Ischial bursitis

Posted by ch47 @ch47, Jul 8, 2023

Has anyone been diagnosed with this? I have terrible pain in area between buttocks and hamstrings. For 3-4 years. Siting for more than 10 minutes at a time is almost impossible.
I have been doing intense physical therapy on and off for 6 years since an automobile accident. I’m in pretty good shape, except for this pain.
Finally diagnosed with ischial bursitis and having an MRI in two days to see if there are any tears in the hamstrings.
Too much PT?
Too much trail walking?
If there are tears, how are they repaired?

I’m using diclofenac 1.3 patches cut in half to take the edge off.
I’ve tried most RX meds and over the counter things.

Any ideas?

Thanks!!!

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@ch47

Wish it were legal here…🥴
If it ever changes will get the recipe!
Let me know how you are going along…and after your next doctor appointment!
Hot here, stay cool!

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Even topical is a problem there?

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@christinakrtz

Even topical is a problem there?

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Only CBD allowed…🤷‍♀️

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I have had the same thing for several years. This is not a cure but I purchased this cushion on Amazon that at least allows me to sit with little pain. It is : Aylio Socket Seat Cushion for Sit Bone and Back Pain Relief, Butt, Tailbone, Hip, Hamstring, Posture Support.

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@lschra45

I have had the same thing for several years. This is not a cure but I purchased this cushion on Amazon that at least allows me to sit with little pain. It is : Aylio Socket Seat Cushion for Sit Bone and Back Pain Relief, Butt, Tailbone, Hip, Hamstring, Posture Support.

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Thank you!
I’ve tried different ones, but more for hemorrhoid type things; (never saw this kind.) No help at all. This looks like it would take the pressure off the bursitis area.
See doc next week, and he had suggested doing a procedure that injects something (sugar water or something???) that acts as an irritant and calls healing cells to the area. Try twice for 6 weeks, if starts to improve then keep going. If not, then???
I can’t remember name of procedure, but I’m sure someone on this site could share name. 😁
Thanks again for seat suggestion!
Will post if something good happens…and write down the name…

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@lschra45

I have had the same thing for several years. This is not a cure but I purchased this cushion on Amazon that at least allows me to sit with little pain. It is : Aylio Socket Seat Cushion for Sit Bone and Back Pain Relief, Butt, Tailbone, Hip, Hamstring, Posture Support.

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Prolotherapy…

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@ch47

Thank you!
I’ve tried different ones, but more for hemorrhoid type things; (never saw this kind.) No help at all. This looks like it would take the pressure off the bursitis area.
See doc next week, and he had suggested doing a procedure that injects something (sugar water or something???) that acts as an irritant and calls healing cells to the area. Try twice for 6 weeks, if starts to improve then keep going. If not, then???
I can’t remember name of procedure, but I’m sure someone on this site could share name. 😁
Thanks again for seat suggestion!
Will post if something good happens…and write down the name…

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I had many injections including a prolotherapy injection and none of them were at all helpful. To add insult to injury medicare wouldn’t pay for the injection and it cost me $250 dollars!

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@emo

I’m sorry that happened to you…bursitis can be really painful. I’m glad you got a diagnosis. Hopefully your PT can provide you with guidance with a specific diagnosis now?

I’ve also had hip bursitis, but on the lateral side (tronchater bursitis I think it’s called?), not by my hamstrings. It might help to discuss with an orthopedist, your PT, or physiatrist, about your specific situation and what they think may have caused it. But it’s my understanding bursitis is usually caused by overuse…so it could be doing “too much, too fast,” or too soon with PT or hiking. I could totally see myself getting a flareup of bursitis with trail walking because of the uneven ground (because I am susceptible to things like this that require a lot of core/hip/pelvis stability).

In my case, I have hypermobility spectrum disorder (HSD), which causes joint instability so I need a lot of strength in my muscles to support my joints or they get fatigued easily, I lose optimal alignment…and can get bursitis easily, no matter the joint. I have had a Lot of these kinds of injuries.

