Ischial bursitis

Last updated
Ischial bursitis
Specialty Orthopaedics
Symptoms Inflammation, Pain
CausesProlonged sitting on hard surfaces

Ischial bursitis (also known as weaver's bottom) is inflammation of the synovial bursa located between gluteus maximus muscle and ischial tuberosity.

Contents

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. [1] It may also be related to ischial apophysitis, which may be caused by exercise, particularly in young and athletic patients. [1]

Mechanism

The ischial bursa is a synovial bursa located between 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]

Related Research Articles

<span class="mw-page-title-main">Gluteus maximus</span> Largest and most superficial of the three gluteal muscles

The gluteus maximus is the main extensor muscle of the hip in humans. It is the largest and outermost of the three gluteal muscles and makes up a large part of the shape and appearance of each side of the hips. It is the single largest muscle in the human body. Its thick fleshy mass, in a quadrilateral shape, forms the prominence of the buttocks. The other gluteal muscles are the medius and minimus, and sometimes informally these are collectively referred to as the glutes.

<span class="mw-page-title-main">Bursitis</span> Human disease

Bursitis is the inflammation of one or more bursae of synovial fluid in the body. They are lined with a synovial membrane that secretes a lubricating synovial fluid. There are more than 150 bursae in the human body. The bursae rest at the points where internal functionaries, such as muscles and tendons, slide across bone. Healthy bursae create a smooth, almost frictionless functional gliding surface making normal movement painless. When bursitis occurs, however, movement relying on the inflamed bursa becomes difficult and painful. Moreover, movement of tendons and muscles over the inflamed bursa aggravates its inflammation, perpetuating the problem. Muscle can also be stiffened.

<span class="mw-page-title-main">Synovial bursa</span> Fluid-filled sacs which cushion the bones and muscles around joints

A synovial bursa, usually simply bursa, is a small fluid-filled sac lined by synovial membrane with an inner capillary layer of viscous synovial fluid. It provides a cushion between bones and tendons and/or muscles around a joint. This helps to reduce friction between the bones and allows free movement. Bursae are found around most major joints of the body.

The linea aspera is a ridge of roughened surface on the posterior surface of the shaft of the femur. It is the site of attachments of muscles and the intermuscular septum.

<span class="mw-page-title-main">Muscles of the hip</span> Causes movement in the hip

In human anatomy, the muscles of the hip joint are those muscles that cause movement in the hip. Most modern anatomists define 17 of these muscles, although some additional muscles may sometimes be considered. These are often divided into four groups according to their orientation around the hip joint: the gluteal group; the lateral rotator group; the adductor group; and the iliopsoas group.

The gluteal tuberosity is the lateral one of the three upward prolongations of the linea aspera of the femur, extending to the base of the greater trochanter. It serves as the principal insertion site for the gluteus maximus muscle.

<span class="mw-page-title-main">Snapping hip syndrome</span> Medical condition

Snapping hip syndrome, also referred to as dancer's hip, is a medical condition characterized by a snapping sensation felt when the hip is flexed and extended. This may be accompanied by a snapping or popping noise and pain or discomfort. Pain often decreases with rest and diminished activity. Snapping hip syndrome is commonly classified by the location of the snapping as either extra-articular or intra-articular.

<span class="mw-page-title-main">Inferior gluteal nerve</span>

The inferior gluteal nerve is the main motor neuron that innervates the gluteus maximus muscle. It is responsible for the movement of the gluteus maximus in activities requiring the hip to extend the thigh, such as climbing stairs. Injury to this nerve is rare but often occurs as a complication of posterior approach to the hip during hip replacement. When damaged, one would develop gluteus maximus lurch, which is a gait abnormality which causes the individual to 'lurch' backwards to compensate lack in hip extension.

<span class="mw-page-title-main">Ischium</span> Lower and back region of the hip bone

The ischium forms the lower and back region of the hip bone.

<span class="mw-page-title-main">Sacrotuberous ligament</span>

The sacrotuberous ligament is situated at the lower and back part of the pelvis. It is flat, and triangular in form; narrower in the middle than at the ends.

