Stephen J. Schueler, M.D.

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Ischial Bursitis Overview

What is ischial bursitis?
A person with ischial bursitis has inflammation of the bursa that lies over the ischial tuberosity. The ischial tuberosity is the bony prominence in the pelvis, on which you sit. The ischial bursa acts as a lubricating pad between tendons and the pelvic bone. The ischial bursa prevents destruction of the tendons as they move over the ischial tuberosity. A common cause of ischial bursitis is prolonged sitting. Inflammation around the ischial tuberosity can irritate the sciatic nerve, triggering symptoms that are very similar to acute sciatica.

What are the symptoms of ischial bursitis?
Symptoms of ischial bursitis include buttock pain or hip pain, and localized tenderness overlying the ischial tuberosity. Additional symptoms of ischial bursitis include numbness and tingling in the buttock that spreads down the leg. The symptoms usually worsen while sitting.

How does the doctor treat ischial bursitis?
Treatment of ischial bursitis includes rest, use of a doughnut cushion while sitting, and nonsteroidal anti-inflammatory medications for pain. Additional treatment includes hamstring stretches and strengthening exercises. Severe cases may require injections of corticosteroid medication over the ischial tuberosity.

Continue to Ischial Bursitis Symptoms

Last Updated: Aug 5, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Ischial Bursitis References
  1. Akisue T, Yamamoto T, Marui T, Hitora T, Nagira K, Mihune Y, Kurosaka M, Fujita I, Matsumoto K. Ischiogluteal bursitis: multimodality imaging findings. Clin Orthop Relat Res. 2003 Jan;(406):214-7. [12579021]
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