Pain In Buttock Bone When Sitting


Pain In Buttock Bone When Sitting
From Wikipedia, the free encyclopedia

Ischium of pelvis
Pelvic girdle
Left hip-joint, opened by removing the floor of the acetabulum from within the pelvis. (Ischium labeled at bottom left.)
Origins Superior gemellus
Latin os ischii
MeSH D007512
TA98 A02.5.01.201
TA2 1339
FMA 16592
Anatomical terms of bone

The ischium () forms the lower and back region of the hip bone ( os coxae ). Situated below the ilium and behind the pubis, it is one of three regions whose fusion creates the coxal bone, The superior portion of this region forms approximately one-third of the acetabulum,

How do you get rid of sit bone pain?

Reducing acute inflammation – Naturally, the first step is going to be stopping any activity that causes pain or exacerbates it.‌ That usually means biking, running and kickboxing workouts are off-limits for at least a few weeks. Applying ice or cold packs to the area can help reduce inflammation, along with over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) like naproxen or ibuprofen.

If your pain is really severe, your doctor might recommend a corticosteroid injection directly into the inflamed bursa. Extracorporeal shockwave therapy is also an option if more conservative approaches fail. But keep in mind that these are adjunct therapies. This means they should not be seen as a stand-alone but used alongside treatment that’s actually correcting the cause,

Once you’ve got the acute pain calmed down, it’s time to tackle the real problem.

Why do I have pain in my buttocks when I sit?

Conditions That Cause Buttock Pain – Your buttock pain when sitting might happen due to different conditions, including proximal hamstring tendinopathy, ischial tuberosity bursitis, sciatica (lumbar nerve root impingement), piriformis syndrome, and gluteal tendinopathy. So, let’s examine these conditions in more detail and get to the bottom of your pain!

Does ischial bursitis go away?

Medically Reviewed by Sanjay Ponkshe on June 05, 2023 Pain in the sit bones can happen to people who sit down a lot throughout the day. Sit bone pain can be diagnosed as ischial bursitis. ‌ It often affects people who sit on hard surfaces for a large part of the day, but there are other causes, too.

  1. Most cases of ischial bursitis get better when you stop the activity that caused the bursitis to flare up, but in some cases, there can be complications.
  2. Bursitis is the inflammation of the bursae.
  3. Bursae are small sacs filled with fluid.
  4. They’re located between your muscle and bones in different areas of your body.

Their job is to cushion the space between your muscles, bones, tendons, and joints. ‌ Your ischium is the lower part of your hip bone. The ischium — also called sit bones — bears most of your weight when you sit down. Ischial bursitis happens when the bursae that cushion your hip bones become painful and inflamed due to irritation.

  1. ‌ Ischial bursitis is also known as weaver’s bottom.
  2. That’s because, years ago, weavers sat on hard seats for most of the day to perform their work.
  3. In some places, it’s known as tailor’s bottom.
  4. This condition usually affects people who sit on hard surfaces for long periods of time, or those who exercise using the same repetitive hip movements.

It can also be caused by trauma to the hip. Symptoms of ischial bursitis include:

Tenderness in the upper thigh and lower buttockSwelling in the lower buttock and hip areaPain when stretching the hip or buttockPain that worsens when you sit downInability to extend the hipRadiating pain from the buttock down through the leg

Radiating pain in the lower body can be present during other medical conditions, especially nerve-related ones. Sciatica is pain caused by the sciatic nerve, which also runs from the hip through the leg. A doctor will be able to tell the difference between the two conditions.

Ischial bursitis is not a common condition, but it can affect people of all ages. Most of the time, it will resolve itself without major medical intervention. Because ischial bursitis is caused by repetitive activities or motions, there are some groups of people who are more at risk to develop it than others.

People at risk to develop ischial bursitis are:

People who bicycle frequentlyRunnersPeople who exercise frequently or improperlyPeople who sit for long periods of timePeople who jump or kick repetitively

To help your body heal, you’ll need to avoid whatever activity caused the inflammation. You might need to make some changes to your routine in order to keep the bursitis from getting worse. Complications are rare, but they can happen. The bursae can become infected and could eventually cause you to have a limited range of motion in the affected bones and other tissues.

Bend your knees when lifting an object. If you keep your legs straight, you can put extra pressure on your hips. Use cushions to relieve pressure. Using a cushioned seat or kneeling pad can help keep you comfortable and distribute pressure evenly. Take breaks. Don’t do one repetitive activity for too long. Space it out and give your body time to rest in between. Warm up. Warming up before exercise increases blood flow to your joints and prevents injury.

