Pain deep within the buttock, pelvis, or lower back can be frustrating, confusing, and difficult to diagnose correctly.
Many patients are told they have “sciatica” or generic lower back pain when the true source of symptoms may actually relate to the sacroiliac joint, pelvic stabilising structures, ligaments, or surrounding muscular systems.
At RRMG, we specialise in assessing and treating buttock and sacroiliac joint pain using a precision-based approach focused on identifying the exact structures contributing to symptoms.
Not all buttock pain is nerve pain.
Understanding the true pain source is essential in selecting the most effective treatment pathway.
When these structures become irritated, overloaded, unstable, or mechanically dysfunctional, patients may experience:
Pain may occur on one side or both sides and often worsens during:
Because symptoms frequently overlap with lumbar spine conditions, sacroiliac joint pain is commonly overlooked or misdiagnosed.
Sacroiliac Joint Dysfunction
Irritation or altered movement within the SI joint can produce localised buttock and pelvic pain.
Pelvic Instability
Reduced stability around the pelvis and lumbar spine may contribute to excessive loading and mechanical irritation.
Posterior Ligament Complex Dysfunction
The ligaments surrounding the pelvis and SI joint play a major role in support and force transfer.
Gluteal Dysfunction
Weakness or dysfunction within the gluteal muscles may alter pelvic mechanics and contribute to ongoing symptoms.
Mechanical Overload
Repetitive loading, asymmetrical movement patterns, previous injury, or postural stress may increase strain through the pelvis and SI joint region.
Your assessment may include:
Our goal is to understand:
Our approach may include:
At RRMG, we do not believe persistent buttock or pelvic pain should simply be labelled as “generic back pain.”
Our focus is to:
Many patients arrive frustrated after months of unclear diagnosis, recurring symptoms, or failed treatment approaches.
Our role is to simplify the process through:
Buttock and sacroiliac joint pain frequently affect:
Our treatment philosophy focuses not only on symptom reduction, but on restoring:
Yes. SI joint dysfunction can often mimic sciatic symptoms and may produce pain into the buttock, thigh, or leg.
SI joint pain may relate to instability, inflammation, mechanical overload, ligament dysfunction, gluteal weakness, or altered movement patterns.
Multiple structures around the pelvis, lumbar spine, hips, and nerves can create overlapping symptoms, making careful assessment important.
Yes. Stability-focused rehabilitation and movement retraining are often key components of long-term improvement.
No. Treatment depends entirely on diagnosis, symptom severity, and patient goals. Many patients improve significantly through rehabilitation and movement-focused strategies.
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Dr Rogers has had a rich and illustrious career so far, which is continuing to grow and develop. Everything Ralph has been involved in since qualifying has added value to his knowledge and experience, but there have been some impressive highlights to note:
2018 – Present Founder Medical Director: Rogers Regenerative Medical Group (RRMG)
2012 – 2024 Medical Advisor – National Basketball Association
2008 – 2018 Medical Director: The London Sports Injury Clinic London
2010-2011 First Team Doctor, Chelsea Football Club
2007- 2010 The Football Association (Team Physician for England under 19 and development squads)
2005-2006 Medical Advisor: Trinidad & Tobago World Cup Football Team
2002 – 2008 Club Doctor: Walsall Football Club, West Midlands England
1998 – 2009 Medical Director: Medical & Orthopaedic Sports Therapy,
2000 – 2005 Sports Physician: Warwickshire County Cricket Club, Birmingham
