sitting pain

[sequence]

Hi Hillary
I would agree with therapist101 about the eccentric exercises.
Also very important is gradual hamstring stretches, concentrating more on the hip flexion component than the knee extension component. be careful with these stretches as you dont want to aggravate your lower back - see your therapist to explain and supervise the stretches.

And then it would help to try a doughnut pillow when sitting to relief the pressure off the ischial tuberosities.

Good luck

[roycar]

howdy.

is it possible that it may be an ischial bursitis?

has this been discussed before, i only glanced over the postings. an unguided injection could have hit the bursa(e) and relieved inflammation for a period allowing your hamstrings etc to settle down and relax. the bursa is located under the proximal tendons of your hamstrings and adductor magnus and if inflamed is sore to sit on and can be sore to resisted testing of hams/magnus at times.

also have you had yur hip joints assessed fully?

[Hilary]

Thank you to those of you who have taken the time and trouble to reply to me. I do hope you will read this as further comment would be great. There has been a small development since I posted. I went to see a new doctor who sees mainly sports injuries. I asked him about the unguided injection into ischial tuberosities which gave me pain relief. I had wondered if injection had spilled into adductor magnus since a subsequent guided injection into hamstring attachment shows the pain is not from there. He said that if an injection was unguided it was unlikely to have gone into the adductor magnus as this is deep and the practitiioner would have been doing litttle more than feeling for the hamstring attachment to the bone not going particularly deep. I told him that the adductor magnus was painful under resisted adduction but he said it is quite easy to make the adductor magnus feel painful when it is been examined in this way - it is that sort of muscle. I wondered, as physios - do you agree - that the adductor magnusis is a sensitive muscle? If all this is so then I should obviously park the idea of sitting pain coming from this muscle.

He did say that it could be that pain is coming from the sacrotuberous ligament attachment. I cuold consider an ultrasound diagnostic injection to see if this is so but he was disuading me from that because he says that if it is the ligamentous attachment there is nothing that can be done anyway- no injections or exercise.

I have also separately been told by a physio to really really strengthen the gluteus maximus to provide support however from what I have read glut max doesnt cover the tuberosities when you sit down. So am a bit puzzled by that.

Any comments on what I have now been told and reported in this post would be gratefully received. I think its possible to crack most things with persistence although I probably wont get a complete cure as have had the problem a long time.
Thanks again everyone, what a good bunch you are!!
Hilary

[robin1]

Great stuff. I'm life to count on to bring out irrefutable again to bring about decided I got it all.

[ericlee]

Thank you to those of you who have taken the time and trouble to reply to me. I do hope you will read this as further comment would be great. There has been a small development since I posted. I went to see a new doctor who sees mainly sports injuries. I asked him about the unguided injection into ischial tuberosities which gave me pain relief. I had wondered if injection had spilled into adductor magnus since a subsequent guided injection into hamstring attachment shows the pain is not from there. He said that if an injection was unguided it was unlikely to have gone into the adductor magnus as this is deep and the practitiioner would have been doing litttle more than feeling for the hamstring attachment to the bone not going particularly deep. I told him that the adductor magnus was painful under resisted adduction but he said it is quite easy to make the adductor magnus feel painful when it is been examined in this way - it is that sort of muscle. I wondered, as physios - do you agree - that the adductor magnusis is a sensitive muscle? If all this is so then I should obviously park the idea of sitting pain coming from this muscle.

He did say that it could be that pain is coming from the sacrotuberous ligament attachment. I cuold consider an ultrasound diagnostic injection to see if this is so but he was disuading me from that because he says that if it is the ligamentous attachment there is nothing that can be done anyway- no injections or exercise.

I have also separately been told by a physio to really really strengthen the gluteus maximus to provide support however from what I have read glut max doesnt cover the tuberosities when you sit down. So am a bit puzzled by that.

Any comments on what I have now been told and reported in this post would be gratefully received. I think its possible to crack most things with persistence although I probably wont get a complete cure as have had the problem a long time.
Thanks again everyone, what a good bunch you are!!
Hilary

Hi, you can try the focal piezowave treatment, this may not 100% help you relief your pain, but sure will greatly relief your pain.

[Hilary]

Hi, you can try the focal piezowave treatment, this may not 100% help you relief your pain, but sure will greatly relief your pain.

Thank you for this suggestion - I still have pain, no better, no worse. Can you elaborate on the piezowave treatment?Thank you

[JimLaw]

Thank you for this suggestion - I still have pain, no better, no worse. Can you elaborate on the piezowave treatment?Thank you

Hi Hilary - I suffer with sit bone pain now for 7 years. I found your post and was wondering if you managed to fix your problem? its a while since you last posted on the forum I just found you on. Would be good to hear from you if you get this message, thanks Jim

[Jean P. Gunter]

Hey, Jim Low! My husband has a similar problem. He also feels sitting bone pain. An IT professional wants to sit in the same position and work long hours without rest. This pain hurt him a lot, especially in the workplace. He tried various medications and treatments but eventually recovered from physiotherapy.
If people like you are confident in trying this, I'm not sure it will work-alike that for everyone. In the case of my husband, it suited him. He still follows some of the exercises prescribed by the physiotherapist.

[JimLaw]

Hi Jean. Thanks for the feedback. I guess there are different reasons for the pain so physio may not solve mine. I did see a physiotherapist but never got anywhere with him but as you know some physios are better then others. Would be interested to know what exercises your husband was given. Maybe there is a name for the exercises or links to youtube? If you can help I would appreciate it.

It appears my pain seems to be due to the tendons that attach the sit bones so am following that up at the moment.

Thanks again for your reply

[heli11]

same here, I am an IT engineer and facing the same problem now.