Ischial bursitis, also known as "weaver's bottom" or "tailor's bottom," is a condition characterised by inflammation of the bursa located between the ischial tuberosity (the bony prominence of the pelvis commonly known as the "sit bones") and the overlying skin or muscles. The bursa is a small fluid-filled sac that helps reduce friction between the bones, tendons, and muscles around joints. When inflamed, it can cause pain and discomfort, particularly when sitting or during physical activity.

Causes of Ischial Bursitis: Prolonged sitting: Sitting for extended periods of time, especially on hard surfaces or with poor posture, can put pressure on the ischial bursa and lead to inflammation.

Repetitive trauma: Activities that involve repetitive movements such as running, cycling, or rowing can irritate the bursa and cause inflammation over time.

Direct trauma: A fall or direct blow to the buttocks can injure the ischial bursa and trigger inflammation.

Muscle imbalances: Weakness or tightness in the muscles surrounding the hips and pelvis can alter biomechanics and increase the risk of bursitis.

Inflammatory conditions: Conditions such as rheumatoid arthritis or gout can contribute to inflammation of the bursa.

Dr. Tushar, an orthopaedic specialist, can offer various treatments to Dr. Tushar's clinic the ymptoms of ischial bursitis:

Rest and activity modification: Dr. Tushar may recommend avoiding activities that aggravate the symptoms and incorporating rest periods to allow the bursa to heal.

Ice therapy: Applying ice packs to the affected area can help reduce inflammation and pain. Dr. Tushar may recommend ice therapy several times a day for short durations.

Physical therapy: Dr. Tushar can prescribe specific exercises to strengthen the muscles around the hips and pelvis, improve flexibility, and correct any biomechanical issues contributing to bursitis.

Nonsteroidal anti-inflammatory drugs (NSAIDs): Medications such as ibuprofen or naproxen can help reduce pain and inflammation. Dr. Tushar may prescribe these medications for short-term relief.

Steroid injections: In cases of severe inflammation and pain, Dr. Tushar may administer corticosteroid injections directly into the affected bursa to reduce inflammation and symptoms.

Regenerative therapy – PRP under ultrasound guidance can be useful in chronic cases, and is Dr Tushar’s preferred choice over other treatment options.

These treatments, along with proper rest and lifestyle modifications, can effectively manage ischial bursitis and help patients return to their normal activities with reduced pain and discomfort. However, it's important for individuals to consult with a healthcare professional for a personalised treatment plan based on their specific condition and needs.