Sounds weird & painful!! I would suggest you seek advise/suggestions from physiotherapist, chiropractor & dr - see what each says then do some research on-line via a search engine to see who makes the most sense to you!!

Pain with sitting is not at all unusual. However, by your description that you feel "the bones in the buttock area pressing against the seat," it sounds as if you may have irritated you "sit bone" (ie, your ischial tuberosity). There are a number of tendons, including your hamstring tendons, that attach to the tuberosity. Here's a test you can do for yourself. If you can press around your sit bone and reproduce your pain, then it's not likely that the pain is coming from your back or sacroiliac joint.

Thank you for suggesting an answer. I did your test and can reproduce the pain. I have explained my pain to at least 4 doctors and no one has told me about ischial tuberosity, but it sounds exactly right. I was doing exercises (the wrong way without realizing it) that had me sitting, then bending over and lifting weights, bringing the shoulder blades together. (i was looking at a exercise video and thought I was doing it right, but after awhile the pain set in.) I have always been super flexible, but I think I ended up bending myself like a jack knife.

Now that I know what it is, is there anything I can do to help it?
I appreciate your help so much!
By the way, I am seeing a doctor in manhattan tomorrow and will discuss it with him.
Thanks,
lori

First, let me clarify that ischial tuberosity is not a condition, but the technical name for your "sit bone" (like "patella" is the name for the knee cap). The diagnosis might be something like "proximal hamstring tendonitis," which mean inflammation to the hamstring tendons where they attach in the butt.

I think the treatment depends on why/how the problem developed. The first order would be to identify and eliminate any offending forces (eg, particular exercises or movements that are irritating the area and preventing the problem from healing). You may also need to do some stretching exercises to some hip muscles, and your therapist may need to perform some manual therapy to the area. See what your pt thinks.

Tendonitis to other body parts can be treated by your md with a cortisone injection, though i'm not sure if an md would inject that area.

By the way, my physical therapy practice is in manhattan. Which orthopedist is treating you?

I do not live close enough to manhattan to see a doctor regularly there. I live in the poconos, but am originally from staten island, and travel to manhattan for good doctors, good entertainment, and good food. :d

today I went to see Dr. Edwin su at the hospital of special surgery.
I never met him before. He specializes in arthroscopic surgery of the hip and knee.

I have recently had mri's of the back and hips, because of pain (which I think came from improperly exercising.) I have two bulging discs in the lumbar spine, and mild to moderate arthritis in the hip joints. I have the pain I described to you when sitting, but have also noticed that I have pain and clicking when walking or biking in the front of the hip. My interest in talking to him was to see if arthroscopic surgery of the hip might correct the problem.

To be honest, I really don't think he believed I was in so much pain. (i look healthy because I am in shape, eat right and, until recently, exercised.)
his diagnosis was the pain in the buttock was coming from the bulging back discs. He said arthroscopic surgery is only performed if there is a tear near the hip joint, and that I might benefit by having another mri at his facility because it is higher resolution and may show something the other one did not.


I really do think one of my problems is what you described. I have had tendonitis in the past of the wrist and shoulder, and I did irritate the area by improperly exercising. The problem is I cannot stretch that area, because of pain in my hip. I also have developed an inflammation of the bursa.


Thank you for taking an interest and giving me some information. I will pass it along to my physical therapist.

I appreciate your help.

Lori

I have also exact the same problem .
Up to now I went to a doctor and got 3 shots but after a few weeks (4) the pain in the butt came back.
The only complaint a have is sitting. My hamstring seems okay.
I can stretch them as before. (with one leg on the table).

Now the doctor want operate .
He wants to release the hamstring-tendons from the bursa..

I don't know what to do...

I have the problem now for 6 months.

How did it resolve ?? Or didn't it ?

Kris

I have had this same condition for more than two years and nothing helps except pain pills and they do not cure it and have unpleasant side effects. Voltaren cream feels good when it goes on but does not cure either. I am glad to have some new words to use as all I have been told is arthritis and/or coccyxidemia. Is surgery my best option or what? Sarah

My brother is 17 and a singer/dancer at school. He has been having the same problem. His buttock hurts only when he is sitting, he said he can feel a knot. I think the pain is getting worse. I took him to the ER and they gave him pain pills, however they are too strong. He even had a X-ray and there was nothing. I'm wondering if he hurt a bone or muscle from dancing. My brother is also 6'7 so I know all those dance moves sometimes require falling to the floor..at 6'7 that's a great fall. Not sure what step to take next.

I have had all these symptoms and a year ago I was diagnosed with Bursitis of the sit bone. I also think mine came from doing yoga poses incorrectly. I don't think that it is ever going to go away, or so it seems. I was put on Celebrex for about a year and had to stop because it was causing major stomach problems. I am guessing that I will have to deal with this for a really long time because I don't think that surgery is beneficial, since the bursa will just become inflammed again.

I too have this 'pain in the butt'! I tore my hamstring attachment due probably to a rotation and imbalance in my pelvis, which is very common in women especially. My right leg does not stretch as far as the left when stretching the hamstring, and on and off it hurts to sit. The problem is I think we are always re-injuring a sensitive place by sitting- which is almost impossible not to do!

Has anyone found something to sit on that is more comfy? I was thinking that a supportive ring placed around it would help. Surgery sounds strange to me for this issue- what exactly would be done?

If it is a tendon problem, then self- massage across the fibres of the tendon is very helpful and can help it heal. All you have to do is rub the top of the hamstring where it attaches to the sitz bone. Topricin's cream is also helpful to reduce inflammation, as is ice. Alternating heat and ice, keeping each on for about 2 mins is miraculous at healing tendons and soft tissue. It takes work and time, but now writing this, I am reminding myself that there are things I should and can be doing to feel better.

Jennifer