SPORTS INJURIES
Ischial Tuberosity Pain / Hip & Buttocks Pain
Pain on the bottom of the buttock, especially when sitting and running,
is indicative of ischial tuberosity pain. Sometimes a doctor
will examine this area, find it to be tender to palpation,
and give the diagnosis of ischial bursitis. The RICE protocol
will be followed and the latest anti-inflammatory medication
prescribed. The dreaded cortisone shot will soon follow.
A true bursitis is rare.
Before an athlete receives a buttock steroid shot a consultation with a Prolotherapist
should be considered. Prolotherapists know that the hamstring muscles and sacrotuberus
ligaments attach to the ischial tuberosity, and all that Prolotherapy to the
area can resolve the buttock pain.
Acute, moderate, or severe hamstring strains are common injuries among sprinters,
hurdlers, and long jumpers. They also occur in other sports involving sprinting,
especially football and hockey. Hamstring injuries occur frequently despite the
prevalence of stretching programs. Is it possible that these stretching programs
are predisposing athletes to these injuries? Repetitive hamstring strains can
occur because of some weakness at the origin of the hamstring muscle onto the
ischial tuberosity. If the athlete has pain at the attachment site and in the
belly of the muscle, Prolotherapy is given. This will strengthen the hamstring
attachment onto the ischial tuberosity and resolve the pain.
The sacrotuberus ligaments go from the sacrum to the ischial tuberosity and,
generally, both attachment sites are tender. This is an often-overlooked cause
of buttock pain. Prolotherapy to both attachments resolves the buttock pain and
often the lower back pain that is associated with it.
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