Ischiogluteal bursitis is inflammation of the bursa that lies between the Ischial tuberosity and the tendon of a hamstring muscle. A bursa helps movement betweeen the tendon and the bone so when this becomes inflamed it can be painful. It can occur with a hamstring or tendon injury, which have similar symptoms to ischiogluteal bursitis.
What is a Bursa?
The bursa is there to reduce friction between the tendon and the bone. The bursa may be inflamed on its own or in conjunction with hamstring tendinitis or inflammation of tendon which has the same symptoms.
What are the Symptoms?
The symptoms of ischiogluteal bursitis are identical to hamstring tendon inflammation and include pain and tenderness at the ischial tuberosity, pain when stretching the hamstring muscles. Pain may gradually come on following a sprinting training session and is aggravated by sitting.
Treatment of Ischiogluteal Bursitis
What can the athlete do?
- Apply ice or cold therapy to reduce pain and inflammation.
- See a doctor or physiotherapist if symptoms persist.
- Carry out hamstring strengthening and rehabilitation as pain may have caused weakness through muscle inhibition.
What can a doctor or physiotherapist do?
- Differentiate between hamstring tendinitis and ischiogluteal bursitis. This may involve analysing the effectiveness of treatment such as deep tissue massage. Bursitis will not respond to massage and may become worse following treatment.
- Inject a corticosteroid and local anesthetic into a fluid-filled bursa.
- Advise on hamstring strengthening.