ISCHIAL BURSITIS
Case:
A women of age 40, named Ruksana khairbano came to the clinic with the complain of severe pain in the left buttock region (cheek line) and sometimes travel down the lower leg. She is a tailor by profession and spends 6-8 hours by sitting and sewing on ground. Pain is aggravated by prolonged sitting and there is tenderness over the cheek line of the hip. The patient is unable to sleep on the left hip and there is marked swelling and reduced range of motion of the left hip.
Examination:
The practitioner assessed the patient by performing
- SLR (straight leg raise) and it showed increase in symptoms.
- Active resisted extension of the affected hip reproduces the pain.
- Palpation of the affected region showed SOFT TISSUE MASS described as well defined, non-mobile and slightly tender.
Investigation:
The practitioner asked the patient to get an X-ray or MRI of the buttock region.
This is the MRI, which shows ischial bursitis.
Treatment by physiotherapy:
The treatment by physiotherapy includes following measures:
1. REST
2. Cold therapy (to reduce inflammation)
3. Ultrasound therapy to reduce pain and inflammation
4. Frictional massage (breaks down scar tissue, increases extensibility and mobility of the structure, promotes normal orientation of collagen fibers, increases blood flow, reduces stress levels, and allows healing to take place)
5. Stretching of hamstring muscles
6. Strengthening of hip muscles
7. Gluteus stretch
it helped, thank you
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