TreatmentTherapy

Depending on the cause, the therapy varies. In almost all cases, immobilization is necessary. If an ischial fracture is to blame for the pain, a suitable pain therapy using so-called NSAIDs (non-steroidal anti-inflammatory drugs) should be used in addition to immobilization.

If an unstable fracture occurs, surgical treatment may be necessary. Physiotherapy should also be performed and the load should be slowly increased again. Relief should also be provided in the case of inflammation of muscles and tendons.

Local anesthetics (narcotics) or glucocorticoids can be injected at the site of the pain in addition to normal painkillers. Glucocorticoids are also effective against inflammation, but should not be used too often as they can cause tissue degeneration. Physiotherapy should also be considered when treating inflammation. To relax the muscles, heat can be applied. If the pain is caused by sitting for too long during work, seat cushions or seat rings can make sitting easier and prevent future inflammation in the area of the ischium.

Duration

Depending on the cause and how advanced the disease is, the duration of healing varies. If the pain is fresh and an overload is to blame, the ischial pain can disappear after a few days and after resting. If the pain is longstanding or recurring, treatment can take several weeks or months. In some cases, the pain does not go away and a chronic course develops, requiring more intensive treatment over months or years.

Ischial tuberosity during pregnancy

If the ischium hurts during pregnancy, this is normal. Mainly expectant mothers feel this pain when sitting, standing up or when they turn while lying down. On the one hand, the pain is due to the constant increase in weight and size of the child and the uterus.The additional weight presses on the pelvis and thus also on the ischium and can cause pain. Furthermore, the tissue and joints are loosened by hormones such as estrogen and relaxin to prepare the pelvis for birth. This loosening can cause pain in the pelvis that radiates into the ischium.