What is ischial (Ischiatic) bursitis?

Ischial bursitis, also known as "weaver's bottom" or "tailor's seat," is inflammation of the bursa between the ischial tuberosity (sit bone) and the gluteus maximus muscle. Treatment typically involves rest from activities that aggravate symptoms, NSAIDs like ibuprofen (400-800mg three times daily with food) for pain and inflammation, and avoiding prolonged sitting on hard surfaces. A donut-shaped cushion can help redistribute pressure when sitting is necessary. Physical therapy focusing on stretching and strengthening the hamstrings and gluteal muscles is beneficial, with exercises like hamstring stretches held for 30 seconds and repeated 3-5 times daily. For persistent cases, corticosteroid injections may provide relief, though these should be limited to 2-3 injections per year. Ice application for 15-20 minutes several times daily can reduce acute inflammation. Most cases resolve within 2-6 weeks with conservative treatment. The condition occurs because the ischial bursa, which normally reduces friction between the ischial tuberosity and surrounding tissues, becomes irritated from prolonged sitting, direct trauma, or repetitive activities, leading to inflammation and pain in the lower buttock area that worsens with sitting or activities that stretch the hamstrings.