Your buttocks have several layers of muscle. These muscles primarily move your hip joint, and straining them can literally be a pain in the butt. These strains typically occur on one side of the body when a muscle is overstretched or overworked. You can injure it in sports, heavy lifting, direct trauma or repetitive movements, such as squatting. Treatment for these injuries varies based on the intensity of your pain and the extent of muscle damage.
Basic home remedies, including rest and ice, are used to treat muscle strains. Avoid activities that increase any pain in your buttocks for several days or until your pain subsides. Ice can be applied to the area 3 to 5 times each day for 20 minutes. Nonsteroidal antiinflammatory medications, such as ibuprofen (Advil, Motrin), aspirin and naproxen (Aleve, Naprosyn), decrease pain and inflammation, and may help you heal more quickly.
Pain that does not improve within a few days may require a trip to your doctor. Medications are often prescribed to decrease inflammation and pain caused by a muscle strain. These may include oral steroids such as a Medrol Dose Pack, prescription-strength NSAIDs such as diclofenac (Voltaren) and muscle relaxants, such as cyclobenzaprine (Flexeril). Topical medications may be applied directly to the sore area. According to a study published in 2010 in "Journal of Pain Research," the diclofenac medicated patch is effective in the treatment of muscle strains. Because it delivers medication directly to the injured area, you may experience fewer or less intense side effects than you would with oral medications. Your doctor may also inject corticosteroid medications, such as cortisone, directly into the injured muscle.
Platelet-rich plasma therapy is sometimes used to treat a strained muscle. Blood is drawn from your body and processed to produce a concentrated amount of platelets in blood plasma -- the fluid that carries your blood cells. The plasma is injected back into your body, at the site of your strained muscle. Although this treatment is not yet common, PRP may speed up the healing process for muscle strains, according to a study published in June 2009 in "The American Journal of Sports Medicine."
Physical therapy is sometimes prescribed to treat muscle strains in the buttocks. Your therapist may use heat, ice, ultrasound and electrical stimulation to decrease pain and inflammation to speed the healing process. Exercises are performed to gently stretch your injured muscle and later strengthen it once your pain has calmed down. The therapist may also use massage and manual stretching to decrease muscle tightness and improve flexibility.
Muscle strains may cause especially painful areas to develop, called trigger points. These areas form a hard lump and cause twitching that can be felt when you press into the muscle. Trigger points are treated with massage and sustained pressure applied by another person, or a firm object, such as a tennis ball. Try this method at home -- lie on the floor on your back and place a tennis ball under the painful area of your buttocks. Lie down on the ball, and hold this position for several minutes until the pain subsides. This method temporarily reduces blood flow to the trigger point, reducing your pain and relaxing the muscle.
Alternative methods are also used to treat trigger point pain. Dry needling is a technique used to decrease pain caused by muscle strain. A thin needle is inserted into the trigger point at the source of your pain. It is then repeatedly inserted and removed from the area until your muscle stops twitching and your pain has subsided. According to a study published in 2005 in "British Journal of Sports Medicine," patients reported decreased pain in the muscles of the buttocks with dry needling. The assessments the researchers used failed to demonstrate its effectiveness.