Ischial Bursitis/Weavers Bottom

hj325

New member
I had trigger point injections into the lower gluts 4 weeks ago. He got a couple of good spasms. I felt better than I had in a long time. Then, 2 weeks ago, the doc did a piriformis injection (marcane & cortosone). I couldn't walk the rest of the day & barely the next & the pain was worse. He wants to do another one along with trigger points. I'm wondering if my problem is the piriformis. Yesterday, my chiropractor noticed alot of muscle spasms in my hamstring. My pain does travel from the top of my hamstring to the lower back. Wish something (besides trigger points) helped my muscle spasms. Getting a massage next week, last time I felt better afterwards. Hope you all are finding some relief. I haven't even been at the computer 15 minutes & I can't sit any longer.
Linmarie
 
Still thinking of ways to help you with the misery.

If it is a tight pulling muscle, wonder if taking a muscle relaxer for a period of time would help.

I have been suffering from Plantar Fasciitis in both feet for 3 1/2 years , caused by taking Actonel for osteopenia, and nothing has helped.

During laporscopic gallbladder removal, the Abdominal Rectus Muscle was injured along with nerve entrapment and abdominal muscle spasms. I took Robaxin 500 every 5 hours during the day for about two weeks. A side benefit was the release of the Plantar Fasciitis, not cured, still have some discomfort but the pain is gone and I can wear normal shoes again.
 
I've got Ischial Bursitis. I've been dealing with this discomfort since Nov. of 2007. I've been seeing an ortheopedic surgeon for 5 months. After several PT sessions, and 3 injections into the infected bursa, I'm still suffering from butt pain when sitting and driving. The only relief I get is when I'm lying flat on my back. My doctor is now giving up on me and is ready to send me to Pain Management. I want my issue corrected, and not hidden with pain medicines. Does anyone out there have any suggestions for me? I'm getting ready to try my luck with a Neurologist for a second opinion. I've been miserable now for all most a year. It's really starting to do a number on me emotionally. I'm normally a very active person, but because of this pain I can't do anything that I use to do. I ride motorcycles, and I love to kayak. I also enjoyed riding my bicycle. Well I can't do any of these things any more because of my butt pain. This pain is on the right side, lower buttocks area, it's my sit bone, not my tale bone.

Has anyone out there every had "Ischial Bursitis"??
 
thank you for the suggestion. I will talk to my doctor about muscle relaxers. I have tried steroidal and nonsteroidal anti-inflammatory medications. I stretched the hamstring muscles and muscles and the surrounding area every morning.
 
I hope you all have found relief since your posts. It is a problem for me to sit for any length of time. My biggest pain right now is my SI joint and the muscles spasming around it. (A PT did mention ischial tuberosity). I have tried coritisone/marcane injections into the SI joint, trigger point injections into the surrounding muscles, PT, massage, chiro, kinesio tape, lidoderm patchs, flector patchs, TENS, stretches, etc. My pain doc thinks there are several things going on in the area concerning the joint and the muscles. The pain radiates from the SI joint up to the lower back and down to the top of the hamstring (which burns like crazy and affects my ability to sit more that the SI joint pain) On my last visit he said there was nothing more that he could do for me except try experimental procedures. I'm very afraid of the nerve ablation as I have read many stories of the failures. (Have any of you tried it and if so, what did it do for you? He said he has had success with them.) The only other option he can try on me is botox injections into the muscles. I am thinking that I have to try this. Have any of you had any experience with botox? Has it helped the muscle spasms and the pain?
Linmarie
 
I have just discovered that I have the same thing... Mine is due to cycling and sitting on a bicycle seat during my pregnancy. It does hurt a lot. Anyhow, I also have pubic symphysis which is a separation in the pubic bone because of the relaxin my body is producing to get ready for the baby to come out. So I went to see a Chiropractor that specializes in Prenatal adjustments. He not only is helping with the pubic symphysis, but is the one who told me about the Ischial Bursitis and we just worked on it today... I feel really good immediately.

There is not alot of people who know how to treat this, even he says he's not sure if what he does will work.. He really got in there though and it was painful, but worth it. Such a relief.

If you are still dealing with it, I highly recommend you find a Chiropractor who understands this sort of injury.
 
Did you ever find any medical professional who has expertise treating ischial bursitis? I have had it for almost a year and have tried everything.

dennis
 
Hey Soko70, thanks for sharing that....all info is good info, imo.

I can't speak for others, but I've been to about a half dozen highly recommended chiropractors here, including going to another city where the chiropractic school is. Chiropractors, just like doctors, will almost always give a hopeful response to the "can you help me?" question, though it's highly unlikely they'll be specific about a plan until you've made an appt. and gone in to see them. I've searched online, but never found one who actually "specializes" in ischial bursitis, though I've seen an article or two written by chiro's in other states. It's such a specific condition. I can see them advertising that they specialize in back problems, or prenatal, for example, but not in something this specific.

