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This is interesting.
Most likely your boyfriend has a nerve impingement at the sacral spine area causing this pain.
This is like sciatica but different in the sense the pain does not radiate to the lower leg.
Treatment option includes the following:
1. Over the counter Ibuprofen ( Advil) 200 mg 3 tabs every 6 hours as needed.
2. Warm compress
3. Using donut pillow during sitting to relieve pressure on the buttock.
4. Physical therapy or chiropractor therapy to release the pressure on the nerve
5. Ofcourse a clinical evaluation by his doctor.
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Thanks for this question. This is related to a lumbar radiculopathy. This is when a nerve (as it exits the spine) is pinched. Likely from a bulging disc.
This is an excellent thing to see a chiropractor for. That would be my next step. The chiro can relieve the pressure on the nerve by manipulating the spine.