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Caring Medical
& Rehabilitation Services
715 Lake Street, Suite 600
Oak Park, Illinois 60301
708.848.7789 Phone
708.848.7763 Fax



SPORTS INJURIES
Ischial Tuberosity Pain / Hip & Buttocks Pain

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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 Prolotherapy doctor should be considered. Prolotherapy doctors 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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