ischial tuberosity pain: bursitis, Fracture, Treatment

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ischial tuberosity pain

It is a swollen part of the bone in the frontal portion of the ischium, the lowest of the three main bones that make up each half of the pelvis. It is attached to various muscles and supports the weight of the body when one is sitting. Ischial tuberosity pain may be experienced by a wide range of athletes, cyclists, including soccer players, baseball players, cheerleaders, figure skaters, and any type of jumpers or runners. It is often misdiagnosed as ischial bursitis, an extremely painful condition.

ischial tuberosity pain

Ischial tuberosity pain can be very severe, especially when sitting, standing, or running. It can be aggravated by prolonged sitting since we sit on the

ischial tuberosity bursitis

Ischial Bursitis is a painful condition that effects on the ability to run.  It is often misdiagnosed in prolonged periods of no running and unnecessary pain.  If you are suffering from pain in the Gluteal region, it is important to have diagnosed and treated so that you may return to pain-free running and sitting.

ischial tuberosity pain

An Ischial Bursa is a fluid filled sac that prevents friction between the Gluteus region and the Ischial Tuberosity.  This condition has also referred as “Runner’s Butt” because it can hurt when running and “Tailor’s Seat” because it hurts when sitting.

ischial tuberosity treatment

 After the correct diagnosis is completed Ischial Bursitis is easy to treat. With a little rest, correct and proper stretching technique at home and foam roller routine begun the runner will be well on his way to recovering.  In addition to this, it is important to initiate therapy in our office to directly treat the bursa.  Our office will usually use therapeutic ultrasound, electrical stimulation, cross friction, transverse friction or active release massage in addition to manual muscle and joint manipulation to treat this painful condition.

ischial tuberosity fracture

Isolated fractures of the ischium are rare and quite often do not involve the weight bearing portion of the pelvis.  Avulsion fractures of the ischium can occur with acute hamstring injuries.  The majority of fractures of the ischium are associated with acetabular fractures that affect the posterior column.  The obturator foramen is a fixed ring structure.  A fracture in one part of the ring will almost always lead to a fracture of the ischiopubic ramus.

ischial tuberosity fracture Treatment

Isolated ischial fractures that are caudad to the acetabulum are not involved with weight bearing and do not require fixation for ambulation.  There are some instances where open reduction and internal fixation is indicated.

ischial tuberosity pain

Operative indications

  • Open fractures
  • Vascular injury
  • Posterior wall fractures (relative)
  • Posterior column fractures (relative)
  • Hamstring avulsion of the tuberosity (relative)

The ischium is approached posteriorly most commonly through a Kocher Langenbeck approach.

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