Ischial Tuberosity Bursitis - Cortisone Injections Every Six Months
Mar 3, 2015
I've had this nasty problem for almost 5 years now. I was in a severe vehicle collision where I fractured my L1 vertebrae, and then about 6 months later, I started getting this nagging pain in my left sit bone and down my leg.
I was misdiagnosed for the first 3 years of it. At first they thought I had piriformis syndrome ( which is most doctor's first diagnosis since it sends pain down the sciatic nerve. I did 6 months of rigorous physio/chiro/needling to attempt to fix the pain, but nothing helped.
Then they thought it was a bulging disc radiating pain down my back from the injury.
All the while, my pain was getting worse and worse. Taking more and more pain medication. Getting heavy into the opiates. Then after losing my career in the military, and after a year of wasting time. I finally got in to see a spinal specialist. one who teaches around the world and after 5 minutes of asking questions and a couple of manipulations, he diagnosed my with Ischial Tuberosity bursitis.
While I was happy to finally KNOW what it was. It hasn't been fixed. I get cortisone injections every six months, and unfortunately the relief is is not the best. I am taking a Fentanyl patch for consistent pain relief.
It sucks that a pain in my butt is a constant in my daily life. It's depressing and it makes it so i can't live like a normal person....doing normal things....movies, dinners, socializing, driving... etc.
All I do, is try to keep on moving......moving....trying to stay flexible...doing my stretches....trying to keep in decent shape and health.
If anyone wants to chat about their issues with Ischial Bursitis, I'd be glad to. Or if anyone wants to know about treatments etc....ask away.
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I cannot find any doctor to help me. It started in November .. I thought I was having some back pain and went to the DR and found out I had a UTI. I was optimistic I would take the antibiotic and all would be fine. Well after I completed the Cipro the UTI was still there. They switched me to Macrobid and it cleared up. I continued having the pain in my back, hip and near my ischial tuberosity (sit bone). The sit bone felt very tender upon palpation and when i would press on it, it would also then initiate an anal reflex. (I think a sphincter is somewhere around there). I have gone to orthopedic doctors, and I have an appointment today with a Urologist as the UTI has come back twice since then. It all seems interconnected. I also have these shooting pain up and down my labia ... to my hip as well. It is all on my right side as well.
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I have been suffering from pain on the gluteal region (it worsens when sitting), sitz bones (ischial tuberosity), upper thighs, lumbar region and feet (calcaneum) for almost 2 years now. I'm 26, have always been healthy, but I have to say this condition is affecting my quality of life SEVERELY.
I have researched a lot about my ailment, read many scientific articles, have been to almost 50 doctors and still I haven't received a proper diagnose. I have already done many exams to investigate the source of my pain, namely: MRIs, CT scans, electroneuromyography of the perineum/legs, dozens of urine and blood exams, etc.
I (together with some physicians and physiotherapists) have come up with some diseases which are compatible to the symptoms (burning pain on the pelvis, ischial tuberosity, perineum, pubic bones, upper thighs, calcaneum), such as:
1. Pudendal nerve entrapment (negative result after an ANGiography)
2. Ischial Bursitis (negative after a MRI scan, no bursas inflamed)
3. Hamstring Tendinosis/Tendinopathy (negative on MRIs)
4. Prostatitis (no bacteria detected whatsoever, although I have taken antibiotics - PSA normal)
5. Autoimmune diseases (Reactive Arthritis, Ankylosing Spondylitis - negative)
6. Lyme Disease (inconclusive, took doxycycline for 3 weeks though)
7. Irritable Bowel Syndrome
8. Sciatica/Piriformis Syndrome (hypothesis ruled out after intense physical therapy, pilates for over 11 months)
The only exam that showed something not normal was a discreet enthesitis on both heels (calcaneum). That's why rheumatologists thought it could be some autoimmune disorder. Apart from that, everything seems pretty normal. My vitamin D levels are low too, but I have started taking vitamin supplements and my vitamin levels (not only D) are almost close to normal.
I was wondering if someone with similar symptoms have already received a light on that. I have visited a lot of forums on the internet with ppl complaining about the same things, but never read/learned about someone who received an ultimate/precise diagnose., nor did I found anybody who actually recovered from that.