Eventually, I overcame the pain by doing “active rest,” so avoiding or minimizing activities or exercises that irritated it excessively, but still doing gentle PT and physical activity. Bursitis is inflammation of the bursa caused by too much of…something, so you kind of have to find a way to reduce the irritation to get the inflammation down. Medications can help with that, but that only helps so much if you keep doing activities that ratchet up the irritation again.

I would probably say it took around 6-8 weeks for the pain to go away so much that I’d forget about it? It’s hard to say for me because I have chronic pain conditions; some of it blends together.

I still had pain and moved around, but tried not to do things that caused the pain to increased more than 2 points on the pain scale for more than 24-48 hours (per my PT).

That improved the pain over time, but I still need hip and glute strengthening to stabilize my hips and pelvis to prevent it from happening again.

I don’t get much leverage out of medications personally (because of my underlying medical conditions), and I don’t tolerate meds well, so I didn’t really take anything. I’m glad the diclofenac topical is helping you. My go-to was topical peppermint oil (I like the smell over Icy-Hot or Biofreeze) and k-tape works really well for me.

It can take a while, but it can get better, or at least that was my experience.

Wishing you all the best!

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Thank you for explaining bursitis. I was just recently diagnosed with it by a orthopedic. He took an X-ray only and very basically said it’s bursitis. So he gave me a needle with the hydrocortisone, and said this will help. Well it didn’t.I was very disappointed as you stated bursitis is very painful. Now I just take advill,and the icy hot .

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Yeah, cortisone did not help me either, pain management doc said if it didn’t help probably not bursitis…🤷‍♀️ maybe my back nerve issues are cause. Will maybe try prolotherapy anyway. Will see…
I’m up for anything at this point since not too risky…
I did order the pillow mentioned in an earlier post, like I said, up for most anything. 🤞🤞🤞
I hope you find some comfort-me too, not to be selfish!
Looking forward to nerve ablation (sort of!) in 3-4 weeks. Different locations than first areas that helped.
There is another cream that my acupuncturist uses-very helpful. Sort of a cooling/burning sensation, lasts about 4 hours, but I use it definitely before bed to calm my nerves/mind. Buy online.
Called Sombra. First time I ordered it, just got a smaller one, now I order two 8 oz tubs at same time so I don’t run out. Security…
My best to you-let me know if you find anything else…

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@ch47

Yeah, cortisone did not help me either, pain management doc said if it didn’t help probably not bursitis…🤷‍♀️ maybe my back nerve issues are cause. Will maybe try prolotherapy anyway. Will see…
I’m up for anything at this point since not too risky…
I did order the pillow mentioned in an earlier post, like I said, up for most anything. 🤞🤞🤞
I hope you find some comfort-me too, not to be selfish!
Looking forward to nerve ablation (sort of!) in 3-4 weeks. Different locations than first areas that helped.
There is another cream that my acupuncturist uses-very helpful. Sort of a cooling/burning sensation, lasts about 4 hours, but I use it definitely before bed to calm my nerves/mind. Buy online.
Called Sombra. First time I ordered it, just got a smaller one, now I order two 8 oz tubs at same time so I don’t run out. Security…
My best to you-let me know if you find anything else…

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on amazon ? and is it cold and heat or one or the another .

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@ch47

Yeah, cortisone did not help me either, pain management doc said if it didn’t help probably not bursitis…🤷‍♀️ maybe my back nerve issues are cause. Will maybe try prolotherapy anyway. Will see…
I’m up for anything at this point since not too risky…
I did order the pillow mentioned in an earlier post, like I said, up for most anything. 🤞🤞🤞
I hope you find some comfort-me too, not to be selfish!
Looking forward to nerve ablation (sort of!) in 3-4 weeks. Different locations than first areas that helped.
There is another cream that my acupuncturist uses-very helpful. Sort of a cooling/burning sensation, lasts about 4 hours, but I use it definitely before bed to calm my nerves/mind. Buy online.
Called Sombra. First time I ordered it, just got a smaller one, now I order two 8 oz tubs at same time so I don’t run out. Security…
My best to you-let me know if you find anything else…

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gel or cream?? i just saw 1 gallon on walmart $166. warm

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