top of page
Search

Ischial Bursitis / Proximal Hamstring Tendinopathy: Symptoms, Causes & Treatment

  • Writer: Daniel Taylor
    Daniel Taylor
  • May 13
  • 2 min read

Ischial bursitis and proximal hamstring tendinopathy are common conditions we see in both males and females. They are characterised by pain just below the buttock crease, which commonly radiates into the back of the thigh or hamstring region.


Symptoms can vary from person to person, but many people notice discomfort during activities such as walking, running, gym training, or sports. It can also become particularly painful when sitting on hard surfaces for prolonged periods.

What Causes Ischial Bursitis or Hamstring Tendinopathy?

These conditions are often caused by repetitive strain or overload through the hamstring tendon attachment near the “sit bone” (ischial tuberosity). Common contributing factors include:

  • Running or sprint-based sports

  • Sudden increases in exercise intensity

  • Prolonged sitting

  • Poor gluteal or hamstring strength

  • Reduced flexibility or mobility

  • Previous lower back, hip, or pelvic issues

Inflammation around the bursa or degeneration within the tendon can both contribute to ongoing pain and stiffness.

Initial Treatment Options

In the early stages, treatment is generally focused on reducing irritation and inflammation. This often includes:

  • Rest from aggravating activities

  • Ice or heat application

  • Over-the-counter pain relief medications or anti-inflammatory gels

  • Activity modification

  • Gentle mobility and strengthening exercises




Simple hip and hamstring exercises can also be very helpful. You can find some useful exercises on my YouTube channel below:

Physiotherapy & Soft Tissue Treatment

If symptoms are not improving with self-management, a course of physiotherapy can often help significantly.

At Elite Joint Solutions, a large part of our treatment approach is focused on reducing inflammation and improving soft tissue quality around the ischial region.

Treatment may include:

  • Deep soft tissue release

  • Friction massage techniques

  • Acupuncture

  • Progressive rehabilitation exercises

These treatments aim to stimulate tissue regeneration, improve circulation, reduce pain, and restore function. On average, many patients improve within 6–10 treatment sessions.






Hyaluronic Acid Injections

For patients looking for a potentially faster treatment option, we also offer hyaluronic acid injections as a first-line treatment.

Unlike steroid injections, hyaluronic acid injections are considered much safer for tendon tissue and do not carry the same risks of tendon weakening or damage.

Hyaluronic acid works by:

  • Lubricating the tendon and surrounding tissues

  • Forming a protective layer around the tendon

  • Reducing irritation from pro-inflammatory cells

  • Supporting tendon healing and movement

This can be an excellent option for individuals struggling with persistent pain that is limiting exercise, sport, or day-to-day activities.

When Should You Seek Help?

You should consider professional assessment if:

  • Pain has persisted for several weeks

  • Sitting becomes increasingly uncomfortable

  • Symptoms are affecting sport or daily activities

  • Rest and exercises are not helping

  • Pain continues to radiate into the hamstring

An accurate diagnosis is important, as symptoms can sometimes mimic lower back or sciatic nerve problems.

If you would like to discuss treatment options in more detail, please contact us here:

Comments

bottom of page