Multidisciplinary
Sydney Pain

This procedure is generally offered if you are experiencing pain in the base of your buttock and the pain is likely to be related to either acute or chronic inflammation of the ischial bursa which is referred to as “Ischial bursitis”. This often causes focal tenderness at the base of buttock but sometimes pain radiates along Hamstring muscles. Generally, there is history of repetitive trauma to the bursa e.g. long bicycle or horse rides. Please remember this condition may coexist with gait disturbance and hip arthritis or sacroiliac joint arthritis.

You will be informed where and when to report for the procedure.  You may be asked not to eat or drink after midnight the night before.  You will be examined by your doctor and asked to rate your pain.

Once the informed consent has been obtained, your specialist anaesthetist will insert an intravenous (IV) catheter in your hand or arm, and you shall be placed in supine position which means laying on your back throughout the procedure.

After this, your specialist anaesthetist is going to provide anaesthetics to produce a twilight or sedation experience to ensure you are comfortable and safe. After preparing the skin with antiseptic solution and under the Xray guidance or by using the ultrasound scan, your pain specialist is going to insert a needle through the buttock skin to reach the target area before injecting of local anaesthetic with or without steroid.

You will be asked to rate your pain.  You will go to the recovery room to be monitored. 

Your IV will be discontinued, and you will be discharged home.

• Bleeding

• Infection

• Failure to respond to therapy

You may be requested to keep a pain diary to help you keep track of your pain.  You will receive further instructions from your doctor.