Bursitis can be an acute or chronic inflammation of fluid-filled sacs, called bursae, that are designed to act as a cushion between your muscles and bones. The ischiogluteal bursae are located below the buttocks where the buttocks meet the upper thigh. There are ways to reduce this painful condition and stop it from impeding your activities.
One of the first ways to reduce pain is to use cushioning when you are sitting. Wedge pillows can be a good option for different types of seats because they cushion the upper thigh. Another way to reduce pressure on the bursae is to walk around more. Many people notice that once they develop ischiogluteal bursitis, sitting for lengthy periods can make the problem worse. You should periodically stand up and walk around to prevent constant pressure on your bursae. People who cycle, whether outdoors or indoors, are also at higher risk of developing ischiogluteal bursitis. Consider being more selective about the bike you choose or replacing the seat. You may need a wider seat with more cushioning, especially if you spend many hours on your bike.
There are different ways you can decrease inflammation depending on whether you are managing the problem at home or with medical treatment. The most common way of reducing inflammation is to use cold therapy. Applying ice wrapped in a towel to the area for a few minutes at a time can decrease the inflammation while protecting your skin from the cold. OTC NSAIDs are also an option, but should only be used for a few days at a time. These medicines are not ideal for people with chronic bursitis. If you continue to experience pain for more than a few days, consider topical NSAIDs. Topical preparations are designed to be used for many days at a time until they reach their maximum effectiveness. Doctors may also recommend steroid injections for either chronic bursitis or frequent acute episodes. Generally, steroid injections will work for several months before they need to be repeated. If you need injections often or they are no longer working, surgical removal of the bursae might be your last option.
Do Physical Therapy
Physical therapy, especially for chronic ischiogluteal bursitis, can be an option for long-term pain management. Depending on exactly your bursitis is located, the physical therapist will come up with an exercise plan specifically for you. Though, because tightened hamstrings are often a contributing factor in ischiogluteal bursitis, the plan will most likely include exercises that stretch your hamstrings.
Ischiogluteal bursitis is a painful condition that can make it difficult to sit comfortably. Finding the source of the problem and keeping inflammation at bay will make it easier and more comfortable to perform the stretching exercises that can reduce future instances of bursitis, so taking a multi-pronged approach may be wise. Consult with your physical therapist to determine the best plan of action for you.