Medication taken to date: Lyrica, Prednisone, Cymbalta, Ciprofloxacin, Doxycycline, Arcoxia, Sulphasalazine, Fluoxetine, Naproxen, Cyclobenzaprine
I have recently started a new treatment called Prolotherapy. I've read it is a helpful technique for chronic tendinopathy.
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I've been having pain sitting, standing, & walking very far (at all) for over a year now. I had a spinal fusion done at the L -5/S -1 level back in 2002, & my docs keep close tabs on my back. I've had a tiny tear in the L-4 for many years, but most the docs feel my current problem has absolutely nothing to do with my spine - I agree. I have been diagnosed with a hip labral tear in my right hip socket about 4 months ago, but not bothered enough to do the drastic surgery. Doc injected left hip socket due to pain, but again, not my main problem.
I've had physical therapy (which aggravated the left socket), steroid injections into the ischial tuberosity bursa (both sides) - due to the doc thinking probable ischial tuberosity bursitis, which it is not, & am scheduled for an EMG down both sides of my lumbar spine (I hate those tests - they really hurt!). Meanwhile, I've been working with my chiropractor who does adjustments, percussion massage, iontophoresis, & cold laser treatment on me twice a week.
NO ONE knows what this is, WHERE to send me, or how to FIX it!
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I am due to have cortisone injections on 7th November but am feeling a bit anxious about it.
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I had cortisone injections in both knees 5 days ago and both of my feet are really swollen. Is this a normal side effect of injections in knees?
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I am thinking about having cortisone injections in my feet for arthritis pain and I've heard 1 good and 1 bad report about the success of it. Can anyone who's had it let me know how it went.
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I'm just doing some research at present regarding Cortisone/steroid injections into the shoulder joint within a 12 month period.
How many injections in a year is classed as too many without any noticeable improvement in the symptoms?
Injections both in clinic and in theatre as part of an MUA or EUA.
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Has anyone found that these injections make you put on weight. I have had a fair few and due for some more next week. In the beginning I had a spine injection and then in the leg - I am on Pazital and Lyrica but a lose dose. But looking back, the injections have been the best as I walk quite a bit.
I know the UK have a maximum - but can't remember how many. I last had the injections about 3 years ago, 4 in one thigh and 3 in the other. I suppose it depends on the strength too but I haven't ever been told the strength.
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I went to a dermatologist today and i was told my face had a good deal of acne. I have my acne or my forehead and a lot around my jawline area that are cystlike. I have a few of them and those are cystic pimples. The dermatologist recommended me to do acne surgery ... extraction she mentioned and i kinda did not want to do this b/c i had a bad experience with a an esthetician many years ago plucking my face. The difference was that was in a salon and not a dermatologist. I remembered when i did it, i had holes and my acne was really bad right after it so I said I didn't want to do it.
However i asked if i could get cortisone shots done in my jawline where i have cystic pimples that doesn't seem to go away. Dermatologist did the cortisone injections and it was not painful at all. There were 3 of them done when i checked by bill. Anyways i came back home and then i saw i still had the cystic pimples there... I made the mistake of actually thinking these shots destroyed the cystic pimple on the spot... found out recently it takes a few days or close to 1 week for it to flatten.
Well I got prescribed epiduo for my acne and also solodyn as an antibiotic. I'm told to follow the same regimen i have but use epiduo at night and take solodyn once a day.
My question is should i even start the epiduo cream now after i got the cortisone injections? Should i wait a few days first till it flattens a bit and then use it? I'm worried using it might make it worst. I called the office and one of the reps there said it didn't matter you could start now but im thinking i shouldn't use this product on the area of my face yet right after the injections? Should i put anything on these spots where i got the injections? Because im thinking all i should do is wash my face like normal and put aloe vera gel on it or nothing at all and don't put any acne cream on it till few days later?
How long did it take for the cystic pimple to get smaller after the injection? Does it flatten fully or does it not? How soon can you do it again on the same spot if it didn't work? I assume if it doesn't flatten in 1 week, then it didn't work? I read online that ppl mention 2-3 days it should flatten and the cystic pimple should be gone...
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Anyone have experience with cortisone injection for costochondritis - positive or negative - benefits or side effectS?
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I was diagnosed with costochondritis when I was 14 and have had it for five years now.
