Ischial Bursitis Treatment

Ischial Bursitis Treatment

Ischial Bursitis, also known asischiogluteal bursitis, occurs due to irritation or inflammation to the fluid-filled bursa sacs which act as a cushion between bones and soft tissue in the pelvic/gluteal region, causing swelling and pain. At Vitalis Physiotherapy, our treatment of ischial bursitis aims to:

Alleviate Pain

Reduce Inflammation

Restore Movement

About the condition

What is Ischial Bursitis?

Theischial bursais a deeply located bursa lying between the buttocks and the Ischial tuberosity or sitting bones of the pelvis.  ABursais a fluid-filled sac between bone and tissue which cushions and facilitates smooth movement. The ischial bursa reduces friction between the bony underside of the pelvis and the hamstring muscles.

Bursitisrefers to inflammation and irritation of the bursae. Inflammation is usually a result of damaged blood vessels or ‘microtrauma’ from prolonged seated periods, which can also trigger bursal thickening. Ischial bursitis develops as a result of this, causing swelling, pain and discomfort in the buttocks and upper leg. The condition is one of four main types of hip bursitis.

The condition is sometimes referred to asischioglutealbursitis or ‘beaver’s bottom’, as the condition was first diagnosed in beaver’s who typically sit on hard surfaces for long periods.

Causes

What are the causes?

Though ischial bursitis is a relatively rare condition, it’s triggered and worsened by increased pressure and force to the buttocks, underside of the pelvis and upper leg. Some common factors which influence injury include:

  • Sustained pressure due to prolonged periods of sitting
  • Trauma – significant fall on the buttocks
  • Repetitive stress due to sports – e.g., cycling, running, soccer, etc.
  • Infection
Symptoms

What are the symptoms?

  • Pain in the pelvis/buttocks/upper leg Gradual or sudden onset (depends on severity)
  • Gradual or sudden onset (depends on severity)
  • Swelling at the injury site
  • Limited range of movement
  • Bruising/tenderness/blotchy skin
  • Tingling/numbness hamstring (similar to sciatica)
  • Muscle spasms
  • Reduced upper leg strength
  • Pain with direct pressure on the buttocks (e.g. sitting, cycling, etc.)
Treatment

Treatment for Ischial Bursitis

If you suspect you have ischial bursitis, it is important to see a physiotherapist or medical professional. You may also be referred for imaging tests to determine the location and extent of the condition, or to rule out a differential diagnosis.

Physical therapy is highly beneficial in restoring movement and reducing inflammation. At Vitalis Physiotherapy, we tailor a unique treatment plan to aid in your recovery through:

If the pain and reduced movement is severe, strenuous activity should be avoided. Avoiding hard or narrow seating may help.  Your physiotherapist may also advise heat or ice application, rest and if necessary, pain medication.  Additionally, they might recommend for you to use supportive braces or straps.

  • Stretching, strengthening and/or conditioning exercises
  • Restoring range of movement
  • Soft tissue mobilisations (massage)
  • Shockwave Therapy
  • Dry needling
  • Taping
  • Ice
  • A unique home exercise program
  • Graded Exposure to load program

Need Help?

Are you in pain caused by ischial bursitis? Contact Vitalis Physiotherapy now to book in your treatment. Call our friendly team on 0410 559 856. We’d love to help.