Ischial Bursectomy
Ischial Bursectomy in Houston, TX
Ischial bursectomy is a minimally invasive surgical procedure used to treat chronic ischial bursitis, a condition that causes pain in the lower buttock and upper hamstring region. Mark S. Adickes, MD provides advanced ischial bursectomy in Houston, Texas, helping patients relieve persistent pain and return to normal activity when conservative treatments are no longer effective.
Ischial bursitis is bursitis affecting the buttock region. The bursitis is mainly due to chronic and continuous irritation of the bursa and occurs most often in individuals with a sedentary lifestyle. A bursa is a small sac filled with fluid that acts as a cushion and allows smooth motion by reducing the friction between muscles and bone. The irritation commonly results from prolonged pressure on the ischium.
Ischial bursitis commonly occurs from direct trauma to the area, sitting for long periods on a hard surface, or from injury to the hamstring muscle or tendon through activities such as bicycling or running.
What is an Ischial Bursectomy?
Bursectomy is the surgical removal of the bursa, a small fluid-filled sac around the muscles, tendons, and bones of the joints in order to minimize friction and irritation. An ischial bursectomy is a surgical procedure whereby the bursa that lies between your buttock muscle and your sitting bone is removed. Ischial bursectomy is usually performed arthroscopically as a minimally invasive procedure. An arthroscope is a small, fiber-optic instrument consisting of a lens, light source, and tiny camera. The camera projects images onto a monitor, allowing your surgeon to assess any damage and perform a repair.
Preparation for Ischial Bursectomy
Your doctor will advise you regarding any medications you need to discontinue prior to the procedure. You should tell your doctor if you are allergic to any medicines or anesthesia. Your medical history will be taken, and tests may be conducted such as X-ray, CT scan, or MRI. Certain blood tests may also be ordered. You may also be instructed to avoid smoking and alcohol for several days prior to surgery.
Ischial Bursectomy Surgical Procedure
The surgery is performed under general or regional anesthesia and involves the following steps:
- Arthroscopic portals are inserted through a small incision at the joint.
- Your surgeon performs diagnostic arthroscopy to view the inflamed bursa or bursae.
- Special surgical instruments are inserted through another small incision.
- Your surgeon carefully removes the inflamed bursae and any surrounding scar tissue.
- The incisions are closed, and a bandage is applied.
Risks and Complications of Ischial Bursectomy
Complications are few but can include:
- Pain
- Swelling
- Bruising
Who Is a Candidate for Ischial Bursectomy?
You may be a candidate for surgery if you have:
- Chronic buttock pain that does not improve with rest or therapy
- Persistent symptoms despite medications or injections
- Difficulty sitting or performing daily activities
- Imaging confirming inflammation of the bursa
Surgery is typically recommended only after conservative treatments have failed to provide relief.
Ischial Bursectomy Recovery Timeline
Recovery after ischial bursectomy varies, but most patients can expect:
- First 1–2 weeks: reduced activity and pain management
- 2–6 weeks: gradual return to sitting and light activity
- 6–12 weeks: strengthening and improved mobility
- 3 months and beyond: return to full activity
A structured rehabilitation program helps restore strength and prevent recurrence.
Benefits of Ischial Bursectomy
- Relieves chronic buttock and sitting pain
- Eliminates the source of inflammation
- Improves mobility and comfort during daily activities
- Allows return to sports and active lifestyles
- Minimally invasive with faster recovery in many cases
Why Choose Mark S. Adickes, MD for Hip Procedures?
Patients choose Dr. Adickes for his expertise in sports medicine and hip preservation procedures. As a fellowship-trained orthopedic surgeon and former professional athlete, he understands the impact of pain on performance and daily life. His approach focuses on accurate diagnosis, minimally invasive techniques, and individualized treatment plans.
Serving Houston and Surrounding Communities
Conveniently located in Houston, TX, this practice serves patients throughout the region, including Katy, Sugar Land, The Woodlands, Memorial, and surrounding communities.
Frequently Asked Questions About Ischial Bursectomy
What is ischial bursectomy used for?
It is used to treat chronic ischial bursitis by removing the inflamed bursa causing pain and irritation.
Is ischial bursectomy minimally invasive?
Yes, it is typically performed using arthroscopic or endoscopic techniques with small incisions.
How long does the surgery take?
The procedure usually takes about 1 hour, depending on the complexity.
When can I sit normally after surgery?
Most patients gradually return to sitting over several weeks as healing progresses.
Is physical therapy required after surgery?
Yes, rehabilitation is important to restore strength, flexibility, and proper movement patterns.
What happens if ischial bursitis is left untreated?
Chronic inflammation can lead to persistent pain, reduced mobility, and difficulty with daily activities.
If you are experiencing persistent buttock or hip pain that limits your ability to sit or stay active, schedule a consultation with Dr. Mark Adickes to learn whether ischial bursectomy is the right treatment option for you.