There are things you can do at home to relieve pain in the sit bones. You’ll need to stop any activity that causes you pain or worsens it. ‌ Next, apply ice or cold packs to the area and rest it. You can try an over-the-counter non-steroidal anti-inflammatory drug (NSAID) like naproxen or ibuprofen to relieve inflammation.

You can also try some gentle stretching. Lie on your back with cushions under your head and hips with your affected leg bent, knee pointing upward. Grasp the area behind the knee and slowly pull it into your chest. Breathe, and hold for 5 to 10 seconds. Repeat 6 to 10 times. Your doctor may want to perform some tests to confirm you’re suffering from ischial bursitis before they treat you.

Imaging tests like ultrasounds or magnetic image resonance (MRI) tests can give the doctor a glimpse into what your case looks like. If your pain is severe, they might recommend a corticosteroid injection directly into the inflamed bursae. If the doctor suspects complications like infection, they may order a blood test and prescribe antibiotics.

Does sit bone pain ever go away?

Have you been sitting for hours together only to notice a sharp pain in your butt bones? This could be a condition related to your ischial tuberosity. This problem is referred to as seat bones or sit bones pain since it absorbs all your weight when you sit down.

  1. What is Ischial Bursitis? The pain in butt bones when you sit too long is caused by inflammation or irritation of the ischial bursa.
  2. It’s a condition where the fluid-filled sacs in the pelvis become inflamed and swollen, causing the sit bone pain.
  3. Ischial Bursitis can cause a lot of problems with sitting, walking, or running.

There are several treatments available to improve your symptoms and reduce inflammation in the area. In this article, we’ll discuss everything about butt bone pain from sitting, its causes, symptoms, and treatments. What Causes Ischial Bursitis? Ischial Bursitis can result from sitting too long on hard or uncomfortable surfaces, injury to the tendon or hamstring muscle because of certain physical activities, or from trauma to the area.

It causes pain right at the centre of your buttock and may sometimes move down to the back of the leg. This pain is often confused with sciatica, a pain that is caused by irritation of the sciatic nerve. However, a doctor would be able to tell the problem by doing a thorough physical examination. Symptoms of Ischial Bursitis Some of the symptoms of ischial pain include: ● Pain when you walk or run ● Pain or stiffness in the pelvis area ● Pain when you sit down ● Swelling or redness around the area ● Trouble sleeping on the affected side.

The butt bone pain from sitting down and getting up is diagnosed through a simple physical examination and review of the symptoms you experience. Your doctor may ask you to stand, sit, or move your hips and legs. If at all, your doctor is unable to identify the cause of your symptoms, then you may be asked to do an X-ray, so that your doctor can have a better view of the pelvis area.

  1. An MRI scan or ultrasound may also be performed to check for any swelling and inflammation.
  2. In some cases, a little fluid sample may also be taken from the affected area as well.
  3. Treatment for Ischial Pain The pain you may experience is most often resolved on its own when you take rest.
  4. However, Ischial bursitis pain can sometimes take longer to heal since it’s impossible to completely avoid sitting down.
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Some of the treatments for Ischial pain are as follows: Taking Maximum Rest Simply resting from any physical activity that causes the pain can help treat your problem. Avoid sitting down on hard surfaces for too long, and try to lie down and rest to relieve your pain.

  1. Ice Packs In some cases, your doctor may advise you to use ice packs to reduce any swelling and inflammation in the area.
  2. Ice packs help with any muscular pains, and using one to treat your sit bone pain can also be helpful.
  3. Medications Sometimes sit bone pain can be easily treated through over-the-counter pain relievers such as anti-inflammatory drugs or acetaminophen medication.

Most of the time, your doctor may advise you to take any over-the-counter medication to treat your pain. If medications aren’t effective, you may be given an injection of corticosteroid to help reduce any inflammation in the bursa area. Ring cushion/air cushion Soft cushions can reduce the compression on the butt bones and helps in reducing the inflammation and healing faster Frequent postural changes Continuous constant stress on any part of the body can result in inflammatory disorders and therefore by changing postures frequently significantly reduces the stress on butt bones too.

  1. Exercise Physical therapy is also useful to strengthen the ischial tuberosity muscles and improve flexibility.
  2. Climbing stairs can also prove to be helpful.
  3. However, whenever you do so make sure to hold a railing in case you suddenly feel the pain that could affect your balance.
  4. Stretching exercises could also be helpful to increase your flexibility in the hamstring.

