Butt pain

[cindy55555]

I was running 3 months ago and developed a sudden pain in the vicinity of my left ischiopubic ramus.  Since then I have that same pain in that area each time I run.  I have now developed extreme pain in my left buttocks after sitting for 5 min or more.  I have a negative MRI.  PT with e-stim has not helped. I can walk, swim or do the elipyptical with no pain. My orthopedic has no answers.    I ran 3 half marathons in 2010, pain free.  This particular run was an easy 5 miler, 2 weeks after the last half marathon. I can not run now as it is too painful.

[Dr. Kokil Mathur]

There is no test, confirmation is by clinical examination. Consult a sports injury specialist or a physiotherapist.

[cindy55555]

Thank you for your response.  Is there a diagnostic test at all for ischiogluteal bursitis? This sounds more like what I have rather than hamstring or sciatica.

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
The first possibility is sciatica. This would have been ruled out on MRI. Another possibility is ischiogluteal bursitis. This is inflammation of the bursa that lies between the ischial tuberosity of the pelvic bone and the tendon of hamstring muscle. The bursa may show inflammation without any cause or in association with hamstring tendinitis or inflammation of tendon of hamstring. The pain increases on stretching.
Myofascial pain or trigger points in the Gluteus medius muscle and Piriformis muscles of the buttock can cause pain in the buttock area which may radiate to thighs. Stretching the muscle increases the pain.
It is difficult to comment beyond this at this stage. Do consult your doctor. Take care!