Chiropractic

Ischiogluteal Bursitis vs Sciatica

What is Ischiogluteal Bursitis?

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A bursa is a fluid-filled sac which functions by helping to decrease friction around the joints. However, when the fluid inside a bursa becomes infected or irritated due to excessive movement, the bursa can become swollen, causing pain and discomfort, ultimately making it difficult to move the affected joint. This health issue is commonly known as bursitis.

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Although bursitis generally occurs in the knee, called β€œhousemaid’s knee”, or in the elbow, called β€œtennis elbow”, it can occur in any joint in the human body. When it occurs in the buttocks, it is known as ischiogluteal bursitis. In this instance, the bursa is found between the ischial tuberosity at the base of the pelvis and the tendon of the hamstring muscle.

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Symptoms of Ischiogluteal Bursitis

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The symptoms of ischiogluteal bursitis can be similar to those of hamstring tendonitis. Several of the most common symptoms associated with ischiogluteal bursitis include pain and discomfort as well as tenderness in the buttocks region. Painful symptoms may frequently occur when stretching the hamstring muscle or flexing the knee against resistance.

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The symptoms of ischiogluteal bursitis can also be similar to those of sciatic nerve pain. Sciatica is a collection of symptoms characterized by pain, discomfort, tingling sensations, and numbness. While the symptoms of ischiogluteal bursitis may be similar to those of sciatica, sciatic nerve pain occurs when the sciatic nerve is irritated, compressed or impinged.

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Ischiogluteal bursitis associated with a sports-related injury and/or aggravated underlying condition, such as fibromyalgia, the pain and discomfort may slowly increase after exercise or physical activity. The symptoms may also worsen when sitting for extended periods of time. Ischiogluteal bursitis caused by an infection can ultimately be followed by a fever.

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Causes of Ischiogluteal Bursitis

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The three most common causes of bursitis are generally due to injury or trauma, infection, and crystal deposits. Trauma can include repetitive movements or a blow to the region. By way of instance, the injury could occur due to a fall. Occasionally, trauma or injury can cause blood to leak into the bursa, causing ischiogluteal bursitis, or any other type of bursitis.

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Infection septic bursitis, or an infection in the bursa, generally occurs in the joints which are located closer to the surface of the human body. This health issue frequently affects men, however, it does not seem to be a leading cause of ischiogluteal bursitis. Crystal deposits can also form around the joints when there is too much uric acid in the human body. People with gout can develop bursitis because it is also caused by crystal deposits and it shares many similar symptoms with bursitis.

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Diagnosis of Ischiogluteal Bursitis

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Bursitis can generally be easily diagnosed by a healthcare professional, however, due to the similar symptoms of ischiogluteal bursitis, hamstring tendonitis, and even sciatica, it may be difficult to diagnose. However, tendonitis can often be relieved by deep tissue massage while bursitis will not and may actually worsen after a deep tissue massage. Proper diagnosis is fundamental in order for healthcare professionals to follow-up with the correct treatment for ischiogluteal bursitis.

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Treatment of Ischiogluteal Bursitis

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In most instances, bursitis can be treated by resting the affected region and treating the swelling by utilizing cold therapy. When using an ice pack or similar cold pack, it should be wrapped in a cloth to avoid skin damage. The healthcare professional may also recommend a non-steroidal anti-inflammatory medication to reduce painful symptoms and swelling.

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As for people that have bursitis caused by an infection, an antibiotic is often prescribed to ultimately help fight the infection, relieving pain and discomfort in several days. If the painful symptoms continue for over a week, the doctor may suggest additional treatment approaches, such as draining of the bursa followed by a corticosteroid injection to reduce inflammation.

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Differential Diagnosis of Hip Pain and Discomfort

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Ischiogluteal bursitis is a well-known health issue characterized by pain and discomfort in the buttocks which is commonly caused by sitting for extended periods of time. In a variety of instances, ischiogluteal bursitis may also be caused due to an injury or aggravated underlying condition, such as fibromyalgia. Because ischiogluteal bursitis may occur due to inflammation, the widespread painful symptoms of fibromyalgia may also trigger other health issues. Furthermore, ischiogluteal bursitis may share similar symptoms to sciatica, due to the location of the health issue. – Dr. Alex Jimenez D.C., C.C.S.T. Insight


Fibromyalgia Magazine

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The purpose of the article was to compare ischiogluteal bursitis and sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900Β .

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Curated by Dr. Alex Jimenez Β 

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Additional Topic Discussion: Severe Sciatica

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Back painΒ is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such asΒ herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief.

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Post Disclaimer

Professional Scope of Practice *

The information herein on "Ischiogluteal Bursitis vs Sciatica" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

Blog Information & Scope Discussions

Our information scope is limited to Chiropractic, musculoskeletal, acupuncture, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*

Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

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Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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