I can manage the pain when it isn't flaring up but for the last few months it has been very bad to the point where I can't sleep. My job is quite physically demanding sometimes which causes the flare ups.
I recently went to my gp and requested x-rays as I haven't had any taken since I was diagnosed. Last year I had a bone scan but nothing showed up.
Last week the doctor said that I also have mild thoracic scoliosis curving to the left which may give a reason for the costochondritis, finally!
I have decided that the time has come to get cortisone injections as other medications/treatments don't relieve the pain. I will be seeing a specialist in a month's time.
Has anyone else had the injections? Did they help you? What was the whole procedure like for you?
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Flying after anesthetic for cortisone injections to the coccyx?
I was told by my surgeon that I could have my cortisone injections ( under general anesthetic ) to my coccyx before taking a 8 hour flight in 8 weeks time. He said he would get me in. 4 weeks later no letter. Rang his office and was told he's away until mid April and there was no way I could have it done before I flew in 4 weeks as I was having a general and you CANNOT fly for 6 weeks after a general!! So confused as to why the surgeon would say it's ok but receptionist is adamant I can't have it!
Can I have a general anesthetic and fly 4 weeks later? Any info would be much appreciated. I have googled it but I'm finding that I should be able too!
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I had bulging disc over two years ago and i was sent for mri scan a while later i got cortisone injection into L5 disc worked ok and lasted for a few years,two months ago it returned and is very painful the doctors gave painkillers and said to exercise couldn't stand up never mind exercise,,i'm confused on why they are asking me to see a spine specialist which is taking months and why don't they just do the injection like they did a few years ago ,anyone any answers?
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My husband has been suffering with a pain in his right arm for a few months now. He saw the doctor and he diagnosed it as tennis elbow, he did do a lot of fence painting in the summer, the doc has suggested a cortisone injection in the elbow, just wondering if anyone has had one and are they of any benefit as I've read some horror stories where the pain has been twice as bad afterwards?
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I've been dealing with sit pain for almost 4 years. Mostly feels like on the bone on my left butt cheek but from time to time moves to the outside of iT (along panty line) or to the inside between bone and groin. I can't pinpoint any particular event that caused it. Been mis-diagnosed as piriformis syndrome, have had tons of injections, PT for SI joint issues, sciatica injections, ischial bursitis injections, when pudendal nerve (but didn't pursue that) & today I had RF ablation oF L2, L3, L4, L5 and S5. I've not had back pain except once in awhile an ache in lower back & hips feeling out of alignment (probably self inflicted trying not to sit on my left butt cheek). Anyone else having the same issue or found a solution?
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Findings: -
AC Joint: There is mild AC joint arthrosis present.
Osseous Structures and Articular Surfaces: The glenohumeral cartilage is normal. There is fibrocystic change in the greater tuberosity. There is normal signal in the glenoid.
Rotator Cuff: The supraspinatus, infraspinatus, subscapularis, and teres minor are intact. There is no retraction or atrophy. No fluid in the subacromial/subdeltoid bursa.
Labral-ligamentous Complex: The biceps anchor is intact. No definite labral tear present.
Additional Findings: No mass lesion in the quadrilateral space or suprascapular notch.
I was in a bad car wreck Feb 15th , luckily i didn't get hurt to bad, just banged up pretty good with alot of bruising , i really didn't have pain in my shoulder until 2-3 days later i started feeling a sharp stabbing pain in my collar bone, i kinda ignored it and went about my business thinking ok its just from being banged up. I then went to work on a saturday and noticed that the pain started to get worse and noticed a bulge in between my collarbone and shoulder , i proceeded to put ice on it and just kept working, then i went into work sunday and still same thing but i started to feel very weak and ill . so i told them sorry i am unable to come back to work the next day and made a doctors apt . he scheduled an MRI i got it done and that was in march 9th , he said they didn't see any tears or broken bones, but i do have Mild ac joint Arthrosis , he sent me to an Orthopedic surg. and i have been doing physical therapy since then and he did give me some shot in the shoulder. the pain in my shoulder is a deep ache pain with a burning sensation in my upper arm, then i lift my arm or turn it it pops, clicks , crackles and crunches, the pain stays mostly at a lvl 3 and some days can go to a 5 . If this ac joint is causing all this my god i just want it to go away . I already have degeneration in my spine with herniated and bulging discs in my lower back . Mild bone spurring in my middle back and neck . he wanted me to do 4 more weeks of therapy but so far its not helping the burning sensation seems to be getting worse I also feel like i have a tennis ball in my shoulder (scapula) area when i sit in my car or lean back in my chair . the areas are very tender to touch . I am taking diclofenac for the inflammation . i am supposed to be going back to my DR. may 24th to possibly have him clean and scope my shoulder to see what is causing all this !
also what does this mean ? The glenohumeral cartilage is normal. There is fibrocystic change in the greater tuberosity. There is normal signal in the glenoid.
