Ischial bursitis

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Ischial bursitis
Orthopaedics
SymptomsInflammation, Pain
CausesProlonged sitting on hard surfaces

Ischial bursitis (also known as weaver's bottom) is inflammation of the

gluteus maximus muscle and ischial tuberosity
.

Signs and symptoms

Ischial bursitis causes pain down the posterior aspect of the upper thigh.[1][2] There may be pain over the ischial tuberosity.[2] Chronic ischial bursitis may cause paraesthesia.[2] This pain may become immediately more severe when sitting down.[3]

Cause

Ischial bursitis is usually caused by prolonged sitting on a hard surface.

apophysitis, which may be caused by exercise, particularly in young and athletic patients.[1]

Mechanism

The ischial bursa is a

gluteus maximus muscle and ischial tuberosity.[4] When in a seated position, the ischial bursa is put under the highest amount of pressure, which is most significant against a hard surface.[3]

Friction from exercise can lead to inflammation of the ischial bursa, known as bursitis.[1]

Diagnosis

Ischial bursitis is usually diagnosed clinically based on symptoms. An x-ray (using injected contrast agent) may be used to identify the formation of calluses.[1]

Treatment

Ischial bursitis is usually treated

conservatively. Lifestyle changes may be advised, avoiding certain exercises and sitting on hard surfaces.[1] Analgesics, such as nonsteroidal anti-inflammatory drugs, may be used to relieve pain.[1]

Ischial bursitis may be treated with medical and surgical interventions if it is persistent or particularly severe. Analgesics, anaesthetics, or triamcinolone may be injected to relieve pain.[3]

Epidemiology

Ischial bursitis is a fairly rare illness. When a patient presents with symptoms, other conditions such as a spinal disc herniation may be considered.[3]

History

Ischial bursitis is also known as "weaver's bottom" and "tailor's bottom" after professions which involve prolonged sitting on a hard surface.[1]

References