However, before you start any kind of stretches or exercises, it’s important to check with your doctor, A healthcare professional will be able to tell you what exercises are good for you and which ones might worsen the problem. A therapist can provide a range of different exercises and stretches to treat the pain and improve movement in the back, legs, and buttocks.

  • Some exercises and stretches for ischial tuberosity include: Lying Down Buttocks Stretch The lying down buttocks stretch can be performed in the following way: ● Lie down flat on the back with your head resting on a cushion or pillow.
  • Eep your legs straight.
  • Slowly start bending the right knee inwards towards your chest.

● Now, placing the hands around your thighs, below the back of your knee, pull your knee closer to the chest. ● Hold in this position for about 5 to 10 seconds. ● Slowly straighten your leg and repeat the same with the other knee. ● Repeat 5 to 10 times on each leg.

Must Read : Lower Back Pain: Type, Cause, Symptoms, and Simple Ways to Treat It Hip Extensions Hip extensions are another great exercise when you experience pain in your butt bones. These exercises help to strengthen the buttocks and lower back. You can perform the hip exercises in the following way: ● Begin on all fours with your knees under the hips and your hands under the shoulders.

Make sure to keep the neck straight. ● Stretch your left arm out in front and stretch the right leg out straight behind. ● Now, slowly raise the stretched left arm and right leg until they are well aligned with your back. ● Hold in this position for about 2 seconds before switching sides.

  1. Repeat the exercise stretching the left leg and right arm.
  2. Repeat these stretches about 5 to 6 times.
  3. Sitting Rotation Stretch The sitting rotation stretch is perfect for the oblique muscles and buttocks.
  4. This stretch can be performed in the following way: ● Sit in an upright position with your back straight and your feet stretched straight out in front of you.

● Bend your right knee and place your foot flat on the floor. ● Slowly, move your right foot to the outside of your left knee. ● Now, gently start twisting to the right side, while you push your left elbow against the right knee and look over your right shoulder.

  1. Hold in this position for about 30 seconds, and then return to the starting position.
  2. Repeat with the other leg.
  3. These are some excellent stretches and exercise you can perform to treat sit bone pain.
  4. In case you experience any pain in the lower back, legs or buttocks stop the exercises immediately.

Also, to be on the safer side, check with your doctor before starting any exercises. Dr. Rajendra Reddy | Consultant – Orthopaedics | Narayana Multispeciality Hospital, HSR Layout, Bangalore

What are the symptoms of bursitis in the buttocks?

Ischial Bursitis Ischial bursitis is a painful irritation in the buttocks, specifically around the ischia, which are the bony parts you can feel in each buttock when you sit down. Usually, fluid-filled sacs called bursae protect the ischia, cushioning movements between the muscles and bones in the area.

  1. With excessive use, however, friction on the bursa can make it inflamed and irritated.
  2. The condition is quite literally a pain in the butt.
  3. Symptoms include soreness, tenderness and swelling in the lower buttocks, and patients often notice that this pain worsens with movement.
  4. The area may also feel warm to the touch, as heat often accompanies inflammation.

Ischial bursitis can affect anyone, at any age. Patients with the condition aren’t necessarily athletic or involved in physically demanding activities. Usually, they report sitting on hard surfaces for long periods of time, and some also report frequently riding horses.

Injuries that involve trauma to the ischial bursae, like landing on the buttocks during a fall, can also cause the condition. In physically active patients with ischial bursitis, the condition often develops after they perform activities that involve excessive contraction of the hamstrings (muscles at the back of the thighs), like running.

These muscles can rub on the bursae, making them sore and irritated. Regardless of the cause, however, conservative chiropractic care is effective for ischial bursitis. Your chiropractor will select from a wide variety of healing modalities that will help decrease pain, decrease inflammation and improve movement.

How long does it take to heal sit bone pain?

Are you experiencing buttock pain or discomfort when you’re sitting especially if you are on hard surfaces? Is your pain preventing you from sitting comfortably to enjoy a meal with friends or work on the computer?

You might have hamstring tendinopathy! Hamstring tendinopathy is usually experienced as pain or tenderness directly on the sitting bone, most noticeable with sitting on hard surfaces. Hamstring tendinopathy is a condition that usually starts gradually, and is often not painful during activities, but more commonly after activities such as long walks or hamstring stretches.

