Pain in the gluteus maximus may be treated with medication, alternating hot and cold, special exercises and rarely surgery, notes Baylor, Scott and White Health. Different conditions can result in pain in the largest buttock muscle, such as sciatica or a tear in the muscle from overexertion.
When pain is first perceived in the gluteus maximus, people should stop what they are doing in case it is exacerbating the problem. Initial treatment is an over-the-counter medication, such as ibuprofen or acetaminophen. An ice pack applied to the sore area can help relieve pain by preventing inflammation and acts as a slightly numbing agent. However, ice packs should only be applied for up to 15 minutes every 2 to 3 hours.
Long-term pain management can be gained through practicing exercises intended to strengthen other muscles or open up the hip area. For instance, the hip twist stretch can help stretch a tight piriformis hip muscle that is causing sciatica, notes Prevention magazine. This exercise involves lying on the back, bringing the right foot up to rest on the floor near the left knee and gently pushing the right knee over the left leg by pressing on the outer thigh. This gentle stretch is held for up to a minute and repeated on the other leg.
Surgery may only be suggested after 6 months of nonsurgical treatment that has not successfully dealt with the pain, states Baylor, Scott and White Health.