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ischiogluteal bursitis

Etiology: - chronic pressure on the ischiogluteal bursa Clinical manifestations: - pain & point tenderness over the ischial tuberosity - exacerbated by prolonged sitting on a firm surface - improved by standing & walking - pain may radiate down the posterior hip Differential diagnosis: - lumbar vertebral compression fracture - pain worsens with sitting or standing - tenderness over the lumbar spine Management: - avoid prolonged sitting on a firm surface.

General

bursitis

References

  1. NEJM Knowledge+ Question of the Week. January 5, 2021 https://knowledgeplus.nejm.org/question-of-week/678/
  2. Ekiz T et al. Ischial pain and sitting disability due to ischiogluteal bursitis: visual vignette. Pain Physician 2015 Jul-Aug; 18:E657 PMID: 26218957 Free article
  3. Swartout R, Compere EL. Ischiogluteal bursitis. The pain in the arse. JAMA 1974 Feb 4; 227:551 PMID: 4405797
  4. Butcher JD et al. Lower extremity bursitis. Am Fam Physician 1996 May 15; 53:2317. PMID: 8638508