Does ischial bursitis require surgery?

Answered by Ricardo McCardle

Surgical intervention may be considered as a treatment option for ischiogluteal bursitis in cases where other conservative measures have failed to provide relief. Ischiogluteal bursitis is a condition characterized by inflammation of the bursa located between the ischial tuberosity (sit bones) and the hamstring muscles.

When conservative treatment methods such as therapeutic injections, aspirations, and medical prescriptions fail to alleviate symptoms and improve functionality, surgical excision may be recommended. However, it is important to note that surgery is typically reserved for moderate-to-severe cases of ischiogluteal bursitis that have not responded to non-invasive treatment options.

The decision to undergo surgery for ischiogluteal bursitis should be made in consultation with a qualified orthopedic specialist or surgeon who can thoroughly evaluate the individual case. They will consider factors such as the severity of symptoms, the impact on daily activities, and the overall health status of the patient before recommending surgical intervention.

During surgical excision, the bursa is removed to reduce inflammation and alleviate pain. The procedure is typically performed under general anesthesia, and the surgeon may make an incision over the affected area to access and remove the bursa. In some cases, additional procedures such as tendon releases or debridement may be performed if there are associated conditions contributing to the symptoms.

Recovery from surgery for ischiogluteal bursitis can vary depending on the individual and the specific surgical technique used. It is important to follow the post-operative instructions provided by the surgeon, which may include physical therapy, pain management, and gradual return to normal activities. Rehabilitation and recovery times can range from a few weeks to several months, depending on the extent of the surgery and individual healing ability.

As with any surgical procedure, there are risks and potential complications associated with surgical excision for ischiogluteal bursitis. These can include infection, bleeding, nerve damage, scarring, and a potential for recurrence of symptoms. It is crucial to discuss these risks and potential outcomes with the treating surgeon to make an informed decision about the appropriateness of surgery for each individual case.

Surgical excision may be considered as a treatment option for ischiogluteal bursitis that is refractory to conservative measures. However, the decision to undergo surgery should be made in consultation with a qualified orthopedic specialist, taking into account the severity of symptoms and the impact on daily activities. Recovery times and potential complications should also be discussed thoroughly with the treating surgeon.