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Ischial Tuberosity Pain: Causes, Diagnosis, and Treatment Options

Ischial tuberosity pain typically results from inflammation or irritation in the lower pelvis, affecting daily activities like sitting or walking. Private pain clinics such as MSK Joint Care use ultrasound-guided injections to deliver targeted relief.

What Is the Ischial Tuberosity?

  • Subject: Ischial tuberosity

  • Predicate: anchors

  • Object: hamstring muscles

When overloaded, it can develop inflammation in the adjacent bursa.


What Causes Pain in the Ischial Tuberosity?

Ischial tuberosity pain can be caused by:

  1. Ischial bursitis (inflammation of the ischial bursa)

  2. Chronic pressure from prolonged sitting

  3. Hamstring tendinopathy

  4. Trauma or falls

  5. Repetitive strain from sports or cycling

The ischial bursa cushions the bone-tendon interface. When inflamed, this condition causes deep buttock pain, particularly during activities such as sitting, squatting, or stretching.

What Are the Symptoms of Ischial Bursitis?

Ischial bursitis symptoms typically include:

  • Localised buttock pain while sitting

  • Pain radiating down the upper thigh

  • Discomfort during prolonged activity

  • Swelling or tenderness over the bony area

  • Difficulty with hip flexion or hamstring stretching

How Is Ischial Bursitis Diagnosed?

MSK Joint Care clinicians use a combination of:

  • Patient history and physical exam

  • Palpation over the ischial tuberosity

  • Ultrasound imaging to confirm bursitis

  • MRI (when needed) to rule out hamstring tears

Ultrasound plays a critical role in confirming fluid in the bursa and guiding precise treatment.

What Is the Best Ischial Tuberosity Pain Treatment?

The most effective ischial tuberosity pain treatment depends on severity:

What Is an Ischial Bursa Injection?

An ischial bursa injection is a minimally invasive procedure. It delivers medication directly to the inflamed bursa, guided in real-time by diagnostic ultrasound.

Ultrasound improves needle precision, ensures accurate placement, and minimises risk of complications. It also confirms the diagnosis by showing real-time bursal inflammation.

How Does an Ischial Bursitis Injection Work?

An ischial bursitis injection usually contains:

  • Corticosteroids: reduce inflammation

  • Local anaesthetic: relieves pain immediately

The entire procedure at MSK Joint Care takes less than 30 minutes and is often performed in-clinic. Patients often report immediate pain relief and improved mobility within 48 hours.

Who Benefits Most from Ischial Tuberosity Pain Relief Injections?

Best outcomes are reported in patients who:

  • Have failed conservative treatments

  • Struggle with pain during sitting or activity

  • Require quick pain relief to resume mobility

  • Have visible bursitis confirmed via ultrasound

How Long Does Ischial Tuberosity Pain Relief Last?

Pain relief from an injection can last:

  • Weeks to several months, depending on severity

  • Repeat injections are possible if symptoms return

  • Long-term success improves with physiotherapy and biomechanical correction

What Sets MSK Joint Care Apart for Ischial Bursitis?

MSK Joint Care specialises in:

  • Ultrasound-guided musculoskeletal (MSK) injections

  • High-resolution imaging to ensure precision

  • Personalised pain management plans

  • Safe, sterile procedures performed by MSK consultants

When Should You Seek Treatment?

You should seek help if:

  • Pain persists beyond 2–3 weeks

  • Symptoms worsen with sitting or walking

  • Home treatments don’t help

  • Pain interferes with work or daily life

MSK Joint Care offers specialist ischial bursitis injections using ultrasound guidance for accuracy and long-term relief. To book an appointment, contact the clinic directly.

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Location: Milton Keynes, UK

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