What is Ischiogluteal Bursitis?
A bursa is a fluid-filled sac which functions by helping to decrease friction around the joints. However, when the fluid inside a bursa becomes infected or irritated due to excessive movement, the bursa can become swollen, causing pain and discomfort, ultimately making it difficult to move the affected joint. This health issue is commonly known as bursitis.
Although bursitis generally occurs in the knee, called “housemaid’s knee”, or in the elbow, called “tennis elbow”, it can occur in any joint in the human body. When it occurs in the buttocks, it is known as ischiogluteal bursitis. In this instance, the bursa is found between the ischial tuberosity at the base of the pelvis and the tendon of the hamstring muscle.
Symptoms of Ischiogluteal Bursitis
The symptoms of ischiogluteal bursitis can be similar to those of hamstring tendonitis. Several of the most common symptoms associated with ischiogluteal bursitis include pain and discomfort as well as tenderness in the buttocks region. Painful symptoms may frequently occur when stretching the hamstring muscle or flexing the knee against resistance.
The symptoms of ischiogluteal bursitis can also be similar to those of sciatic nerve pain. Sciatica is a collection of symptoms characterized by pain, discomfort, tingling sensations, and numbness. While the symptoms of ischiogluteal bursitis may be similar to those of sciatica, sciatic nerve pain occurs when the sciatic nerve is irritated, compressed or impinged.
Ischiogluteal bursitis associated with a sports-related injury and/or aggravated underlying condition, such as fibromyalgia, the pain and discomfort may slowly increase after exercise or physical activity. The symptoms may also worsen when sitting for extended periods of time. Ischiogluteal bursitis caused by an infection can ultimately be followed by a fever.
Causes of Ischiogluteal Bursitis
The three most common causes of bursitis are generally due to injury or trauma, infection, and crystal deposits. Trauma can include repetitive movements or a blow to the region. By way of instance, the injury could occur due to a fall. Occasionally, trauma or injury can cause blood to leak into the bursa, causing ischiogluteal bursitis, or any other type of bursitis.
Infection septic bursitis, or an infection in the bursa, generally occurs in the joints which are located closer to the surface of the human body. This health issue frequently affects men, however, it does not seem to be a leading cause of ischiogluteal bursitis. Crystal deposits can also form around the joints when there is too much uric acid in the human body. People with gout can develop bursitis because it is also caused by crystal deposits and it shares many similar symptoms with bursitis.
Diagnosis of Ischiogluteal Bursitis
Bursitis can generally be easily diagnosed by a healthcare professional, however, due to the similar symptoms of ischiogluteal bursitis, hamstring tendonitis, and even sciatica, it may be difficult to diagnose. However, tendonitis can often be relieved by deep tissue massage while bursitis will not and may actually worsen after a deep tissue massage. Proper diagnosis is fundamental in order for healthcare professionals to follow-up with the correct treatment for ischiogluteal bursitis.
Treatment of Ischiogluteal Bursitis
In most instances, bursitis can be treated by resting the affected region and treating the swelling by utilizing cold therapy. When using an ice pack or similar cold pack, it should be wrapped in a cloth to avoid skin damage. The healthcare professional may also recommend a non-steroidal anti-inflammatory medication to reduce painful symptoms and swelling.
As for people that have bursitis caused by an infection, an antibiotic is often prescribed to ultimately help fight the infection, relieving pain and discomfort in several days. If the painful symptoms continue for over a week, the doctor may suggest additional treatment approaches, such as draining of the bursa followed by a corticosteroid injection to reduce inflammation.
Differential Diagnosis of Hip Pain and Discomfort
Ischiogluteal bursitis is a well-known health issue characterized by pain and discomfort in the buttocks which is commonly caused by sitting for extended periods of time. In a variety of instances, ischiogluteal bursitis may also be caused due to an injury or aggravated underlying condition, such as fibromyalgia. Because ischiogluteal bursitis may occur due to inflammation, the widespread painful symptoms of fibromyalgia may also trigger other health issues. Furthermore, ischiogluteal bursitis may share similar symptoms to sciatica, due to the location of the health issue. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The purpose of the article was to compare ischiogluteal bursitis and sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Severe Sciatica
Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.
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