Managing your Ischial Bursitis

Written By Nick Stamatiou
Ischial bursitis, also known as ischiogluteal bursitis or weaver's bottom, is a condition characterized by inflammation of the bursa located between the hamstring tendon and its bony origin at the ischial tuberosity (the bony prominence in the buttoc

Ischial Bursitis Treatment:  

  • Cold/heat therapy: to help reduce pain and inflammation in the affected area. 

    • Icing for around 20mins on/off  

    • Heat treatment to promote blood flow to the affected area 

  • Manual therapy: reduces muscle tension, improve blood circulation, and alleviate pain in the affected area. 

    • Massage: targeted at the hamstring muscle group  

    • Trigger point: hip/glute muscles  

    • Dry needling 

  • Ischial Bursitis Exercises: These exercises can help improve flexibility, reduce muscle imbalances, and promote healing. 

    • Strengthening: targeted at hamstrings and hips  

    • Stretching:  

      • Foam roller: hamstring/calf muscles  

      • Static: glute, piriformis, calf  

  • Postural education: Proper posture is important in managing ischial bursitis. Guidance on correct sitting and standing postures, as well as ergonomic modifications to reduce stress on the bursa. 

  • Activity modification: Modifying or avoidance education for activities that exacerbate symptoms, such as sitting for prolonged periods or engaging in high-impact exercises.  

Nick Stamatiou

Nick has a strong interest in sports and musculoskeletal physiotherapy and is motivated to help people reach their desired goals and to achieve their full potential.

His experience includes:

  • Sports and musculoskeletal physiotherapist in a private practice setting

  • Orthopaedic and Rehabilitation inpatient physiotherapist at Brisbane Private Hospital

  • Clinical Reformer and Mat-work Pilates instructor

  • Football gameday physiotherapist

While Nick is skilled in managing all areas of musculoskeletal physiotherapy, he has a particular interest in the rehabilitation of muscle strains, hip, knee and lower back conditions. Nick offers dry needling, massage and joint mobilisation to compliment exercise prescription.

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