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At initial symptom onset pain typically occurs following activity, but as the condition progresses pain is frequently felt during activities and may be present at rest. [6] Pain may also be present above and below the knee, where the ITB attaches to the tibia. [7] Pain is frequently worsened by running up or downhill or by stride lengthening. [8]
Symptoms are pain or dysthesias (abnormal sensation) in the buttocks, hip, and posterior thigh with or without radiating leg pain. Patients often report pain when sitting. [1] The two most common causes are piriformis syndrome and fibrovascular bands (scar tissue), but many other causes exist. [2]
Ischial bursitis causes pain down the posterior aspect of the upper thigh. [1] [2] There may be pain over the ischial tuberosity. [2] Chronic ischial bursitis may cause paraesthesia. [2] This pain may become immediately more severe when sitting down. [3]
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Around the time he graduated from the University of Kentucky, the knee pain returned, and he developed an addiction to pain medications. Patrick’s habit built steadily and in secret. He needed a Percocet just to get out the door. After a statewide and federal crackdown on pain pills made them too expensive, he switched to heroin.
The pain is often initiated by sitting and walking for a longer period. [74] In 2012, one study found that 17.2% of low back pain patients met a clinical diagnosis for piriformis syndrome. [73] Piriformis syndrome does not occur in children, and is mostly seen in women of age between thirty and forty.
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