Ischial Tuberosity Pain / Hip & Buttocks Pain
Ross Hauser, M.D.
When you
have pain on the bottom of the buttock, especially when sitting and running,
this could be indicative of ischial tuberosity pain. Sometimes a doctor will
examine this area, find it to be tender to palpation, and give you a diagnosis
of ischial bursitis. The
RICE treatment
of Rest, Ice, Compression, and Elevation will be given and sometimes an
anti-inflammatory
drug is prescribed.
Cortisone injections may follow. A true bursitis is rare.
Before a patient receives a buttock
steroid injection
a consultation with a Prolotherapist should be considered. Prolotherapists know that the hamstring
muscles and sacrotuberus ligaments attach to the ischial tuberosity, and all
that Prolotherapy to the area can resolve the buttock pain.
Acute, moderate, or severe hamstring strains are common injuries among runners. Hamstring injuries occur frequently despite the prevalence
of
stretching
programs. Is it possible that these stretching programs are
predisposing athletes to these injuries? Repetitive hamstring strains can occur
because of some weakness at the origin of the hamstring muscle onto the ischial
tuberosity. If the athlete has pain at the attachment site and in the belly of
the muscle, Prolotherapy is given. This will strengthen the hamstring attachment
onto the ischial tuberosity and resolve the pain.
The sacrotuberus ligaments go from the sacrum to the ischial tuberosity and,
generally, both attachment sites are tender. This is an often-overlooked cause
of buttock pain. Prolotherapy to both attachments can resolve the buttock pain
and often the lower back pain that is associated with it.
|