Ischial bursitis

Ischial Bursitis is a condition characterized by pain and inflammation in the bursa located between the gluteus maximus muscle and the underlying bony prominence of the ischium, the lowermost portion of the pelvis. This condition is also commonly referred to as Weaver's Bottom or Tailor's Seat due to its prevalence among individuals who sit for extended periods.

Causes

Ischial Bursitis is typically caused by prolonged sitting on hard surfaces that put pressure on the ischial bursa. Other causes may include rheumatoid arthritis, gout, and direct trauma to the buttock area. In some cases, it can also be caused by overuse or strain from activities such as running or biking.

Symptoms

The primary symptom of Ischial Bursitis is pain in the buttock area, which may intensify when sitting or lying down, and may be accompanied by swelling or tenderness. In severe cases, the pain may radiate down the back of the leg.

Diagnosis

Diagnosis of Ischial Bursitis typically involves a physical examination and review of the patient's medical history. Imaging tests such as X-rays, MRIs, or ultrasound may also be used to confirm the diagnosis and rule out other conditions.

Treatment

Treatment for Ischial Bursitis typically involves a combination of rest, physical therapy, and nonsteroidal anti-inflammatory drugs (NSAIDs). In severe cases, corticosteroid injections or surgery may be required.

Prevention

Prevention strategies for Ischial Bursitis include regular exercise to strengthen the gluteal muscles, using a cushioned seat when sitting for extended periods, and taking regular breaks to stand and stretch during long periods of sitting.

See Also

• Bursitis
• Hip pain
• Rheumatoid arthritis
• Gout