Hello XXXXXXX and thanks for your query.

I shall make an effort to provide you with good professional recommendations specific to your questions.

I can well understand that 4 years of suffering from your said condition of ischial/ischiogluteal bursitis. You have been reviewed by the physiotherapist, whose exercises have not been found useful. And MRI did not bring forth any evident findings by your neurologist and orthopedic surgeon.

Now, there are certain other next steps of therapy in your case which needs mention - like cold pack in a cloth, short course pain killer medications (non steroidal antiinflammatory drugs), antibiotics in case culture is positive, steroidal injections and surgical drainage.

All the above options need to be evaluated one by one and step wise up gradation of therapy is needed if pain persists as is evident in your case too.

Try discussing these with an orthopedic surgeon next time you pay a visit to see if any one of above needs good consideration. And most of all, do not worry - as this condition is well treatable in most cases without recurrence. Lastly, avoid sitting for long on hard surfaces.

Let me know if I have missed out any other concern in your question.

Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions.

Sincerely,

Dr Sujeet N Charugulla,
MBBS, MD.
Consultant Physician.

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Mr XXXXXXX

Thanks for the follow up - My answer regarding the treatment was in line to your question - "Can i expect a treatment & perminent relief for this problem."

Now, as you specifically want a reference for a doctor for the same - I can suggest an Orthopedic surgeon on a personal level here in my city who have successfully treated many patients, and not Bengaluru. Else, your google might be of superficial help as this search engine will find a specialist in your area, and not give you the expertise of orthopedic surgeon in this single case.

Physiotherapists are a different fraternity - and you might need a reference from an orthopedic surgeon first to get their opinion and therapy as the case may be.

Let me know and call to my secretary in case you need reference as above, and I shall be glad to do the needful.

You may write back for further queries.

Dr Sujeet N Charugulla,
MBBS, MD.
Consultant Physician.

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You can call me on +91 0000 0000.

I shall discuss orally before I refer you for the same.

Regards,

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