<span class="mw-page-title-main">Adductor canal</span> Aponeurotic tunnel in the middle third of the thigh

The adductor canal is an aponeurotic tunnel in the middle third of the thigh giving passage to parts of the femoral artery, vein, and nerve. It extends from the apex of the femoral triangle to the adductor hiatus.

<span class="mw-page-title-main">Ischial tuberosity</span> Bones used to sit

The ischial tuberosity, also known colloquially as the sit bones or sitz bones, or as a pair the sitting bones, is a large posterior bony protruberance on the superior ramus of the ischium. It marks the lateral boundary of the pelvic outlet.

In human anatomy, the body of femur is the almost cylindrical, long part of the femur. It is a little broader above than in the center, broadest and somewhat flattened from before backward below. It is slightly arched, so as to be convex in front, and concave behind, where it is strengthened by a prominent longitudinal ridge, the linea aspera.

<span class="mw-page-title-main">Ischial spine</span> Part of the posterior border of the body of the ischium bone of the pelvis

The ischial spine is part of the posterior border of the body of the ischium bone of the pelvis. It is a thin and pointed triangular eminence, more or less elongated in different subjects.

<span class="mw-page-title-main">Radial tuberosity</span> Bony eminence on the radius

Beneath the neck of the radius, on the medial side, is an eminence, the radial tuberosity; its surface is divided into:

<span class="mw-page-title-main">Prepatellar bursitis</span> Inflammation of the prepatellar bursa at the front of the knee

Prepatellar bursitis is an inflammation of the prepatellar bursa at the front of the knee. It is marked by swelling at the knee, which can be tender to the touch and which generally does not restrict the knee's range of motion. It can be extremely painful and disabling as long as the underlying condition persists.

Greater trochanteric pain syndrome (GTPS), a form of bursitis, is inflammation of the trochanteric bursa, a part of the hip.

<span class="mw-page-title-main">Olecranon bursitis</span> Medical condition; swelling, redness, and pain at the tip of the elbow

Olecranon bursitis is a condition characterized by swelling, redness, and pain at the tip of the elbow. If the underlying cause is due to an infection, fever may be present. The condition is relatively common and is one of the most frequent types of bursitis.

<span class="mw-page-title-main">Hip bone</span> Bone of the pelvis

The hip bone is a large flat bone, constricted in the center and expanded above and below. In some vertebrates it is composed of three parts: the ilium, ischium, and the pubis.

The bicipitoradial bursa is a bursa located between the distal tendon of the biceps brachii muscle and the anterior part of the tuberosity of the radius. It partially or completely wraps around the biceps tendon. It ensures frictionless motion between the biceps tendon and the proximal radius during pronation and supination of the forearm. With pronation, the tuberosity of the radius rotates posteriorly, causing compression of the bursa between the biceps tendon and the radial tuberosity.

References

  1. 1 2 3 4 5 6 7 8 Olsen, Nicholas K.; Press, Joel M.; Young, Jeffrey L. (2011-01-01), Lennard, Ted A.; Walkowski, Stevan; Singla, Aneesh K.; Vivian, David G. (eds.), "11 - Bursae Injections", Pain Procedures in Clinical Practice (Third Edition), Saint Louis: Hanley & Belfus, pp. 77–81, doi:10.1016/b978-1-4160-3779-8.10011-9, ISBN   978-1-4160-3779-8 , retrieved 2021-03-08
  2. 1 2 3 Guanche, Carlos A. (2012-12-01). "Proximal Hamstring Syndrome: Repair and Ischial Bursectomy". Operative Techniques in Sports Medicine. Innovations in Hip Arthroscopy. 20 (4): 333–339. doi:10.1053/j.otsm.2012.09.007. ISSN   1060-1872.
  3. 1 2 3 4 Ombregt, Ludwig (2013-01-01), Ombregt, Ludwig (ed.), "47 - Disorders of the inert structures", A System of Orthopaedic Medicine (Third Edition), Churchill Livingstone, pp. 629–649.e3, doi:10.1016/b978-0-7020-3145-8.00047-8, ISBN   978-0-7020-3145-8 , retrieved 2021-03-08
  4. Fauci, Anthony (2010). Harrison's Rheumatology, Second Edition. McGraw-Hill Professional Publishing; Digital Edition. p. 271. ISBN   9780071741460.