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Ischiogluteal or Ischial Bursitis

Muscles contractions in the hip joint provide the movement of the hip. There as well may be friction between the adjacent muscles, tendons, and bones. There are special synovial bursas in our organism which help to reduce this friction. These bursas contain special liquid. In some cases, a bursa gets inflamed and causes pain. This condition is called bursitis.

Ischiogluteal or Ischial Bursitis

There are various causes of the disease. It’s mainly caused by an injury or physical overwork of tendons and muscles. Such problems as hypothermia, sedentary lifestyle, obesity, and badger legs contribute to the development of the disease. There are numerous synovial bursas around the hip, but only three of them usually get inflamed.

Iliopectineal bursa’s inflammation causes iliopectineal bursitis. This bursa is often connected with the joint cavity and its inflammation resembles coxitis or the inflammation of the hip joint. Like any other disease of its kind, it is accompanied by swelling and pain. Pain increases with hip extension.

Ischial bursa inflammation is the reason of ischial bursitis. This disease is also known as ischiogluteal bursitis. Ischial bursa is located at the site of the muscles attached to the ischial tuberosity. Pain gets stronger with hip flexion.

Trochanteric bursa inflammation causes trochanteric or trochantin bursitis.

Ischial Bursitis and Its Causes

In the majority of cases, the disease is caused by a number of reasons.

  • Injuries caused by falling down the stairs, cycling, standing for a long period of time or lying on one side of the body for a long period of time;
  • Spinal diseases such as scoliosis, spinal arthritis and other problems;
  • Badger legs. When one leg is shorter than the other by more than 2 cm, it affects the manner of walking and can cause irritation of the periarticular bursa;
  • Rheumatoid arthritis;
  • Previous surgical interventions. Hip surgery or hip joint implants may provoke bursa irritation and cause bursitis;
  • Calcars or calcinations contribute to the development of the disease. They can develop in the tendons attached to trochanter. They also irritate the bursas and cause inflammation.

Symptoms of Ischiogluteal Bursitis

One of the main signs and symptoms of hip bursitis is deep or sometimes burning pain in the hip area. You can also feel pain beyond the hip area along the outside of the thigh. At early stages, the pain is usually described as sharp and intense. It usually aggravates with bending and unbending the hip.

Usually, pain is worse at night, especially when the patient lies on the affected side of the hip. Pain also aggravates when the patient stands up after sitting in the chair for some time. It can also get worse when you walk for a long time, or when you walk up the stairs or squat.

Patients whose occupation requires prolonged sitting on a hard surface may suffer from ischial tuberosity bursitis. You can feel pain over ischial tuberosity. It radiates down the back of the thigh and provokes a diskal hernia. Ischiogluteal bursitis is also known as weaver’s bottom.

Bursitis caused by infection is the reason to consult the doctor immediately. It must be diagnosed by an emergency physician. At suspicion on infectious arthritis, the doctor should carry out prosection or drainage as soon as possible. Parenterally administered antibiotics are also usually prescribed.

Diagnosis of Ischial Bursitis

In order to establish the diagnosis the doctor interviews and palpates the patient and clarifies the position of the hip which causes the most pain. For the diagnosis they sometimes use MRI or X-ray.

Ischial Bursitis Treatment

Good rest is the initial treatment for ischiogluteal bursitis. You may also use ice therapy for pain relief and reduction of inflammation. Nonsteroidal medications, as well as anti-inflammatory drugs, are helpful in this situation.

As a pain relief, the patients with ischial tuberosity bursitis may put a small cushion when sitting. Such a simple procedure will help to prevent the reoccurrence of the disease.

Thus, ischial bursitis treatment is quite simple. A good rest, therapeutic exercises, and anti-inflammatory drugs are usually enough for recovery. In some cases, chronic disease may require physical therapy, glucocorticoid injection or surgery. Specific exercises depend on the type of bursitis. In any case, before starting the treatment you should consult a specialist.

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