  • So- what is hamstring tendinopathy and how can we treat it? Tendinopathy is a term that is used to describe changes in the tendon likened to weakness, or wear and tear.
  • We used to describe this as ‘tendonitis’, however research has more recently revealed that chronic tendon pain this is NOT an inflammatory process but instead a process of tendon overload which initially cause reactive changes to the tendon cells, that in turn can become signs of tendon weakness.
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Tendons in the body are like thick strong ropes that attach muscles onto bone. The springy hamstring muscle turns into a thick strong tendon (rope) that connects onto the sitting bone. Much like the springy calf muscle turns into a thick strong Achilles tendon (rope) before attaching onto the heel bone.

  1. Muscles are designed to be springy, to stretch and recoil.
  2. Tendons are designed to be thick and strong, firm places of attachment.
  3. In the presence of tendinopathy, the tendon can show signs of weakness, much like a frayed rope.
  4. If you imagine a frayed rope- you don’t want to overstretch or overload it, but take the pressure off and perhaps stitch some new fibres into it so it becomes strong again.

When the hamstring tendon is showing signs of tendinopathy, it will often be tender right at its attachment point which is on the sitting bone (ischial tuberosity) of the pelvis. A physiotherapist can test if you have tendinopathy, as there can be many other reasons for buttock pain! Why do some people get tendinopathy? There can be many varied reasons for developing this painful condition.

Usually its related to what’s known as ‘tipping the balance”. If you can imagine balance scales- on one side you have “load capacity” which means- how much strength your tendon has ! On the other side, you have “daily load” – which means the amount of activity, exercise, stretching and loading you are creating on the tendon.

When the balance is relatively symmetrical, we can perform daily activities and our tendon has enough strength to meet our demands. However, there can be times when we rapidly increase our daily load demands- such as starting a running program, going on a long hike, sitting too long on a plane or bike which can compress the tendon against the bone or starting a new yoga practice.

If our tendon has not yet had the chance to build strength to meet the new demands- the balance can tip creating pain. Tendons will always adapt to new loads but sometimes that process can be slow and if we push too hard too quickly our tendons can complain. There are also times when our “load capacity” might diminish.

Such as when we have been unwell, had surgery, been resting too much and even a change in hormone levels such as during menopause. This can result in a slight drop in tendon strength- and if you keep trying to do your daily activities as normal without a period of adjustment the balance scales can tip and contribute to pain.

  • Another reason for hamstring tendon pain can be weakness in the surrounding muscle team that can contribute to overload.
  • One of the main muscles that helps the hamstring are the gluteals.
  • So if you have weakness in your hips and gluteals, sometimes the hamstring tries to help out and then gets overloaded.

All of these circumstances can contribute to the onset of tendon irritation. So how do we manage hamstring tendinopathy ? Like a frayed rope, the first step is to avoid overloading or stretching it over the sitting bone. This might mean reducing long walks and avoiding hamstring stretches initially until we start building on strength.

It also means reducing your sitting load as this compresses the irritated tendon over the bone, much like stretching a weak rope over the edge of a rock. Uses sit-stand desks at work, a wedge cushion to elevate your hips and softer surfaces for sitting can be the first steps. The next step is to start a progressive strengthening program, including isometric exercises.

These are very specific exercises that should be guided by your physiotherapist – you can try this one here as a starting point. Why is tendon recovery so slow? The repair and recovery process for tendons can unfortunately be notoriously slow. All tissues in the body repair and rebuild at different rates.

Skin heals very quickly- if I cut my skin it will usually be healed within a few days. Bones are slower- if I break a bone it will take generally 6 weeks of doing all of the right things (such as wearing a plaster cast) before it is healed. Tendons can be slower than bones. So, if you do have signs of hamstring tendinopathy you will have to have patience with your recovery and do all of the right things to assist the process.

But I was told I had “bursitis” A bursa is simply a sack of fluid designed to protect boney points. You have them all over your body- your elbows, your knees, your heels and your hips. If a nearby tendon is showing signs of weakness or fraying, often the nearby bursa can swell up to try and protect.

The two conditions almost always go hand in hand. However addressing the bursa will not fix the problem if you don’t also start rebuilding the tendon with a strength program! This can often be why cortisone injections provide temporary relief only- the injections can help bursa swelling but will do very little to restore tendon health.

What next?

Avoid hamstring stretches. Want to know what to change in your yoga practice? Click here! Minimise your sitting while you try to recover- use a sit stand desk at work If you do have to sit- try a wedge cushion to elevate your hips Start a slow strengthening program with the guidance of your local physio! Start with this exercise here Build on the support muscles such as your gluteals – learn more here Remember to get an accurate diagnosis for your pain as there can be many reasons for buttock pain!

