When a person has severe buttock pain along with tenderness on the ischial tuberosity, often the diagnosis of ischial tuberosity pain syndrome or ischial bursitis is made. My athletic son or daughter has an apophyseal (growth plate) avulsion fracture.My doctor says I have ischiofemoral impingement syndrome. I have bad hip pain, it has lasted for months, my leg feels weak, almost as if it is giving out.My doctor says I am putting too much stress on my hamstrings.I have made adjustments to my technique and my saddle height, which has helped but I am still feeling pain when I sit. My physical therapist suggests that my problem is from too much cycling.I had a cortisone injection and it has helped quite a bit, but it is wearing off. This is causing a “load imbalance” on my Ischial Tuberosity and this is causing the inflammation responsible for my bursitis and tendinopathy. My doctor thinks that I have Sacroiliac Joint Dysfunction.My chiropractor suggests that my hips are out of alignment and my “sit bones” are not properly aligned.True bursitis pain is so painful that any pressure to the bursa would elicit a positive “hit the ceiling” sign. Bursitis means inflammation of the bursa. A bursa is a fluid-filled sac that allows tendons and muscles to glide over the bones. The condition that is manifested by buttock pain and tenderness over the ischial tuberosity is known in traditional medical lingo as ischial bursitis. The most common cause of pain at the cheek line in the buttock area is weakness in the structures that attach to the ischial tuberosity. We have also seen the many causes of this problem. In our many years of helping people with chronic pain conditions, we have seen many patients with Ischial tuberosity pain syndrome.

Red lines on butt and hip