Ischial Tuberosity Pain
Hip & Buttocks Pain
Ross Hauser, M.D.
 

When you have pain on the bottom of the buttock, especially when sitting and running, this could be indicative of ischial tuberosity pain. Sometimes a doctor will examine this area, find it to be tender to palpation, and give you a diagnosis of ischial bursitis. The RICE treatment of Rest, Ice, Compression, and Elevation will be given and sometimes an anti-inflammatory drug is prescribed. Cortisone injections may follow. A true bursitis is rare.



Before a patient receives a buttock Steroid injection a consultation with a Prolotherapy doctor should be considered. Prolotherapy doctors know that the hamstring muscles and sacrotuberus ligaments attach to the ischial tuberosity, and all that Prolotherapy to the area can resolve the buttock pain.

Acute, moderate, or severe hamstring strains are common injuries among runners. Hamstring injuries occur frequently despite the prevalence of stretching programs. Is it possible that these stretching programs are predisposing athletes to these injuries? Repetitive hamstring strains can occur because of some weakness at the origin of the hamstring muscle onto the ischial tuberosity. If the athlete has pain at the attachment site and in the belly of the muscle, Prolotherapy is given. This will strengthen the hamstring attachment onto the ischial tuberosity and resolve the pain.

The sacrotuberus ligaments go from the sacrum to the ischial tuberosity and, generally, both attachment sites are tender. This is an often-overlooked cause of buttock pain. Prolotherapy to both attachments can resolve the buttock pain and often the lower back pain that is associated with it.