Like learn more? Our te am here at Synergy Physio offer expert knowledge and care for lower back, spinal, hip and pelvic pain. We look forward to helping you understand your pain and what to do about it! Recover from your pain and get back to doing the things you love. Like to book and appointment? Simply book online, or contact us on 07 5448 3369 Nichole is a physiotherapist, yoga and mindfulness meditation teacher. She passionate about women’s health, physiotherapy and education- all to benefit you and your health! She lectures regularly at physiotherapy and orthopaedic conferences on the management of hip and pelvic pain.

What causes tailbone pain without an injury?

DEAR MAYO CLINIC: My tailbone has been hurting for the past few weeks. I have read that it takes a while to heal, but is there anything I can do in the meantime to lessen the pain? At what point would it be necessary to see my doctor? ANSWER: Although tailbone pain can be uncomfortable, in most cases it will go away on its own within a few months.

During that time, there are steps that you can take to lessen the pain. If your pain lasts for more than two months or if it gets worse despite self-care, make an appointment to see your health care provider about your concern. Your tailbone, or coccyx, is the bony structure at the bottom of your spine that helps support your pelvic floor.

Tailbone pain is a condition called “coccydynia.” Those with coccydynia usually experience dull, achy pain in or around the tailbone. This pain may become sharper or more intense after sitting or standing for a long time, during sex, or with urination or a bowel movement.

  • Numerous situations can result in tailbone pain.
  • It is often the result of an injury due to a trauma during childbirth or a fall.
  • Tailbone pain sometimes can arise after sitting on a hard surface for a long time, or sitting on an ill-fitting or jouncing seat.
  • In some cases, the pain may be the result of sitting posture changes brought on by obesity or aging.

Rarely, the cause of tailbone pain is something more serious, such as an infection, benign tumor or cancer. Medical treatment typically is not needed for tailbone pain. But try this to lessen the pain while you’re seated: Sit completely upright, keeping your back firmly against the chair, your knees level with your hips, feet on the floor and shoulders relaxed.

Although it is best to avoid sitting on hard surfaces, a heavily cushioned, overstuffed surface can allow you to sink into an unnatural, painful seating posture, which also isn’t ideal. Select a supportive chair with a moderate amount of cushioning. If pain is not relieved by those changes, adjusting your weight by leaning forward slightly when seated may help.

Sitting on a doughnut-shaped cushion or a V-shaped wedge cushion may help distribute weight away from the painful area. Using heat or ice on the painful area, as well as taking over-the-counter pain relievers, also may offer some relief. Use these techniques until the pain subsides.

  1. In many cases, the pain will lessen and then disappear over the course of several weeks or several months.
  2. In only a minority of people does tailbone pain last beyond that length of time.
  3. If tailbone pain persists for more than two months or if it gets worse despite these measures, see your health care provider for an evaluation to rule out other potential causes.
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For chronic tailbone pain, a consultation with a specialist in pain medicine or physical medicine and rehabilitation may be useful. When necessary, treatment for chronic tailbone pain may include instruction in pelvic floor relaxation techniques; physical therapy; or manipulation of the coccyx, which is usually performed through the rectum.

What is the pain in the bone just above your bum?

Symptoms of coccydynia – The main symptom of coccydynia is pain and tenderness in the area just above the buttocks. You can get it if you injure or strain your coccyx or the surrounding muscles and ligaments. In most cases, the pain will improve over a few weeks or months. But occasionally it can last much longer and severely affect your ability to carry out every day activities. The pain may:

be dull and achy most of the time, with occasional sharp pains be worse when sitting down, moving from sitting to standing, standing for long periods, having sex and going for a poo make it very difficult to sleep and carry out everyday activities, such as driving or bending over

Some people also have back pain, shooting leg pains (sciatica) and painful buttocks and hips.

What is the fastest way to heal a sore tailbone?

You were treated for an injured tailbone, The tailbone is also called the coccyx. It is the small bone at the lower tip of the spine. At home, be sure to follow your health care provider’s instructions on how to take care of your tailbone so that it heals well.

Pain or tenderness in the lower backPain on top of the buttocks areaPain or numbness with sittingBruising and swelling around the base of the spine

A tailbone injury can be very painful and slow to heal. Healing time for an injured tailbone depends on the severity of the injury.

If you have a fracture, healing can take 8 to 12 weeks.If your tailbone injury is a bruise, healing takes about 4 weeks.

