Inflammations at the ischium
In principle, inflammation can occur at any of the structures on the ischium. Inflammations of the bone are rather rare. They are usually caused by other inflammations in the surrounding area, e.g. inflammation of the bladder, which then spreads to the ischium.
Much more common are inflammations of the muscles or especially their original tendons. These usually occur as a result of overloading the muscles due to too much training or an unaccustomed strain. Furthermore, inflammations of the so-called bursae can occur.
These are structures that occur mainly in joints. They are filled with fluid and serve to dampen pressure and thus relieve the joints. Inflammations of the bursa are also frequently caused by overloading, but also by bacterial infections, arthritis, arthrosis, gout, tuberculosis or gonorrhea.
Irrespective of their localization, inflammations usually manifest themselves in the so-called cardinal symptoms: swelling, redness, overheating, pain and functional impairment of the affected structure. They are usually treated with non-steroidal anti-inflammatory drugs, such as Ibuprofen® or Voltaren®, as well as immobilization and cooling. Depending on the severity of the existing pain, painkillers can also be given. In addition, physiotherapeutic exercises are recommended, which serve primarily to strengthen the trunk and pelvic floor muscles, as well as to stretch the muscles of the thighs that attach to the ischium. This should prevent future inflammation and injuries caused by overloading.
Ischial fracture
Fractures of the ischium are usually accompanied by injuries to the pubic bone and are also known as anterior pelvic ring fractures. They can exist as stable or unstable fractures. Stable fractures are fractures that are either unilateral or bilateral but without displacement of the fracture edges.
Unstable fractures are accordingly accompanied by displacement of the fracture edges. Since the entire pelvic ring is a very robust and strong bony structure, fractures in this area are almost always the result of massive violence, e.g. through accidents or serious falls. They manifest themselves in very severe pain and loss of mobility of the leg on the affected side.
An X-ray or CT scan is taken to confirm the fracture. The therapy usually consists of 1-2 days of strict bed rest and subsequent exertion, as is possible within the scope of the pain. If necessary, a belt or bandage is applied to stabilize the pelvis.
Painkillers and medication are used medicinally to prevent inflammation. Depending on the type and severity of the fracture, surgical intervention may become necessary. This is the case, for example, if the fracture edges have to be repaired or if damage has been caused to neighboring organs, e.g. the kidneys or urinary tract, the liver, spleen, intestine or nerves running in the pelvis as a result of the causal force. With adequate treatment, the fractures usually heal without permanent damage.
