Ischial bursitis is an extremely painful condition which usually arises after sports injuries — in particular those injuries which produce a hamstring strain or tendonitis. It used to be known as “tailor’s bottom” because it can also be caused by sitting too long on a hard surface, and symptoms tend to involve pain in the lower buttocks while sitting and tingling or numbness in the lower leg (especially while flexing the knee).
PRP and/or stem cell treatments are an extremely effective way of treating ischial bursitis. However, traditional conservative therapies are usually indicated before attempting a clinical treatment. Simple therapies like “RIMS” can provide immediate relief and facilitate later therapy with regenerative medicine.
What Is Ischial Bursitis? & Does it Need Treating?
Treatment for Ischial bursitis cannot be avoided, it is a chronic or acute inflammation of the bursa sac, which is a fluid filled sac located between the ischial tuberosity and the hamstring tendon. The exact cause is still not known to medicine, but trauma as well as inflammation from accompanying arthritis or gout may also trigger ischial bursitis.
In cases of acute bursitis, patients may experience inflammation and extreme pain. Their ability to move around may be limited, as moving the joint can produce a sharp increase in pain.
If the patient experiences multiple episodes of an acute bursitis, their condition may develop into a chronic one. At this point the bursa may thicken and readily develop adhesions to the surrounding tissue, which limits the range of motion. Muscles may weaken and atrophy.
Immediate Treatments You Can Do
In order to prevent an acute bursitis from developing into a chronic condition, it’s important to see a doctor and apply treatment as quickly as possible. While the ideal case is of course a consultation at our clinic, within the first 24 to 48 hours of the injury a “RIMS” program is usually recommended to prevent further damage while waiting for more advanced treatment. RIMS stands for:
R — Rest. It’s crucial to rest for the 24-48 hour period after the bursitis appears. Try to rest the affected joint as much as possible. With ischial bursitis, using a cane (at least briefly) may be advisable in order to ensure the area is free of pressure.
I — Ice. Apply ice in order to reduce swelling and inflammation. Ice should be applied 3-4 times a day for the next 24-48 hours.
M — Mobility. Attempt to GENTLY increase movement in the injured joint, if possible, in order to ensure it does not become frozen.
S — Strengthen. If this has been enough to relieve the pain, slowly begin to restore the normal range of motion using exercise.
Unfortunately, in many cases simple treatment like this is not enough to fully deal with an ischial bursitis. On the other hand, PRP or stem cell based treatment can frequently eliminate the inflammation and regenerate the involved tissues quickly, and it is often able to do this even when traditional treatments failed.
Ischial Bursitis – What do we focus on?
The doctors at Regenerative Medicine Specialists focus on Ischial Bursitis treatment that provide relief on a same-day in-office basis, without requiring a hospital stay. For most cases, this means either platelet rich plasma (PRP) or stem cell treatments. These use your body’s own cells to allow the injured or swollen area to regenerate itself quickly and safely.