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...
Must See
Dwight Howard Stays in the Gym All Night Dwight Howard Stays in the Gym All Night
Views: 5,822,182
Evan Longoria's Hitting Drills Evan Longoria's Hitting Drills
Views: 9,799,465
Why NFL Wide Receiver DeSean Jackson Counts His Blessings Why NFL Wide Receiver DeSean Jackson Counts His Blessings
Views: 7,556,037

Featured Videos

Kevin Love's In-Season Basketball Workout Kevin Love's In-Season Basketball Workout Views: 1,017,580
A Day in the Life With Kansas City Chiefs Tight End Travis Kelce A Day in the Life With Kansas City Chiefs Tight End Travis Kelce Views: 15,821
Path to the Pros 2015: Shaq Thompson Path to the Pros 2015: Shaq Thompson Views: 70,687
Load More

Resources

STACK Fitness

Everything you need to be fitter than ever

STACK Conditioning

Sport-specific conditioning programs

Coaches and Trainers

Tips and advice for coaches and trainers

Magazine

Latest issues of STACK Magazine

STACK 4W

Women's sports workout, nutrition and lifestyle advice

Gamer

Gaming, entertainment and tech news

Basic Training

Military-style training for athletes

News

Find the latest news relevant to athletes

Most Popular Videos

Two-Ball Dribbling Drill With John Wall Two-Ball Dribbling Drill With John Wall
Views: 3,362,717
Paul Rabil's Box Jumps Paul Rabil's Box Jumps
Views: 851,414
Roy Hibbert 540 lbs Deadlift Roy Hibbert 540 lbs Deadlift
Views: 1,577,083
Dribbling Drills for Tighter Handles Dribbling Drills for Tighter Handles
Views: 4,333,085
Ohio State Football Open Field Plyo Drill Ohio State Football Open Field Plyo Drill
Views: 9,499,111

Load More
More Cool Stuff You'll Like
Sports Hernias: What You Need to Know

Sports Hernias: What You Need to Know

10 Ways to Fix Back Pain

10 Ways to Fix Back Pain

Outsmart Injury With These 4 Predictive Tests

Outsmart Injury With These 4 Predictive Tests

Why Tommy John Surgery Is Ruining Pitchers

Why Tommy John Surgery Is Ruining Pitchers

2 Ways to Fix Anterior Pelvic Tilt

2 Ways to Fix Anterior Pelvic Tilt

Basketball Players: Prevent Ankle Sprains With These 3 Exercises

Basketball Players: Prevent Ankle Sprains With These 3 Exercises

4 Tips to Relieve Muscle Stiffness

4 Tips to Relieve Muscle Stiffness

The Secret Weapon Powering Stephen Curry's Resurgence

The Secret Weapon Powering Stephen Curry's Resurgence

5 Things You Can Do to Prevent Muscle Injuries

5 Things You Can Do to Prevent Muscle Injuries

7 Ways to Fix Back Pain

7 Ways to Fix Back Pain

Quarterbacks: 4 Tips to Keep Your Throwing Shoulder Healthy

Quarterbacks: 4 Tips to Keep Your Throwing Shoulder Healthy

6 Steps for Recovering From a Season-Ending Injury

6 Steps for Recovering From a Season-Ending Injury

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

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

Pectoral Tendon Ruptures and Injury Prevention

Pectoral Tendon Ruptures and Injury Prevention

Avoid ACL Injuries in Softball with PREP

Avoid ACL Injuries in Softball with PREP

5 Tips to Intelligently Train Through Lower Back Pain

5 Tips to Intelligently Train Through Lower Back Pain

Prevent ACL Injuries With This Hamstring-Focused Workout

Prevent ACL Injuries With This Hamstring-Focused Workout

How to Treat Piriformis Syndrome

How to Treat Piriformis Syndrome

4 Sports Massage Techniques to Relieve Tight Muscles

4 Sports Massage Techniques to Relieve Tight Muscles

Reducing Low-Back Pain: What You Need to Know

Reducing Low-Back Pain: What You Need to Know

Megan Rapinoes Secret to Staying Healthy

Megan Rapinoe

Predicting the Impact of DeMarco Murray's Hand Injury

Predicting the Impact of DeMarco Murray's Hand Injury

Evan Gattis's Protection-Enhanced Catcher's Helmet

Evan Gattis's Protection-Enhanced Catcher's Helmet

Impressive Advances in ACL Rehab

Impressive Advances in ACL Rehab

6 Ways to Prevent Common Sports Injuries

6 Ways to Prevent Common Sports Injuries

Coaches: Prevent Injuries With the Recovery Management Tool

Coaches: Prevent Injuries With the Recovery Management Tool

Connective Tissue: The Key to Preventing ACL Injuries

Connective Tissue: The Key to Preventing ACL Injuries

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

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

Dry Needling: Powerful, Drug-Free Pain Relief for Athletes

Dry Needling: Powerful, Drug-Free Pain Relief for Athletes

STUDY: Imaginary Exercise Helps You Recover Faster From Injury

STUDY: Imaginary Exercise Helps You Recover Faster From Injury

Eliminate Elbow Pain with These 3 Methods

Eliminate Elbow Pain with These 3 Methods

4 Strategies to Prevent Tommy John Surgery

4 Strategies to Prevent Tommy John Surgery

How to Prevent In-Season Volleyball Injuries

How to Prevent In-Season Volleyball Injuries

STUDY: Female Athletes Are at Higher Risk of Overuse Injuries

STUDY: Female Athletes Are at Higher Risk of Overuse Injuries

5 Bodyweight Exercises to Prevent Baseball Injuries

5 Bodyweight Exercises to Prevent Baseball Injuries

3 Steps to Prevent Soccer ACL Injuries

3 Steps to Prevent Soccer ACL Injuries

The Future of Sports Injury Rehabilitation

The Future of Sports Injury Rehabilitation

Preventing ACL Injuries in Soccer Players

Preventing ACL Injuries in Soccer Players

6 Simple Tips to Prevent Knee Injuries

6 Simple Tips to Prevent Knee Injuries

How to Train With Running Blisters

How to Train With Running Blisters

How to Keep Your Feet Healthy On and Off the Field

How to Keep Your Feet Healthy On and Off the Field

How to Prevent Baseball Injuries During the Off-Season

How to Prevent Baseball Injuries During the Off-Season

Achilles Tendon Ruptures: Prevention and Recovery

Achilles Tendon Ruptures: Prevention and Recovery

YardBarker