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Inflammation of the bursa at the ischiatic bone


Diagnosis: INFLAMMATION OF THE BURSA AT THE ISCHIATIC BONE
(BURSITTIS ISCHIADICA)

Anatomy:
The large posterior thigh muscles (hamstring muscles) have a common muscle tendon fastening on the ischiatic bone (tuber ischii). Below the tendon fastening there is a bursa which reduces the load on the tendon when the tendon slides against the bone. The posterior thigh muscles flex the knee and stretch the hip.




  1. Bursa trochanterica m. glutei maximi

  2. M. gluteus maximus

  3. M. biceps femoris (caput longum)

  4. M. semitendinosus

  5. M. semimembranosus

  6. M. adductor magnus

  7. M. gracilis

  8. M. quadratus femoris

  9. Bursa ischiadica m. glutei maximi


(Photo)



RIGHT GLUTEAL MUSCLES
FROM THE REAR


Cause: In case of repeated loads or blows the bursa can become inflamed, produce fluid, swell and become painful.

Symptoms: Pain upon applying pressure on the bursa (sitting position), which sometimes (but far from always) may feel swollen. Aggravated upon stretching and activation of the posterior thigh muscles (flexing of the knee against resistance) (article).

Acute treatment: Click here.


Examination: In slight cases with only minimal tenderness, medical examination is not necessarily required. In cases of more pronounced pain or lack of progress, a medical examination should be carried out to ensure a correct diagnosis and commencement of treatment. The diagnosis is usually made on the basis of a normal medical examination, however, if there is any doubt surrounding the diagnosis, it can easily and quickly be confirmed under an ultrasound scan.

Treatment: The treatment primarily consists of relief. The treatment can be supplemented with rheumatic medicine (NSAID) or the injection of corticosteroid in the bursa preceded by draining of the bursa, which can advantageously be done under ultrasound guidance.

Complications: If progress is not smooth, it should be considered if the diagnosis is correct or whether complications have arisen. The following should in particular be considered:
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