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Ischial Bursitis pain
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Hi, not sure if spelt it right but have been told I may have Ischial Buritis. Have had this for 10 months now and wondered if anyone has had it and cured it. Thanks
Last edited by: SCR: Feb 16, 11 18:44
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Re: Ischial Bursitis pain [SCR] [ In reply to ]
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Go to a physio for assessment and treatment.

It is most likely caused by a tight ITB but whatever the case if it has lasted 10 months you need to see a decent physio and/or physician to.make sure there are no other issues.
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Re: Ischial Bursitis pain [Rouleur] [ In reply to ]
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The ITB is no where near the ishium.

Often ischial bursitis is caused by too much sitting or overuse of the hamstrings. Try improving your hip extension pattern by using more glute contribution and see what happens.


JC
Twitter: http://twitter.com/jeffcubos
Website: http://www.jeffcubos.com
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Re: Ischial Bursitis pain [jeffcubos] [ In reply to ]
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Sorry, I just re-read that, for some reason in my mind I read the original posters comment as 'trochanteric' bursitis. Oops...

Just goes to show why you shouldn't trust a forum consult. ;)
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Re: Ischial Bursitis pain [jeffcubos] [ In reply to ]
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can you explain how to engage one's glutes more while running?

maybe she's born with it, maybe it's chlorine
Fishtwitch is chlorintined!
disclaimer: PhD not MD
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Re: Ischial Bursitis pain [tigerchik] [ In reply to ]
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Hmm...

Tough question. I'm not necessarily a fan of trying to improve movement patterns during training, especially when it comes to endurance sports.

Personally, I find ancillary work (single leg bridges, cable lift patterns, etc) followed by movement prep warm-ups are the more ideal ways to improve patterns...


JC
Twitter: http://twitter.com/jeffcubos
Website: http://www.jeffcubos.com
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Re: Ischial Bursitis pain [jeffcubos] [ In reply to ]
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Thanks for your reply, I will give it a go and see what happens. Thanks again
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Re: Ischial Bursitis pain [SCR] [ In reply to ]
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You didn't mention if you felt the problem was from running or cycling?
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Re: Ischial Bursitis pain [bc rob] [ In reply to ]
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It was from cycling, I was riding the civil war century in PA and halfway around I felt the pain. I just thought it was from the ride itself but 10months later and several Physio's and chiropractors here I still am.
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Re: Ischial Bursitis pain [SCR] [ In reply to ]
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Given that it started with your cycling, have you had your position and/or pedaling technique evaluated? Excessive rocking of the pelvis on the saddle will definitely cause extra wear and tear on the bursae causing inflammation...
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Re: Ischial Bursitis pain [bc rob] [ In reply to ]
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Hi, yes that was the first thing I did. They lowered my saddle a little bit. But nothing else.
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Re: Ischial Bursitis pain [SCR] [ In reply to ]
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Did they feel you were in the wrong position and lowered it or did they just lower it...have them look at your pelvic stability.
If the cycling is still the primary aggravating factor, you may need to take time off the saddle to let it heal...have you consulted an MD regarding injecting it with cortisone or taking a short high intensity oral steroid series?
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Re: Ischial Bursitis pain [bc rob] [ In reply to ]
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They checked myflexability in my hamstrings and decided to Lowe it a couple of mil. I'm reluctant to have an injection until I have been told exactly what it is. My Osteopath thinks it's this but he can't be sure.
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Re: Ischial Bursitis pain [SCR] [ In reply to ]
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I have just gotten over this, but am still looking over my shoulder hoping that it will not return. One of the worst injuries I have had to deal with so far. There is just no way to immobilize it so it drags on and on. I initially injured it pushing hard (racing) alongside one of my roadie friends in an over-agressive position on my road bike down in the clip on aerobars. I could feel a burn in the high hamstring/glute area. The next day running it became very apparent I had a problem. I dropped my saddle height and road quite a bit last summer, as it did not seem to hurt as much cycling as running. It t really hurt when I ran, particularly during the swing phase of my stride. After about 10 months, I did get a couple of cortisone shots to the bursa (needle guided by some imaging device) and then took almost 3 months off. That seems to have done th etrick. I just did not want it to mess up another summer. Best wishes on your recovery
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Re: Ischial Bursitis pain [SCR] [ In reply to ]
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What has the PT told you they think is causing the problem...did the Osteopath or PT check to make sure you do not have an SI joint rotation/slip causing an asymetrical loading of the Ischial Tuberosity thereby causing the Bursitis?
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Re: Ischial Bursitis pain [bc rob] [ In reply to ]
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The Osteopath seams to think it is my hips are because they where way out of alignment and he has been working on that. Also my Chiropractor thinks the same thing, but I'm still not sure. I can't tell wether it's on my sit bone or slightly closer in, if you know what I mean.
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Re: Ischial Bursitis pain [SCR] [ In reply to ]
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The thing that you want to do is dial in the root cause (keep after them on what they feel is the cause and how to correct that, bursitis is a symptom), if both of them feel your pelvis is out of alignment, this is the place to start...get your pelvis lined up, your hip/core musculature flexibile and strong, then try returning to your sport gradually building volume first then intensity...
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Re: Ischial Bursitis pain [SCR] [ In reply to ]
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You might question the original diagnosis and explore options related to piriformis syndrome. Make sure it releases and is well lengthened with stretching. This is a very common problem with cycling and I've seen it overlooked by pretty decent PTs when there was no initial obvious mid to upper buttock pain. Upon closer inspection you may find ropey muscle groups within the deeper buttock that are potentially tender to pressure but don't necessarily have to be. Had any additional posterior thigh pain or mysterious knee pain lately on that same side?
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Re: Ischial Bursitis pain [wvtrigeek] [ In reply to ]
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Thanks for your response. I have heard of that before but no one has mentioned it yet. My knee has been fine and have managed to stretch the hamstring without feeling anything at the sit bone. Will mention this to my Chiropractor. Thanks...
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Re: Ischial Bursitis pain [wvtrigeek] [ In reply to ]
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Unfortunately the ischial bursa and the piriformis are in two completely different areas.