" There is fibrocystic change in the greater tuberosity." ?
I am just wondering if anyone else has had the same problem with there ac joint doing that ?
bc i am to a point lifting anything real heavy, sweeping and mopping my floors, drying or combing my hair , mixing or stirring anything with that arm ( left ) side .. just makes it worse ! i've heat it iced it , but it gives a very short relief
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My wife noticed yesterday that I had a very large lump on my right hip. It could have been there a while, I've no idea. I've been looking online and it looks like I may have Hip Bursitis but I have absolutely no pain at all.
I've been taking Ibuprofen and ice packs, which brought the swelling down yesterday but it's grown back overnight.
Can I have Hip Bursitis with no pain?
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I'm 34 years old and I have recently gotten MRIs done to reveal L5-S1 a posterior disc bulge with disc protrusion that compresses my left S1 nerve root...I have been in constant pain for over 3 months now with pain shooting down my left leg/thighs and my left buttock kills me. I cannot walk without limping and it feels like my hip is out of socket.
I have tried physical therapy, muscle relaxers, vicodin, ibuprofen, icing, etc...nothing long lasting relief. Last Friday I had to have an endometrial ablation done and they must have jostled me around while I was under anesthesia or something because I am in WORSE pain than ever!!!
I was also told I have hip bursitis and it only makes this all worse.
I go in 2 days for an epidural lumbar steroid injection which I am also nervous about but hoping that provides some relief, although I read varied opinions. Spinal surgeon said they will try this out and then if it doesn't work they recommend surgery. Today I went to see a chiropractor who does acupuncture because at this point I will try anything.
Sitting, standing/laying, it all irritates me. I can barely sleep at night even with a wedge or body pillow. I wake up crying because I am so frustrated with this pain. Each day I am growing more and more depressed. I have 2 young kids and just moved into a new house and I feel helpless to get normal things done like laundry, emptying a dishwasher, or even picking something up off the floor.
I am a 3rd grade teacher and feeling very very worried about going back to work and even making it through the day. I cannot squat or bend and walking hurts. I don't know what to do and i guess I am just looking for any words of wisdom or advice.
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I have a ton of stairs at my new house. Go upstairs to get to front door, stairs to go to master bedroom and stairs to climb back up, and stairs in the barn. I must have walked up and down stairs today at least 10 times to do things outside. Well it's no wonder my hips are killing me! Ugg! But why has no doctor recognized that as a cause for my trochanteric bursitis that no corticosteroids has even touched the pain and burning sensation in my right and left hip? I had AVN supposedly left hip femoral head crushed like a ping pong ball and I cried at the diagnosis and treatment for hip replacement to find out after surgery I'm an inch shorter now on the left side. I totally appreciate that and yes I'm down right mad. I'm in worse pain now than when I had a crushed femoral head bone. I'm more upset that I'm still in pain and docs are just taking my money left and right and no results. Just keep taking a piece of me away, oh take some antidepressants that will take the pain away. What a joke! I'm subject to drug testing too for being in pain, this sucks! Especially when I see so many youngsters without pain. I wish I could go back 5 years ago. I might have changed what I ate, where I lived, dietary supplements and types of housing, stretching and exercise. Sorry about the rant, I just can't take the pain anymore!
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I was diagnosed with this condition a few years ago in my left hip. I was given a steroid injection in my thigh and to be truthful, I completely forgot about the pain. I still get niggly pain, but nothing I can't cope with. In January this year, I was diagnosed with it in my right hip and was given a steroid injection in March. It worked for a couple of days, but after that, the pain is worse than before. I am due a follow up in September. Painkillers don't seem to help at all. Any other sufferers out there?
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