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The Lompoc Vision

“Good News You Can Use.”


Submitted by Dr Wilkerson D.C.

The Regulatory World

By DenMat

Deep Gluteal Syndrome – What Is It?


he term deep gluteal syndrome (DGS) describes a condition that causes pain

in the buttock that may travel down the back of the leg when the sciatic nerve

is irritated. There are various structures that can result in sciatic nerve entrap-

ment within the gluteal space which include the following: the piriformis muscle;

fibrous bands containing blood vessels; the gluteal muscles; hamstring muscles, the

Gemelli-obturator internus (muscle) complex, vascular (blood vessels) abnormali-

ties; and space-occupying lesions.

Unique features within a patient’s history and physical examination can help to

differentiate and define the specific site of sciatic nerve entrapment. It is common for patients with sciatic

nerve entrapment to have a prior history of trauma, symptoms when sitting, and radiating pain from the low

back and/or hip with tingling into the affected leg. If the nerve becomes damaged, diminished reflexes and/or

muscle weakness can occur.

Because of the relationship between the lumbar spine

(lower back) and the hip, it’s important to examine both

regions in order to rule out a lumbar spine pathology as

either the cause or a contributing factor to a patient’s

symptoms. Failure to do this on a timely basis can lead

to chronic pain and reduce quality-of-life based on an

inaccurate diagnosis and treatment.

In one study, researchers found that a tight piriformis

muscle plays a role in the majority of cases of DGS. The

piriformis muscle can be stretched from a seated posi-

tion. First, cross the leg, grasp the knee of the crossed

leg, and pull toward the opposite shoulder (i.e., right

knee toward left shoulder and vice versa). Next, arch

the low back during this process and twist the trunk to

the crossed knee side. Lastly, move the crossed knee in

a circular manner to “work” the entire muscle. Do this

for 30-60 seconds per side, multiple times a day.

The key to successful management is a prompt, ac-

curate diagnosis followed by conservative care. While

conservative treatment approaches to stretch the piri-

formis muscle and to reduce any pressure on the sciatic

nerve are usually enough to reduce pain and improve function in patients with the condition, in some cases

more invasive treatments such as injections or surgery may be necessary.

This information should not be substituted for medical or chiropractic advice. Any and all health care concerns,

decisions, and actions must be done through the advice and counsel of a health care professional who is famil-

iar with your updated medical history.

We provide a Free weekly e-mail Newsletter “weekly health updates” For The Friends And Patients of

Dr.Marc F.Wilkerson


s a leading manufacturer

of quality dental products,

DenMat, located on West

Central Avenue, in Lompoc, must

be licensed with many regulatory

bodies. The company is licensed

and regulated by the Food and

Drug Administration (FDA), State of California, City of

Lompoc, Health Canada, National Board of Pharmacy, and

is ISO 13485 compliant for sales and distribution overseas.

And, nearly every state has their own requirements for sell-

ing certain regulated products to their licensed dentists.

This is an area of the business that is constantly changing

as new requirements are developed to meet the demands

of the global business world. DenMat’s regulatory team is

busy keeping up with the regulations and the audits that go

with them. Any discrepancies identified during audits must

be corrected in a timely fashion and procedures created to

maintain proof of compliance. Some audits are scheduled

while others are unscheduled, so the team must be prepared

and ready to respond at any time. Expert documentation

and record keeping are essential to keeping DenMat in

good standing with all the regulatory bodies.

DenMat has a staff of seven dedicated to the Regulatory

process. For a complete list of current job openings, see the

back page of the LOMPOC VISION or visit Career Oppor-

tunities at