QuestionI have ischial tuberosity pain syndrome and have had it for about 2 1/2 years. I believe it was cause by mixing and applying about 2,000 lbs of cement and concrete in between rocks on a large rock wall. I mixed up to 240 lbs in a mixing machine and then used a mortar board to carry it while working on the wall. There was about 10 lbs plus on the mortar board when first used. I reached right and left, up on tip toes and down by squatting. There was no acute pain at the time.
I also split about a cord of wood for the first time, swinging the maul with great deal of energy. Done immediately after the above listed job was finished.
Chronic pain seemed to develop slowly, on and off, in the following months to the point where something had to be done. One a 1-10 scale pain can range from 2-8. While I can stand and lay down with no problem or pain at all, I have chronic pain when I sit. The pain is located on my sit bones with a little bit more on the right rather than the left. My right IT band can be painful from time to time as can my right hamstring.
I've been to many, many health care practioners. They are listed below. A neuro-surgeon who said it was a sprained sacroiliac. It was not surgical. He referred me back to my chiropractor (the one who started this overall process) for treatment. He also recommended pain management.
A second neurologist who was treating me for peripheral neuropathy. He insisted it was sciatica but the shots he gave me did not do anything. It did not feel like sciatica. He made assumptions and didn't perform a workup or conduct the most routine test. Other doctors said my abilities to lift my legs off the floor without any pain indicated there was no sciatica.
A third neurologist indicated it was arthritis.
A rheumatologist said it was arthritis.
A chiropractor said "He's used everything he had it his bag of tricks." ]
A second chiropractor diagnosed this as ischial tuberosity pain syndrome and referred me to physical therapy.
Physical therapy in the first chiropractor's office conducted early on with no success
Second Physical therapy treatments consisted of 27 1 1/2 treatments. Cold light used along with stim and exercised. Personal stim units obtain plus script for lidocaine through GP.
I took 2400mg of Ibuprofen a day (under doctor's care) for about two month. During one period I alternated with acetaminophen every four hours. No effect.
I've been to all manner of non-traditional or alternative
I've had acupuncture, sacral cranial therapy, twice weekly 1/2 hour massage session at the hamstring insertion point, water exercise programs in a pool on two occasion once with YMCA and once with physical therapist. Oh...sitting on ice works.
I have a artery blockage and have had a silent stroke. Large doses of naproxen have been prescribed by a neurologist but my cardiologist does not want me to take them.
Any generalized thoughts on pain relief?
Thanks for your time
Answer
Hanna Somatic Educatio
Hello, Don.
Here's the key sentence, in which you've pinpointed what I think is the problem:
"My right IT band can be painful from time to time as can my right hamstring."
Tight hamstrings pull on the ischial tuberosities.
See the following write-up and work with the somatic exercise shown:
http://somatics.com/hamstrings-and-knees.htm
More than likely, you are tight elsewhere, as well. If you know this to be so (such as your IT band) and want to get more supple, write again and ask for a program recommendation.
regard,
Lawrence Gold
