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Health Inset > Women's Health > Ischial Bursitis – Symptoms, Causes, Pain, Exercises and Treatment

Ischial Bursitis – Symptoms, Causes, Pain, Exercises and Treatment

What is Ischial bursitis?

Scientifically speaking, ischial bursitis is a swelling in ones bursa region which divides ordinary maximus muscle found in the buttock region from an underlying skeletal protrusion of the bone that we usually sit on, known as ischial tuberosity.

What is a bursa?

A bursa is a small sac filled with fluid that acts as a cushion to reduce the sliding friction between body tissues.

Alternate name for Ischial bursitis

It is mostly caused by extended sitting on rigid surfaces which press up against bones that are this area. Some people also call this disorder ‘weaver’s bottom’

Who may get affected with Ischial bursitis?

Though Ischial bursitis can affect anyone, the incidence is higher in athletes, almost 10% high in runners.

What are the causes of Ischial bursitis?

There are diverse causes of this ailment but the most common ones are infection, crystal deposits and traumatizing events.

  • Traumatizing events- Physical trauma may lead to inflammatory ischial bursitis especially from recurrent injury. It leads to expansion of one’s blood vessels. This in turn will permit proteins as well as extracellular fluid to make their way into bursae area. Consequently, bursae will react against the perceived ‘foreign’ components by swelling up. Trauma can either be severe or acute and these two categories each have their own unique indicators.

Acute

This can result from minor traumatic incidents which can occur on ones bursa as a result of recurrent motion. For instance, kicking a simple baseball. Prepatellar bursitis is yet another example in this category, and it results from extensive and recurrent kneeling upon a hard plane. Like when one is preparing to lay or scrub a piece of carpet.

Chronic

It results from a straight forceful blow at the affected region. For instance, when one accidentally knocks his/her knees upon a table. It can further cause ones blood to leak up at the bursa area. This swift collection generally results to perceptible ache and swelling of the affected area.

  • Over use of joint- Over use can be a cause of ischial bursitis as there is continuous pressure on the join.
  • Infections. When appears close to your skin’s surface then bursae can lead to a condition commonly referred to as ‘septic bursitis.’ Individuals suffering from alcoholism and also diabetes are much more prone to this condition. Those who may have ever experienced trauma in the course of their lives also bear a higher risk. Around 85% of reported septic bursitis incidents affect men.
  • Systemic diseases- systemic diseases like arthritis, scleroderma, whipple disease, systemic lupus erythematous etc may predispose to Ischial bursitis.
  • Crystal deposits. Individuals with particular diseases like scleroderma, gout or adverse rheumatoid arthritis can also develop bursitis as a result deposited crystals. Very little research has been carried out to determine the main cause of this form of crystal disposition. However, uric acid has been quickly pointed as one of the reasons behind this condition since it’s a consequence of daily metabolic reactions in the body. Individuals suffering from gout may be unable to successfully break down any uric acid deposits. These residues would be crystallized and then placed in ones adjacent joints thereby leading to bursitis.

General symptoms of Ischial bursitis

Ischial bursitis can lead to soreness and also tenderness at the compromised bone and surrounding tendons. The victims’ bursae sacs can bulge and make movement quite difficult.  There are many forms of bursitis but the Ischial variety is the one of most common.

Ones subdeltoid bursa region usually separates the key tendon called supraspinatus from other overlying bones or deltoid muscle. Swelling of your bursa is usually due to injury of adjacent structures, which in most cases are the delicate rotator cuffs. This can result to pain at the affected region. When this occurs some of the below Ischial bursitis symptoms can be witnessed.

  • Discomfort when it comes to walking and also running.
  • Extreme pain particularly during the night.
  • Compromised range of active movement and extreme tenderness at particular spots.
  • Extreme pain when the joint is bent in any way. This is mainly due to increased tension at the affected region.
  • Infection is also common when the condition isn’t treated within the shortest possible time.
  • This pain may readily radiate over to other adjacent regions and can be increased when one climbs stairs.

Ischiogluteal bursitis may cause severe swelling of ones ischial bursa that is found between the sides of your pelvic and extended gluteus maximus fibers. Apart from extensive sitting, inflammation may also happen due to repetitive and prolonged bicycling. As a result the person will experience Ischial bursitis symptoms like:

  • Sharp pain when direct pressure is applied to the region. This particular ache may exude down to your thigh’s back region.
  • Soreness becomes worse when one is reclining and his/her hip is reflexively bent.
  • The patient will experience great difficulty standing upright or tiptoeing using the affected area.
  • There would be tenderness at the pubic bone that can be worsened through extending ones legs.
  • In rare instances tenderness can spread over to the groin region.
  • At times a mass can be experienced that resembles a small hernia. An individual can also feel numbness as well as tingling sensation incase adjacent nerves are squeezed by the swollen bursa.

