Orthopaedics

What is Ischiogluteal Bursitis?

In between the pelvic bone and the hamstring tendon lies a fluid filled sac called bursa that acts as a lubricant and reduces friction between the bone (

ischial tuberosity

 

) and the tendon. If this tendon suffers any damage or gets inflamed, then it is called

ischiogluteal bursitis

. The inflammation of the bursa can either happen on its own or can be the resultant of a hamstring tendinitis.

Symptoms of Ischiogluteal Bursitis:

Since the inflammation of the bursa can be a resultant of hamstring tendinitis, the symptoms are also identical in both the cases. The lower buttock region suffers the most due to this injury and usually athletes and sprinters are victims of this inflammation. The symptoms they experience are-

  • pain and tenderness in the pelvic bone region or the ischial tuberosity or the

    sitz bone

  • pain during hamstring stretches
  • pain during knee flexes (knees are usually flexed while resisting friction)
  • gradual progressive pain after a sprinting session
  • pain after short sitting periods
  • pain, stiffness and aching in the lower buttock region
  • leg weakness sensation

Treatment:

Depending on the severity of inflammation and the injury, the treatment would vary. The treatment would include rest, medications, ice, exercises and prolotherapy. Let us look at a few available treatment options.

 

Topical Treatment

  • Since the lower buttocks region is most affected and pain is aggravated while sitting, donut cushions can be a nice option to alleviate the pressure on the buttocks. These cushions can reduce the discomfort and pain.
  • Ice therapy or cold packs are another way to reduce pain and inflammation. Ice can reduce swelling in the region by limiting the flow of lymph and blood into the region. Use an ice compress directly on the affected region for at least 20 minutes.
  • Use pillows to elevate the region while sleeping.

 

Medications


  • Naproxen and ibuprofen

    are two anti-inflammatory medications that can effectively alleviate inflammation and pain. These medications inhibit the

    prostaglandins and COX-2 enzymes

    which increase inflammation in the body.

  • If a patient does not respond to anti-inflammatory medicines, steroids are also an option.

 

Prolotherapy

Prolotherapy would avoid the need for a surgery by stimulating the inflammation with the help of an injection. This injection can help the body heal on its own by inducing collagen that is useful for bone strengthening

 

Exercise

  • Once the pain and swelling recede, gentle stretching exercises can be useful for loosening the tight muscles and ligaments.
  • Knee-to-chest exercises are good start-up exercises for this purpose.
  • Hamstring stretches can help restore and improve movement in the region.

Ischiogluteal bursitis

would not last for more than three months if proper medications and exercise as mentioned above are implemented after seeking a doctor’s advice.

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