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Pain In the Butt!

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lori33

New User, Becoming EHEALTHy
Joined: 27 Jun 2004
Posts: 16
Pain In the Butt!
Posted: 07-01-04 20:45pm

Hi
i am not talking about my husband Wink
i seriously have pain whenever I sit down. Does anyone else suffer from this? I feel like I can feel the bones in the buttock area pressing against the seat and it is extremely uncomfortable.
I don't know exactly what this is, but it may be the sacroiliac joint.
Looking for answers.
Thanks,
lori
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purple333

Extremely EHEALTHy
Joined: 01 Dec 2003
Posts: 1420
Location: Sydney

Posted: 07-13-04 23:02pm

Sounds weird & painful!! I would suggest you seek advise/suggestions from physiotherapist, chiropractor & dr - see what each says then do some research on-line via a search engine to see who makes the most sense to you!! Confused
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GaetanoL

New User, Becoming EHEALTHy
Joined: 17 Jul 2004
Posts: 3
Location: Pleasantville, NY

Posted: 07-17-04 20:40pm

Pain with sitting is not at all unusual. However, by your description that you feel "the bones in the buttock area pressing against the seat," it sounds as if you may have irritated you "sit bone" (ie, your ischial tuberosity). There are a number of tendons, including your hamstring tendons, that attach to the tuberosity. Here's a test you can do for yourself. If you can press around your sit bone and reproduce your pain, then it's not likely that the pain is coming from your back or sacroiliac joint.
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lori33

New User, Becoming EHEALTHy
Joined: 27 Jun 2004
Posts: 16

Posted: 07-18-04 21:03pm

Thank you for suggesting an answer. I did your test and can reproduce the pain. I have explained my pain to at least 4 doctors and no one has told me about ischial tuberosity, but it sounds exactly right. I was doing exercises (the wrong way without realizing it) that had me sitting, then bending over and lifting weights, bringing the shoulder blades together. (i was looking at a exercise video and thought I was doing it right, but after awhile the pain set in.) I have always been super flexible, but I think I ended up bending myself like a jack knife.

Now that I know what it is, is there anything I can do to help it?
I appreciate your help so much!
By the way, I am seeing a doctor in manhattan tomorrow and will discuss it with him.
Thanks,
lori
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GaetanoL

New User, Becoming EHEALTHy
Joined: 17 Jul 2004
Posts: 3
Location: Pleasantville, NY

Posted: 07-19-04 07:20am

First, let me clarify that ischial tuberosity is not a condition, but the technical name for your "sit bone" (like "patella" is the name for the knee cap). The diagnosis might be something like "proximal hamstring tendonitis," which mean inflammation to the hamstring tendons where they attach in the butt.

I think the treatment depends on why/how the problem developed. The first order would be to identify and eliminate any offending forces (eg, particular exercises or movements that are irritating the area and preventing the problem from healing). You may also need to do some stretching exercises to some hip muscles, and your therapist may need to perform some manual therapy to the area. See what your pt thinks.

Tendonitis to other body parts can be treated by your md with a cortisone injection, though i'm not sure if an md would inject that area.

By the way, my physical therapy practice is in manhattan. Which orthopedist is treating you?
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lori33

New User, Becoming EHEALTHy
Joined: 27 Jun 2004
Posts: 16

Posted: 07-19-04 19:33pm

I do not live close enough to manhattan to see a doctor regularly there. I live in the poconos, but am originally from staten island, and travel to manhattan for good doctors, good entertainment, and good food. :d

today I went to see Dr. Edwin su at the hospital of special surgery.
I never met him before. He specializes in arthroscopic surgery of the hip and knee.

I have recently had mri's of the back and hips, because of pain (which I think came from improperly exercising.) I have two bulging discs in the lumbar spine, and mild to moderate arthritis in the hip joints. I have the pain I described to you when sitting, but have also noticed that I have pain and clicking when walking or biking in the front of the hip. My interest in talking to him was to see if arthroscopic surgery of the hip might correct the problem.

To be honest, I really don't think he believed I was in so much pain. (i look healthy because I am in shape, eat right and, until recently, exercised.)
his diagnosis was the pain in the buttock was coming from the bulging back discs. He said arthroscopic surgery is only performed if there is a tear near the hip joint, and that I might benefit by having another mri at his facility because it is higher resolution and may show something the other one did not.


I really do think one of my problems is what you described. I have had tendonitis in the past of the wrist and shoulder, and I did irritate the area by improperly exercising. The problem is I cannot stretch that area, because of pain in my hip. I also have developed an inflammation of the bursa.


Thank you for taking an interest and giving me some information. I will pass it along to my physical therapist.

I appreciate your help.

Lori
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kgekge

New User, Becoming EHEALTHy
Joined: 09 May 2005
Posts: 1
Location: Belgium
How Did You Get Further With It ?
Posted: 05-09-05 09:06am

I have also exact the same problem .
Up to now I went to a doctor and got 3 shots but after a few weeks (4) the pain in the butt came back.
The only complaint a have is sitting. My hamstring seems okay.
I can stretch them as before. (with one leg on the table).

Now the doctor want operate .
He wants to release the hamstring-tendons from the bursa..

I don't know what to do...

I have the problem now for 6 months.

How did it resolve ?? Or didn't it ?

Kris
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