Weavers bottom

by Nathan Wei, MD, FACP, FACR

Nathan Wei is a nationally known board-certified rheumatologist and author of the Second Opinion Arthritis Treatment Kit. It's available exclusively at this website... not available in stores.

Click here: Second Opinion Arthritis Treatment Kit

Bursa is the Greek word for 'a wine skin'.

A bursa is a thin sack filled with a small amount of synovial fluid, a natural lubricating oil. This slippery sack allows different tissues such as muscle, tendon, and skin to slide over bony surfaces. These sacks are normally very thin but they can become inflamed and irritated. When a bursa becomes inflamed, the condition is referred to as bursitis.

Weaver’s bottom refers to bursitis affecting the ischiogluteal bursa. This is a sac that cushions the ischial tuberosity of the pelvis. When a person sits, the part of the buttock that contacts the surface they’re sitting on is the ischiogluteal region. People who sit for long periods of time are prone to this disorder.

The treatment involves making the diagnosis first. Other things that need to be incorporated include physical therapy, avoidance of pressure on the area, anti-inflammatory drugs, and sometimes injection with glucocorticoid using ultrasound guidance.

Patients with severe disease unresponsive to the above can be treated with a minimally invasive procedure called percutaneous ultrasound-guided needle tenotomy with platelet-rich plasma (PRP). For more information about this, go to:

Arthritis Treatment Center

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