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Got a Bum Rod? Pain doesn’t just stop after you have hip arthroscopy

by Dr. Ginger Garner PT, DPT, ATC-Ret

What is a bum rod and do you have it? Well, it’s a sensitive topic. But it basically means you have pain that feels like a rod going up your, well, bum. It may sound funny, but it’s anything but that when you have it.

Bum Rod Defined

hip anatomy and muscles - 10 weeks post op hip arthroscopy

Bum rod is actually a phrase one of my patients came up with – and it really perfectly describes how many people feel when they have had a hip labral tear and hip impingement. The feeling can be like a stiffness in the tailbone area, pain up the back, or even a burning, hot poker-type feeling that starts around the tailbone and shoots up and out across the back and hips.

Not a fun feeling at all, and one that will persist or even worsen without treatment, here are a few possible contributors to it. And to get the full story, watch the video below as I elaborate on each point!

Here are a few (but not all) possible main contributors of a “Bum Rod”:

what is a bum rod and do you have one
A 2023 capture of me using hiking poles (aka “rods” 😉 to AVOID bum rod while hiking down into the canyons at Zion National Park.
©2023 Ginger Garner. All rights reserved.
  1. Coccygeus tightness or spasm – see the diagram above and below, the coccygeus comes off the bottom edge of your sacrum, near the tailbone

  2. Sacral multifidi spasm – these muscles are located under your sacrum, below your low back, behind the little “holes” of the sacrum

  3. Pelvic floor tightness or dysfunction – these are the “levator ani” muscles, part of your pelvic “bowl” (see below)

  4. Obturator Internus tightness – this muscle is a hip rotator (see below)

  5. Tailbone rigidity – there is nothing worse than a tailbone that doesn’t move. It can wreak havoc on pelvic girdle (back, hip, and pelvic) health.

These aren’t the only reasons, but they are some of the top ones.

I recently shared a video on FB of some of the potential causes. Watch it here

Pelvic Floor, female
The Female Pelvic Floor (not to exclude other genders, but females typically have the highest risk for labral tears and dysplasia).
Used with kind permission from the author (Garner, G ©2016) and Handspring Publishing Ltd, Edinburgh, UK.
Deep gluteal sling
Chair Pose in Medical Therapeutic Yoga, which is a frequent modality Dr. Garner uses with recovery after hip arthroscopy. Note the deep hip rotator, the obturator internus.
Used with kind permission from the author (Garner, G ©2016) and Handspring Publishing Ltd, Edinburgh, UK.

Watch the video here

Workshops & Resources to Address “Bum Rod”

What is bum rod and do you have it?

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