological Factors

Prolonged sitting can lead to stiffness in the muscles of the lower back, buttocks, and legs. Upon sudden standing, temporary buttock pain may occur, making walking difficult. This usually resolves with appropriate movement and does not require special treatment.

II. Pathological Factors

1. Myofasciitis

This is a common sterile inflammation affecting muscle fibers and fascia, which can cause muscle pain and spasms. If the buttocks are involved, it may lead to the aforementioned symptoms. Patients are advised to use medications such as indomethacin gel patches or ibuprofen sustained-release capsules as directed by a physician.

2. Sciatica

This is a clinical syndrome characterized by burning or knife-like pain and numbness radiating along the path of the sciatic nerve, from the lower back through the buttocks and down the leg to the calf or even the ankle, caused by compression of the nerve roots. Patients are advised to use medications such as diclofenac diethylamine topical gel or flurbiprofen gel patches as prescribed.

In addition, other possible causes include lumbar disc herniation, piriformis syndrome, and femoral nerve entrapment syndrome. Individuals experiencing discomfort should seek medical attention promptly to avoid delays in treatment. Additionally, maintaining a light diet and ensuring adequate rest are recommended.