Ischiogluteal Bursitis

Ischiogluteal bursitis is commonly found in patients who have a sedentary occupation. It was once called tailor s bottom, because tailors tended to sit all day on hard chair seats. The patient reports pain when they sit on a hard surface. The pain is usually unilateral. Point tenderness is present over the ischial tuberosity and will be relieved when the patient stands up. There will be no x-ray evidence found. An MRl or CAT scan may reveal a thickening of the bursa. The pain can be relieved by an injection of a local anesthetic into the area. The prescription of a non-steroidal anti-inflammatory medication (NSAID), the use of a cushion on the chair, as well as instructing the patienl to stand up for 1 minute every hour while working will relieve the condition. 

The posterior ischiogluteal bursa is located between the ischial tuberosity and the deep surface of the gluteus maximus. It does not communicate with the hip joint and allows a smooth gliding of the gluteus maximus over the ischial tuberosity. As the bursa lies in close contact with the sciatic and the posterior femoral cutaneous nerves, ischiogluteal bursitis may produce symptoms mimicking a radiculopathy. 

Soft-tissue disorders arising from the posterior hip essentially include traumatic injury at the insertion of the hamstring muscles, sciatic neuropathies and ischiogluteal bursitis. The coexisting involvement of the hamstrings insertion at the ischium and the adjacent sciatic nerve is a common condition observed in athletes who present with pain near the ischial tuberosity. It is commonly referred to as... 

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