Can you be more specific about the "butt pain" please? Not sure if you mean the cheeks of your rear end, sciatica, or whatever.

But I'm about 95% sure it's not the MTX.

I am also sure it is not the mthx. I have a pulled ham string in my left buttock, and sitting is really hard some days. I have been working with various health professionals to try and get it better, but it is really slow. And sometimes it gets a bit better, with stretches and a chiropractor working on it, and sometimes much worse, if I don't do the exercises. Those were from a PT.

So I would see a PT and get some exercises. You may be pulling it getting the shot in? (Do you take shots or pills?) or perhaps you are more active after the shot? Do see a doctor or PT and try and figure this out. My mom had this in both buttocks, and she could barely sit. She did a million things for it, but nothing worked. That was over 10 years ago. Not to discourage you, but it discourages me. And she is better, since the early years, plus she has a hip replacement. Plus the PT said I might be genetically predisposed to this problem. Except she didn't get it for 15 years after I did, age wise. Not fair!

Not everything is a side effect of meds.

Cheeks, both sides. Exercise for me is the same every day. Nothing pulled and no back or leg pain. Just weird and wondered if I was alone with this (not necessarily blaming mtx).

The only time I've ever had sore butt cheeks was when I was sitting on them for way too long.

Assuming you haven't had any fat transfers or a butt lift [plastic surgery].

for me it's referred pain from both the troch bursitis and i also have disc compression at L5 and S1. just part of that. I get a whole lot of relief from those silly memory foam cushions that i purhcased at amazon - I have a lot of them and I carry them to cars, chairs, furniture you name it. i also get relief from the pt stretches that i do at home especially anything that stretches the adductors and abductors additionally as well as well the glutes.

it has progressed over a decade and it is wicked tender. i sleep at night on my back with my feet drawn up like kids do - you know your knees are like a table?. i dislike this position intensely but side sleeping is gone with the wind. sitting is hard also like you are talking about.

i'm a mutt i figure. meaning i have RA and osteo and a lot of junk and disc compressions on pelvic mri's and on lower back MRI's and mid back MRI's. it's just part of the fun :)

for immediate:
have you ever had a pelvic MRI?
have you ever had PT for this pain?
is there a warm water (almost like hot water) arthritis pool anywhere in your commuting area? (sometimes hospitals have these and you can get your pt script directed there if you are interested)
have you ever had steroid injections into the bursas or the back? I have had these done by some quack (sorry he is not really but I get a kick out of this new specialty of pain management) called an "interventionaal radiologist/pain management - a lot of needle sticks. for me, they work for a while.

I considered facet nerve block things. and decided against.

My rheumatologist does not want to talk endlessly or really at all with me about my back and L5 S1 - she prefers I go over that crap with Mr. Doctor Needle Sticker or the Orthopedic or do physical therapy. She admits to being not in this treatment area. I find this problematic. I don't want more doctors.

in the meantime I love my ortho sit pillows - I think I previously put the link to amazon on here for them. I don't want to bore you.

hope this helps

feel better kiddo.

depot

Well I guess it is one of those come-and-go, welcome-to-just-plain-old-getting-old kinds of things! Thanks all for your input!

Better just get up off my butt more!

Depot, NONE of us wants more doctors. But it just goes with the territory.

Those facet injections can be a godsend. Spinal epidurals can also be a complete relief. I've had the latter. [I've got RA, PsA, AS, LGMD, OA, spinal stenosis, compressed discs galore......]

Depot, can you put the link up again for those pillows? I am just using cushion, and I would love to use memory foam. I was just thinking about that last night.

I did a full set of stretches and rode my inside bicycle last night. I only made 20 minutes on the bike, because the left buttock was hurting so much. Last time I pushed it, I made it so much worse.

This morning, I have hardly any tenderness! Coincidence? I might have to do this daily, if it works like this. Who knows, maybe it will even go away?? Just wishing out loud!

Marlene
they don't make those british round ones anymore that I was scoffing at amazon
try this
https://www.amazon.com/dp/B01LYO93WD?psc=1

depot

Thanks so much, Depot. Now I just have to hope Amazon.ca has it and it doesn't cost 4 times as much! Amazon.com doesn't want me to buy their products!

oh yeah you are on the canadian system - OK look for the product imported from england by a company called "Love home" - those are the memory foam cushions i have everywhere - they are no longer on US amazon - but maybe you have em at canada amazon.

depot

was wondering from OP , what part of butt, but if I am correct it is the cheeks/area? I use something to do a self accupressure , called Miracle Balls. * sounds silly but trust me it helps ; I got it on Amazon. if you do consider, make sure you get the ones with small instruction book. It is basically just laying on the 2 balls , placed under the sore places while laying on the floor. I use my yoga mat.. then you just lay there, breathing a special way. Instruction mentions two methods; I do a ZZZZ or Shhhhhh sound........it's all about letting go of tension while your own body weight presses on the spots and releases tension and pain. Invented by a former dancer . there are different ones..some are smaller and more dense.....the softer the balls, the less intense of a release it will do. you can put them on different places and experiment.....
she describes the sit muscles and that is where mine are. As someone mentioned here, sometimes i certainly do have pain back there from either straining my hamstrings or plain old sitting too long, which shortens up the hamstrings.
doing the method I do, plus some mild yoga stretches ( i can't seem to do more than that) and my other favorite all over pain reliever (non medicine) is my dense foam roller. Wherein I roll on top of it, sort of like it is a rolling pin , and I am a pie crust.. ha ha.
I got that, also on Amazon.......many different sizes and lengths. They sell at Target, etc, also.