Ischial Tuberosity Pain: More than a Hamstring Pull? | STACK
X

Become a Better Athlete. Sign Up for our FREE Newsletter.

Ischial Tuberosity Pain: More than a Hamstring Pull?

December 20, 2013

Must See Sports Injuries Videos

That bony area on your pelvis that you feel when you sit? It's called the ischial tuberosity. Sprinters, hockey players and soccer players are especially vulnerable to IT or "sit-bone" injuries. IT injuries occur when your hip is forcefully flexed with the knee extended, such as while kicking, performing a split or hurdling. The injuries are typically caused by powerful eccentric (lengthening) contractions of the hamstrings and adductors or by repetitive use of these muscles.
Ischial tuberosity apophysitis is an inflammation where the tendons attach to the bone, typically resulting from repetitive stress to the area. It is usually seen with a gradual increase in pain with use, and tenderness without any major trauma at the time of injury.

An ischial tuberosity avulsion fracture, where the tendon pulls off a piece of the bone, is usually caused by a forceful muscle contraction. It brings a quick onset of pain, swelling and weakness. You will experience tenderness in the sit bone, and you will have difficulty walking and sitting for prolonged periods.

If that happens, you should see a sports health professional. Don't shrug it off as a "pulled hamstring" (hamstring strain). Perhaps because IT injuries are less common than hamstring strains, they are often misdiagnosed as a simple strain or pulled muscle. They usually heal with conservative therapy. However, the injuries may require surgery, and the longer a correct diagnosis is delayed, the more extensive the surgical procedure may be. Not all injuries require surgery, but information on the extent of an injury is useful in planning a rehabilitation program and a return to your sport. The quicker the injury is identified and treated, the less chance you will develop chronic pain or risk not returning to your prior level of performance.

Off-season and pre-season training programs that address muscle imbalances and flexibility could help you avoid this pain. It is also important to perform a proper warm-up.

Read more:

Diagram Credit: Bickley, Lynn S.; Szilagyi, Peter G. Bates' Guide to Physical Examination and History Taking, 10th Edition. Copyright ©2009 Lippincott Williams & Wilkins.

Daniel Stein
- Daniel Stein, PT, DPT, ATC, CSCS, manages a physical therapy center in Warren, Ohio. He also volunteers his time to assist the athletic trainer at...
Daniel Stein
- Daniel Stein, PT, DPT, ATC, CSCS, manages a physical therapy center in Warren, Ohio. He also volunteers his time to assist the athletic trainer at...
More Cool Stuff You'll Like

Tips for Working Out With a Hand or Arm Injury

Going into the gym is tough, and it is even more difficult to mentally muster up the strength to do so if you have an arm injury or hand injury. So if...

5 Exercises to Prevent ACL Tears

4 Strategies to Prevent Tommy John Surgery

Basketball Players: Prevent Ankle Sprains With These 3 Exercises

Achilles Tendon Ruptures: Prevention and Recovery

Why Strengthening This Muscle May Fix Knee Pain

How to Fix Anterior Pelvic Tilt

How to Prevent Baseball Injuries During the Off-Season

5 Tips to Intelligently Train Through Lower Back Pain

3 Ways to Prevent the Most Common Hockey Injury

Prevent ACL Injuries With This Hamstring-Focused Workout

What You Need to Know About Tiger Woods' Back Injury

6 Ways to Prevent Common Sports Injuries

6 Simple Tips to Prevent Knee Injuries

4 Sports Massage Techniques to Relieve Tight Muscles

3 Causes of Recurring Hamstring Injuries

Eliminate Elbow Pain with These 3 Methods

Pectoral Tendon Ruptures and Injury Prevention

10 Ways to Fix Back Pain

How to Bench Press With a Shoulder Injury

How to Treat Piriformis Syndrome

How to Train With Running Blisters

Bulletproof Your Body with 5 Easy Injury Prevention Exercises

The 8 Most Dangerous Exercises for Your Shoulders

Impressive Advances in ACL Rehab

How to Keep Your Feet Healthy On and Off the Field

Quarterbacks: 4 Tips to Keep Your Throwing Shoulder Healthy

Evan Gattis's Protection-Enhanced Catcher's Helmet

2 Ways to Fix Anterior Pelvic Tilt

7 Ways to Fix Back Pain

Connective Tissue: The Key to Preventing ACL Injuries

5 Bodyweight Exercises to Prevent Baseball Injuries

The Future of Sports Injury Rehabilitation

How to Prevent Injuries With 3 Yoga Poses

Predicting the Impact of DeMarco Murray's Hand Injury

6 Steps for Recovering From a Season-Ending Injury

The Secret Weapon Powering Stephen Curry's Resurgence

3 Reasons to Correct Your Weak Links to Prevent Common Injuries

8 of the Most Ridiculous Off-Field Athlete Injuries of All Time

Coaches: Prevent Injuries With the Recovery Management Tool

Avoid Low-Back Pain With These 7 In-Season Exercises

Outsmart Injury With These 4 Predictive Tests