Inflammation of the ischiogluteal bursa is an uncommon disorder that has been described in patients whose occupations require positions that cause persistent pressure on the ischial tuberosity. This entity often arises from repetitive subacute friction, but other causes as trauma, inflammatory diseases, and crystal deposition have been described. Patients with ischiogluteal bursitis complain of pain at the lower gluteal area or inferior buttock; the pain may have a sudden onset, be a sharp or shooting sensation, and be unrelenting at night.
The diagnosis of ischiogluteal bursitis is not difficult with the use of sonography, computed tomography (CT), or magnetic resonance imaging (MRI), due to its typical location and the fluid content. The treatment is directed to the symptoms including a combination nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy. Patients with refractory paint can be treated with an injection of steroid and local anesthetic into the ischial bursa once concomitant infection has been ruled out.
Ischiogluteal bursitis is among the possible causes of buttock pain and may coexist with other pathologies as anserine tendinitis and lumbosacral and sacroiliac joint pain as well.
Ischiogluteal bursitis Ischial tuberosity Buttock pain Bursa Ischiogluteal
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