Associated symptoms of ischialgia pain

In order to find out which cause is responsible for the individual pain of the ischium, the attending physician will ask for other complaints that occur together with the pain. These accompanying symptoms can vary depending on the cause of the pain. If there are nerve irritations, the pain often radiates into the leg or foot of the affected leg.

Shortened tendons can be accompanied by a restriction of movement in the hip and/or spine. If the muscle itself is affected, there is often a greater or lesser reduction in strength of the respective muscle. If rheumatic diseases are the cause of pain in the ischium, they are often accompanied by general weakness and fatigue, sleep disorders and other pain in joints and the spine.

Non-specific symptoms such as cardiac arrhythmia, susceptibility to infection, irritable bowel syndrome or a slightly elevated temperature can also be indications of a systemic disease. There may also be reddening of the skin and localized swelling in the ischium region. In these cases, the presence of an ischial fistula must be considered.

Diagnosis of ischial pain

Pain that occurs on the ischium or ischial tuberosity is basically a symptom that can occur due to various diseases. In order to make a diagnosis, a doctor should therefore be consulted if the pain in the ischium persists. The treating physician can use different methods to make the correct diagnosis.

First of all, the detailed anamnesis of the affected person is most relevant. Likewise, the physical examination as well as the movement of the pelvis and spine can give an indication as to which disease might be responsible for the pain. Diagnostic imaging methods such as x-rays or MRIs are often necessary to make the diagnosis.Particularly with rheumatic diseases, certain parameters in the blood can also be examined, which, if increased, indicate the presence of such a disease.

How is ischial pain treated?

The therapy of ischial pain should always be based on the underlying cause of the symptoms. Basically, pain medication can generally improve the symptoms of the ischium. Depending on the cause of the symptoms, so-called non-steroidal pain medication such as ibuprofen or diclofenac can be used.

In some cases, a temporary administration of stronger painkillers may be useful. Drugs that are normally used for depression or epilepsy can also be effective. These drugs include amitriptyline, gabapentin or duloxetine.

Manual therapy in the form of intensive physiotherapy can also help to improve the symptoms. If there are fractures of the pelvis, surgery is usually required to reattach the bone fragments and stimulate healing. There are also a number of substances from the field of naturopathic treatment which, depending on the clinical picture, can have an alleviating effect. For example, the Rescue Spitz is a substance from the field of naturopathy that can alleviate the pain of the ischium.