Pain in the butt - Bilateral Hamstring conjoint tendinosis

Posted by lgerkin @lgerkin, Aug 9, 2020

I've had sit bone pain for over a year now, and finally got an ultrasound that showed tendonitis on upper hamstrings and some calcification of the tendons as well as thickening of the bursa sacs and partial enthesial tearing at the ischial tuberosity. This was after months of myofascial release therapy and exercises from a pelvic floor specialist that didn't help. Last month, I had cortisone shots around both ischial tuberosity joints and went to a new PT who did some scraping on that area with a graston tool as well as stretching and strengthening exercises. The pain is now worse, so I'm going back to the doctor who injected the cortisone next week. I'm wondering if anyone has had successful treatment for this condition. I've seen posts about enzymes and supplements like Turmeric that help, but I'm on a blood thinner so most of these would pose a bleeding risk. Any suggestions are appreciated.

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@dlydailyhope

@bb03
I have cervical/lumbar spinal stenosis and degenerative disc disease. I had pain in my hips/buttocks that went down into my legs/feet at times. I had a MRI of my pelvis/hips and it showed I had bilateral gluteal tendinopathy and bilateral partial hamstring tears! I have no idea how and when this happened! I had lumbar spine surgery on 8/2 (decompression/fusion L3-L5) which was very painful but my hope is it will relieve some of the neurogenic claudication symptoms in my hips/buttocks/legs/feet. I wonder if my pain/weakness/numbness in that area caused me to tear tendons/muscles.

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Could it be because of extensive stretching exercises that we usually prescribed during physical therapy?

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Good Morning.
I wanted to share on this as I have had similar issues with my "pain in the butt".
Long story short, I recently had surgery on my hamstring/tendon and had debris removed.
I have attached what was removed. Pretty significant and it was agreed that this was the source of the pain that I was having in that area. It is hard to saw the cause, except at this point I can say goodbye to the pain that I was experiencing.
I had seen a couple of doctors for the hip and was told that they couldn't help (and didn't tell me anything else). I did see an medical orthopedist-sports medicine physician. Conservative treatment (yet again!) but different and I was ok with it. I was able to communicate with the doctor well. After a year it got interesting as the pain did not go away and I could no longer do my favorite activities. I was sent to the surgeon. Initially I was laughing about how I would look using crutches (being a physiologist I thought I had failed myself). Yet, after going through the processes that the surgeon suggested (surgery wasn't the first one). I said: "Enough is enough" and got on the line to get the outpatient surgery done.
It went as the surgeon expected. There are different degrees of surgery for this problem and the rehab protocol has similarities- and differences. The surprise was the amount of debris (bone) that was removed. The repair was easier than what could have been. The recovery is non-weight bearing for 6-8 weeks with progression based on how long the individual takes to HEAL.

I am at week 8. I was told to keep "chill" and follow PT until 3-4 months (I like to think it will be longer) before I get to ride a bike and lift weights (legs) again. That is what it takes.

The surgery went seamlessly and knowing what I do now would work with the team again to bring the same outcomes in future.

As of now I have no pain in the area (except for the incision site). That is a game changer! Hope it helps. Don't give up. It took me decades to get to this! Happy I did.

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@annshrader

Good Morning.
I wanted to share on this as I have had similar issues with my "pain in the butt".
Long story short, I recently had surgery on my hamstring/tendon and had debris removed.
I have attached what was removed. Pretty significant and it was agreed that this was the source of the pain that I was having in that area. It is hard to saw the cause, except at this point I can say goodbye to the pain that I was experiencing.
I had seen a couple of doctors for the hip and was told that they couldn't help (and didn't tell me anything else). I did see an medical orthopedist-sports medicine physician. Conservative treatment (yet again!) but different and I was ok with it. I was able to communicate with the doctor well. After a year it got interesting as the pain did not go away and I could no longer do my favorite activities. I was sent to the surgeon. Initially I was laughing about how I would look using crutches (being a physiologist I thought I had failed myself). Yet, after going through the processes that the surgeon suggested (surgery wasn't the first one). I said: "Enough is enough" and got on the line to get the outpatient surgery done.
It went as the surgeon expected. There are different degrees of surgery for this problem and the rehab protocol has similarities- and differences. The surprise was the amount of debris (bone) that was removed. The repair was easier than what could have been. The recovery is non-weight bearing for 6-8 weeks with progression based on how long the individual takes to HEAL.

I am at week 8. I was told to keep "chill" and follow PT until 3-4 months (I like to think it will be longer) before I get to ride a bike and lift weights (legs) again. That is what it takes.

The surgery went seamlessly and knowing what I do now would work with the team again to bring the same outcomes in future.

As of now I have no pain in the area (except for the incision site). That is a game changer! Hope it helps. Don't give up. It took me decades to get to this! Happy I did.

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Thank you for sharing! Could you please share how was your condition diagnosed? What tests were done to confirm the diagnosis before the surgery ?

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@lgerkin. i'm sorry. but i just don't like nor care for PTs. they think it's the cure ALL for all your ailments. which it is not. they say do PT, exercise and lose weight. i have a herniated disc at L5-S1. 🤷‍♂️. last i was told it was L4-L5. i wish they'd make up their minds. that's probably why i'm still in pain. they're treating the wrong area. sheesh.
with all that said. all that PT and exercising did was irritate my back and cause unnecessary pain. so be careful with who you get to treat yourself. OK??? @danny5

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