That said, here's my good friend talking about "piriformis syndrome"

http://functionalanatomyblog.com/...sment-and-treatment/


JC
Twitter: http://twitter.com/jeffcubos
Website: http://www.jeffcubos.com
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Re: Ischial Bursitis pain [jeffcubos] [ In reply to ]
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Fortunately, the piriformis has a very predictable referral pattern, which does include the buttock, posterior thigh and knee. Clearly the piriformis doesn't exist as a muscle in those areas but it will certainly cause pain in those areas. At no point did I suggest that the ischial bursa and piriformis are in the exact same area. Did my use of the term "piriformis syndrome" create a confusion because these do mean different things to different people? I am not suggesting this individual should have true radicular symptoms into the leg. Anatomy and the role of the nervous system are two entirely different subjects. While I have noticed, just as your friend in the linked video states, that the gluteal tissues play a large role in buttock pain, I feel that the piriformis is also a likely culprit in pain in that region. I've dug on a few where it actually duplicated their symptoms once the gluteal tissues were relaxed. Of course the gluteals will always be positioned over top the piriformis. It would be ridiculous to argue anatomy of that nature. Here's a picture of the piriformis referral pattern. The referral area does clearly proceed over the inferior buttock and ischium and will vary from person to person. I've seen bursitis misdiagnosed multiple times. Clearly I'm not diagnosing the original poster's problem but merely informing him that he may want to check out some other possibilities, particularly if they are common to endurance athletes. He came here for general help and education.

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Re: Ischial Bursitis pain [wvtrigeek] [ In reply to ]
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wvtrigeek wrote:
Fortunately, the piriformis has a very predictable referral pattern, which does include the buttock, posterior thigh and knee. Clearly the piriformis doesn't exist as a muscle in those areas but it will certainly cause pain in those areas. At no point did I suggest that the ischial bursa and piriformis are in the exact same area. Did my use of the term "piriformis syndrome" create a confusion because these do mean different things to different people? I am not suggesting this individual should have true radicular symptoms into the leg. Anatomy and the role of the nervous system are two entirely different subjects. While I have noticed, just as your friend in the linked video states, that the gluteal tissues play a large role in buttock pain, I feel that the piriformis is also a likely culprit in pain in that region. I've dug on a few where it actually duplicated their symptoms once the gluteal tissues were relaxed. Of course the gluteals will always be positioned over top the piriformis. It would be ridiculous to argue anatomy of that nature. Here's a picture of the piriformis referral pattern. The referral area does clearly proceed over the inferior buttock and ischium and will vary from person to person. I've seen bursitis misdiagnosed multiple times. Clearly I'm not diagnosing the original poster's problem but merely informing him that he may want to check out some other possibilities, particularly if they are common to endurance athletes. He came here for general help and education.



+1, may not be the cause, but certainly could be. If you're having a chronic problem that has lasted multiple Dr.'s and long periods of time, best to simply ask and get a couple simple tests done.

____________________________________________________
I don't suffer from insanity; I enjoy every minute of it--
Last edited by: greenmtnman: Feb 19, 11 6:57
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Re: Ischial Bursitis pain [wvtrigeek] [ In reply to ]
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I agree 100% with what you are saying.

That said, even if it was the piriformis that was the source of noxious input, resulting in pain...it would still be just the victim.

So to the OP, if this is the case, please do not stop here and only do soft tissue work. You have to look for the culprit.


JC
Twitter: http://twitter.com/jeffcubos
Website: http://www.jeffcubos.com
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Re: Ischial Bursitis pain [jeffcubos] [ In reply to ]
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what do you mean by cable lifts? I know how to do single leg bridges.

maybe she's born with it, maybe it's chlorine
Fishtwitch is chlorintined!
disclaimer: PhD not MD
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Re: Ischial Bursitis pain [tigerchik] [ In reply to ]
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Here's a good video.

Lifts help improve extension patterns and chops improve flexion patterns.

http://www.youtube.com/watch?v=q7gACSxA9oM


JC
Twitter: http://twitter.com/jeffcubos
Website: http://www.jeffcubos.com
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