That said, there are key differences in your situation and that of most of the rest of us here, though I can't speak for everyone. One difference is that you said you got this while pregnant, and your post indicates that you still are. That tells me two things: As you know, many new things are happening to you that are temporary. Some of those changes are common, but I always hear from women about something that came about during pregnancy that was unexpected, and went away afterwards, even though maybe not immediately.
But, also, if you got it while pregnant, and you still are pregnant, then you've had this only a few months, whereas mine has been ongoing for somewhere around 15 years now.
I think that there are crucial differences between an acute condition and a chronic one.
Still, it never hurts to keep searching for someone who really knows this condition and can treat it.
 
Hi...I can sure relate to your butt-bone problem. I can't sit & do all the things I used to do either. My doc said I had Ishial Bursitis too....he said he was sure of it. Well I've had 3 injections over the past 2 years, and they did not help a bit. I went to a arthritis specialist, and she said my tailbone was flexing and pulling on my butt-bone muscle. I told her my tailbone did not hurt...that it was my sitting bone...but she stuck to her diagnosis. I really do not think that is the problem. It started when I had a bad hamstring sprain 2 years ago, and have to be careful with them...I'm 62 yrs. old...but it's my butt-bone that never gets any better. I've been to chriropractors, and I have been seeing a physical therapist for a long time . She helps me with my hamstrings, but doesn't know why my buttbone doesn't get better. I get so depressed over this sometimes...but I just don't know what to do. If you can find some relief or help for this, will you please let me know? Thank-you
 
hey Linmarie,
Your symptoms sound almost identical to mine, though your problem's starting point is higher. Mine actually starts at the junction of my hamstring and gluteal muscles right on top of the sit bone. It does not go down from there, though it doesn't sound like it goes down from there for you either....it's just that your low stopping point is my starting point. Mine only goes up from there, when it does radiate. I have the intense burning too, though sometimes it feels less like burning and more like claws digging into one concentrated spot surrounding the sit bone.

The only things recommended to me have been PT and anti-inflamm's. I've done OTC anti-inflamm's on just a couple of occasions. They did nothing. I know the prescription ones might have more results, but I refuse to take any drug on a daily basis, unless there is an end point in sight.

I didn't do the PT because working out had been my education and profession and hobby for two decades at the time it was recommended. I was familiar with PT techniques, and very familiar with muscle groups, how to balance a workout so that no muscle is overworked or underworked, how to focus on a specific area, etc.
As arrogant as docs might have thought I was, I knew there wasn't anything PT could do that I had not already done. I sure wasn't going to spend thousands on having them tell me how to work out. I don't think I know everything, but the docs weren't doing a good job of convincing me that their PT's knew more. And the PT's I know, have worked with, and worked out with, agreed with me.

I'd be very interested in knowing how the Botox goes for you if you do it. My concern is that it's just going to be like the cortisone - temporary relief, and a false sense of being healed for a few months. However, one doesn't know unless one tries it. right? :)

thanks for weighing in!
 
I just found this site and your post rings all to familiar to me. I have been struggling with this problem for 16 years now - I just didn't know what it was. I have been to all the same practitioners you listed and none have been of help. I have yet to see anyone who has reported any success in treatment, have you??? I have been disgusted with the medical community and I have just 'sucked it up' and dealt with the pain for a while. I am just about ready to delve into trying another round with doctors because I have to do something for the pain. If you have seen any information about successful treatment, could you please let me know?
 
Hi...I can sure relate to your butt-bone problem. I can't sit & do all the things I used to do either. My doc said I had Ishial Bursitis too....he said he was sure of it. Well I've had 3 injections over the past 2 years, and they did not help a bit. I went to a arthritis specialist, and she said my tailbone was flexing and pulling on my butt-bone muscle. I told her my tailbone did not hurt...that it was my sitting bone...but she stuck to her diagnosis. I really do not think that is the problem. It started when I had a bad hamstring sprain 2 years ago, and have to be careful with them...I'm 62 yrs. old...but it's my butt-bone that never gets any better. I've been to chriropractors, and I have been seeing a physical therapist for a long time . She helps me with my hamstrings, but doesn't know why my buttbone doesn't get better. I get so depressed over this sometimes...but I just don't know what to do. If you can find some relief or help for this, will you please let me know? Thank-you
 
sorry for the delay, Linmarie. I haven't been on here in a while. I don't know if stretching will help. IMO, the problem is inflammation, and stretching can't decrease inflammation. However, there is a good stretch for the area. It would be easier to show it to you, but basically it's this: You're sitting on the floor or mat and you start to lay face down. As you lay down, bring your bent leg (the one that connects to the side of the butt that bothers you most) under you. So, you'll end up laying chest down with one leg outstretched behind you and the other knee directly under your chest.

That's it. Mess around with the positioning to get more or less stretch, and to keep knee from crushing breasts.
 
