Understanding and Managing Ischial Bursitis
By Amelia Thomas, Physiotherapist
If you're experiencing discomfort in your buttock region, there are a few possible diagnoses, one of which is officially termed “Ischial Bursitis.”
Reading this blog will help you understand the causes, symptoms, and provide some insight into physiotherapy-based treatments that will help to alleviate your pain and improve your quality of life.
What is Ischial Bursitis?
Ischial bursitis is a condition characterised by inflammation of the bursa located near the ischial tuberosity, the bony prominence in the buttocks commonly known as the "sit bones."
The bursa is a fluid-filled sac that acts as a cushion between bones, tendons, and muscles, reducing friction and facilitating smooth movement.
They are important structures that help the smooth functioning of our bodies, however can be a source of pain if irritated and swell up or become inflamed.
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Causes of Ischial Bursitis
Several factors can contribute to the development of ischial bursitis, including:
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Prolonged sitting: Individuals who spend long hours sitting, especially on hard surfaces, are more susceptible to ischial bursitis.
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Repetitive activities: Engaging in activities that involve repetitive hip movements or prolonged pressure on the buttocks can contribute to bursa inflammation.
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Trauma: Direct trauma or injury to the buttock region can lead to ischial bursitis.
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Muscle imbalances: Weakness or tightness in surrounding muscles, such as the hamstrings or hip flexors, can impact the bursa and contribute to inflammation.
Signs and Symptoms of Ischial Bursitis
Recognizing the symptoms of ischial bursitis is crucial for early intervention. Common symptoms include:
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Pain in the buttock region, particularly when sitting or during activities that involve the hip flexion and extension
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Tenderness over the ischial tuberosity.
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Swelling and warmth in the affected area.
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Discomfort that may radiate down the back of the thigh.
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Physiotherapy-Based Treatment of Ischial Bursitis in Melbourne
Physiotherapy plays a pivotal role in managing ischial bursitis. Here are key components of a physiotherapy treatment plan:
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Pain Management: Load modifications, medication, manual therapy and ice can all be used in combination for the initial management of pain and discomfort from this condition.
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Manual Therapy: Hands-on techniques, such as massage and joint mobilisation, can be employed to provide symptomatic relief.
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Strengthening Exercises: Building strength in the muscles around the hip, particularly the hamstring, glute and core muscles, can provide better support and stability.
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Posture and Ergonomics: Physiotherapists can provide guidance on proper sitting and standing posture to minimise pressure and stress on the ischial bursa. Small modifications include sitting out of deep hip flexion or sitting on soft surfaces such as a pillow.
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Activity Modification: Adjusting or modifying activities that exacerbate symptoms is crucial for recovery. Your physiotherapist can help create a tailored plan to gradually reintroduce activities.
Remember, every patient is unique, and a personalised approach is essential for effective treatment.
Pain on your sit bones can be a number of different diagnoses and therefore important to seek professional advice.
If you suspect you have ischial bursitis, consult with a physiotherapist for a thorough assessment and a tailored treatment plan to help you on your path to recovery.
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LEARN How OUR SPORTS PHYSIO TEAM can help you?
At Melbourne Sports Physiotherapy our goal is to get you moving pain free as soon as possible.
But, we also want you to actually move better and live a healthier, more active and fulfilling life!
If your sports, fitness training or work has been wearing your body down, book in with one of our expert massage therapists so we can help you reduce your pain or stiffness.
If you are showing some signs of this condition or simply want help prevent this from happening in the future then book in with one of our highly experienced Remedial Massage Therapists today!
You can make an appointment by calling or booking online.