In rare cases, symptoms do not improve. Injection of a steroid medicine may be tried. Surgery to remove part of the tailbone may be discussed at some point, but not until 6 months or more after the injury. Follow your provider’s instructions on how to relieve your symptoms. These steps may be recommended for the first few days or weeks after your injury:

Rest and stop any physical activity that causes pain. The more you rest, the quicker the injury can heal.Ice your tailbone for about 20 minutes every hour while awake for the first 48 hours, then 2 to 3 times a day. Do not apply ice directly to the skin.Use a cushion or gel donut when sitting. The hole in the center will take pressure off your tailbone. You can buy the cushion at a drugstore.Avoid sitting a lot. When sleeping, lie on your belly to take pressure off the tailbone.

For pain, you can use ibuprofen (Advil, Motrin, and others) or naproxen (Aleve, Naprosyn, and others). You can buy these medicines without a prescription.

Talk with your provider before using these drugs if you have heart disease, high blood pressure, kidney disease, liver disease, or have had stomach ulcers or internal bleeding in the past.Do not take more than the amount recommended on the bottle or more than your provider advises you to take.

It may be painful to urinate or have a bowel movement. Eat plenty of fiber and drink plenty of fluids to avoid constipation. Use stool softener medicine if needed. You can buy stool softeners at the drugstore. As your pain goes away, you can begin light physical activity. Slowly increase your activities, such as walking and sitting. You should:

Continue to avoid sitting for long periods.Not sit on a hard surface.Keep using the cushion or gel donut when sitting.When sitting, alternate between each of your buttocks.Ice after activity if there is any discomfort.

Your provider may not need to follow-up if the injury is healing as expected. If the injury is more severe, you will likely need to see the provider. Contact the provider if you have any of the following:

Sudden numbness, tingling or weakness in one or both legsSudden increase in pain or swellingInjury does not seem to be healing as expectedProlonged constipationProblems controlling your bowel or bladder

Coccyx injury; Coccyx fracture; Coccydynia – aftercare Bond MC, Abraham MK. Pelvic injuries. In: Walls RM, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice,10th ed. Philadelphia, PA: Elsevier; 2023:chap 46. Cusack S. Pelvic injuries. In: Cameron P, Little M, Mitra B, Deasy C, eds.

  • Textbook of Adult Emergency Medicine,5th ed.
  • Philadelphia, PA: Elsevier; 2020:chap 4.6.
  • Updated by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA.
  • Also reviewed by David C.
  • Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M.

Editorial team.

How long does it take to heal sit bone pain?

Ischial (sitting bone) bursitis pain – Circle Integrated Care What is ischial bursitis pain? Ischial bursitis describes inflammation in the fluid filled sac which lies on the underside of the ischial tuberosity. It often arises as a result of overloading of the hamstring muscles due to increased or excessive activity or through prolonged sitting.

  • Alternative causes are sports which involve rapid accelerations, kicking and extremes of hip movement such as dance as they place significant load through the hamstring tendons.
  • Pain is felt directly over the ischial tuberosity in the lower buttock area.
  • Some individuals may suffer some pain radiating down the hamstring muscles at the back of the thigh.

Symptoms are aggravated by sitting which places direct pressure onto the sitting bones and also with activities involving stretching or contraction of the hamstring muscles such as climbing stairs, squatting or sports involving rapid accelerations and kicking movements.

Ischial pain can be reliably diagnosed by your doctor or physiotherapist by taking a history of your condition and by conducting a physical examination.The main feature is often tenderness when palpating directly over the ischial tuberosity.X-rays are not helpful but a scan may be useful in cases which do not settle after conservative treatments,particularly if a corticosteroid injection is being considered.

Corticosteroid injection therapy For individuals who have trialled a course of appropriate exercises and modified activities, corticosteroid injections can be offered as the next line of treatment for individuals whose primary symptoms are assessed to be due to ischial bursa inflammation.

  1. You can read more about local corticosteroid injections In the majority of cases, ischial pain can be managed very effectively by adhering to the following routines.
  2. The most effective aspects are avoiding aggravating activities and prolonged sitting.
  3. Modifying seating positions This could be using a seat with better cushioning to alleviate pressure on the painful area.

Specialist seat cushions are available if needed. Ceasing aggravating sporting activities This does not mean that you will have to stop cycling, running etc forever. However, the ischial bursa and/ or hamstring tendons may need 4-6 weeks of relative rest initially to settle symptoms while you work on strengthening the hip muscles (see below).