I am continuing to get results, albeit slowly, from eating a raw foods diet. There are foods that are believed to cause or aggravate inflammation, esp. chronic types of inflammation like the many forms of arthritis, as well as bursitis, and other itis'es.
I've noticed that when I consume certain things I've been staying off of because of their inflammatory reputation, I will feel aching throbs in my fingers and feet. I've been off of bread and alcohol, and have cut my sugar intake in half. When I drank a Bacardi Mojito (a bottled drink made by a subsidiary of Anheiser-busch) a couple of weeks ago, within about 20 minutes I started to get pains in my fingers and elbows that I thought had gone forever. That night when I went to bed, I had shooting pains in my feet. WHen I got up the next day and stood on the floor, it felt like someone had been beating my feet, and my knees felt "tight", a sign of swelling.
it was ONE Mojito. geez.

Good luck with your next round. I went through several rounds myself, all a waste of $$$, but have not seen anyone about this since about 2003. I guarantee not one of them is going to know anything about, or see any connection, to a raw diet, if you ask them about it.
Medical school does not offer training in nutrition or "eating physiology".
I've thought that, if I go back to anyone, I'd go to an internist or rheumatologist instead of orthopedic docs or chiropractors.
 
The most recent outburst was triggered by just 3 or 4 hours on an ATV. I had ridden it much harder at other times, but for some reason this seemed to start it up again. I had the shots on Thursday, too soon to tell yet. The shots themselves leave a little ache that takes a few days to clear up. I spoke with the doctor about a cyst or bone spur and he said a cyst would probably have been obvious by exam and a bone spur is very rare on this bone. So he's not recommending any MRI/Xray, but he did say if this shot didn't work we could do one.

None of the over the counter meds helped me. Gabapenten (aka Neurontin) reduced the pain by more than half, but during the 6 months I was on it I gained 20 lbs because it made me hungry all the time (which I'm still trying to lose so I don't recommend it).
 
Hi there,

I've been trying so hard to get a diagnosis on my "bottom" pain. They did xrays and I do have arthritis in my lower back but this is just not it. It's on the "bone" where I sit... more so on the left side. The worst pain I get is when I stand up though. It's just awful and I have to usually pause for it to get better. I recently found out about "Ischial Bursitis" and think this may be it. I am an online gamer and have spent far too long sitting on my butt so it would make sense. I'm just curious if any of you have the same pain upon standing up. Thanks for any info. I just can't get the docs to listen to me. :(
 
Do either of you take Actonel or Fosmax?

If so, be aware that Actonel can cause plantar fascittis and sitting bone pain. Three days after the 6th Actonel my body crashed in many ways. I ended up with plantar fascittis and sitting bone pain. The sitting bone had same pain/misery as my feet.

Fortunately the sitting bone pain did not last forever but the plantar fasciitis is still with me after 3 years.
 
I had this for about 18 months in my mid twenties. No one could diagnose it and then suddenly it cleared up. Twenty years later it started up again and now I've had it for about two years. Mine is very mild, just uncomfortable, but I am avoiding any difficult sitting (biking, atvs, kayaking, etc). I'm going for a second steroid/lidocaine shot to the bursa (both sides) soon.

I've not had an MRI or xray. Should I insist on one? In my mid-forties I'm pretty darn healthy and this is the only thing I've got that doesn't heal. It does make me wonder if there is something causing it like a cyst or bone spur.

thanks
 
Kim, I agree with you on what doesn't work. Your pain area does sound like mine. Some days my mine does seem to go up from the ischium versus down from the SI joint. I have seen a massage therapist who has helped but I went to see him last Saturday & he poked on the ischium. I hurt so much the next day. He also taped the kinesio taped in a different pattern. Didn't work. Is there anything that is giving you even a little relief? This week I experimented using flector patches on the ischium alternating with lidoderm patches over the SI joint. Thought it helped for a day. Then the pain came back bad as ever & today I'm totally out of it. Maybe too many meds in my system. Just got a message from the pain doc that I have to reschedule. I'm so tired of this. I can't even sit at the computer long enough to do much research. Is there any way of sitting that helps you? I will keep you informed & wish you luck.
Linmarie
 
Hi, Everyone

I am a (I guess former!) Ironman triathlete, who has since 2002 been suffering with what I felt was Hip pain. No doctor or orthopedist from the Hospital for Special Surgery believed me. Nothing showed on the hip x rays. I was depressed, isolated, unable to do what I used to, unable to sleep comfortably and driving became sheer agony. But they all said "nothing is wrong"

One month ago, I went to an Osteopath for another old injury and I also asked her about my hip. Osteopaths are MDs, but my understanding is they work from a different premise. She has been wonderful. She FOUND my pain, not with Xrays or MRIs, but by laying on her hands- manipulating and moving my legs.

She sent me for PT for posture related work.

After 3 sessions she sent me for xrays of the ischium and pelvis. This showed disease (arthritis) and spurs. I am overwhelmed by the info, so am not sure how to sum it up for you.

, yesterday, I had a long session of MRIs of the hip and pelvis.

She has not seen these yet, but yesterday when I saw her she said she wants to find out WHY I got the bursitis, what is causing it. She also asked me to go back to my primary physician and ask about a cortisone shot and will include that as a consideration if that seems to make sense.

Bottom line, I think an osteopath can help far more than any orthopedist. Try it.

Thanks, wish me luck and Good Luck to all of you with this.

Laurie
 
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