Diagnosis of Ischial bursitis

The diagnosis of Ischial bursitis is based on the symptoms and several questions that the physician ask the patient a bout his/her medical history. The diagnostic tests to confirm Ischial bursitis include;

  • Blood test
  • X-ray to look for the deformities in bone
  • Aspiration of the fluid from infected bursa to check for infection

Treatment for Ischial bursitis

Ischial bursitis treatment at home

Most physicians recommend a simple home based remedy known as PRICEM which includes protection, ample rest, ice application, gentle compression, moderate elevation and also a few medications for Ischail bursitis treatment.

These home based ischial bursitis treatment steps are discussed in detail below:

  • Protection. Here, the procedure involves padding of certain bursae protrusions which are nearer surfaces of ones skin.
  • Rest. This should be a relative course and should be done in regular intervals. One should effectively select alternative categories of exercises which would get rid of throbbing motions. Controlled swimming can also help to ease off the condition instead of aggravating it as some people may falsely think.
  • Ice. This is an extremely effective anti-swelling and pain-relieving instrument. Little ice packs like packages of ice-covered veggies, or pure water that has been frozen up in standard foam coffee mugs can be placed at the affected region for a minimum of 10 minutes. When done twice daily this can effectively reduce inflammation.
  • Compression and appropriate elevation. These are useful when it becomes feasible to constrict the affected region. A supple bandage may be tied around the affected area. The individual needs to ensure that the region is specially elevated above his/her heart region such that blood may not pool in the area.
  • Medications. Common over-the-counter drugs like ibuprofen and also aspirin can be very helpful in cutting down inflammation.

One should never forget to appropriately seek advice of his/her physician before having these drugs as they can lead to serious complications if misused. This is particularly imperative for those that have a history of recurrent stomach ulcers, or are under any form of blood-thinning prescription drugs.

Medical Ischial bursitis treatment procedures

  • Incase ones bursitis infection is by no means infectious then the physician can decide to inject corticosteroid to the inflammation area which would work in reducing swelling.
  • The results can last for diverse time frames. Due to latent complications. Vaccinations are generally given duration of at least three times each year, and this should take a minimum of 30 full day apart from one injection to the other.

Those with infectious bursitis can have their bursa drained up using a simple needle. The physician will recommend antibiotics that must be consumed in the form of tablets. If ones infection is severe and has failed to respond to standard oral antibiotics, or when the immune structure has been weakened for whichever reason, then the person can be admitted to respective hospitals where IV antibiotics may be administered to the patient. Nonetheless, many causes of contagious bursitis may be safely managed right from home.

Ischial bursitis exercises

Once the pain and inflammation are under control, the patient can start with certain Ischial bursitis exercises to tighten the muscles and ligaments. Knee to chest Ischial bursitis exercise in lying or standing position and light stretching exercises are highly effective in regaining the movement of the joint. The patient must limit the exercise to a minimal time initially as heavy Ischial bursitis exercises may cause joint pain.

Sleep posture and Ischial bursitis pillows

Lying down straight with a pillow under the knees during sleep help to reduce pain.

Follow up procedurals that should be adhered to

  • When one has already left his/her physician’s office then it’s imperative that the person should endeavor to change whatever factor that led to bursitis during the initial instance.
  • You must effectively rest the region and then apply some ice for an instance of around twice each day. Ensure that the region is sufficiently elevated wherever possible.
  • One may further schedule up a follow-up visit with his/her physician within a week’s time. Incase the bursitis has been termed as infectious then a follow-up appointment in around 3-4 days would be suitable for re-evaluation and apparent fluid removal.

How to avoid Ischial bursitis from taking root

  • If there are particular activities you engage that are very likely to be the cause of your disorder then it’s vital that you refrain from engaging in them henceforth. Alternatively, you may employ defensive measures or limit the intensity of activity.
  • Workers like plumbers, carpet layers and also roofers must take extra-precautionary measures since their vocation makes them prone to acquiring this disorder.
  • One can further improve his/her flexibility and further strengthen muscles which are concerned in joint movement by means of rehabilitative sports.
  • Patients should be concerned as appertains their muscle tone incase they have a bursitis which has the propensity of coming back.
  • A standard physical therapeutic program will also effectively guide one in the proper cardiovascular exercises that will work towards strengthening of certain weaker muscles.

Ischial bursitis can be cured if one identifies it early and also seeks therapeutic intervention promptly. Many individuals respond to Ischial bursitis treatment within 4 days but they should follow it up by checking with their physician within a week’s time.

References: http://www.dynamicchiropractic.ca/pdf_out/DynamicChiropractic.ca-Ischial-BursitisTendinitis-an-Associated-Disorder-1299097090.pdf

http://www.stacommunications.com/journals/cme/images/cmepdf/june01/tendinitisbursitis.pdf

By   Last updated July 31st, 2011

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