Ischial Tuberosity Avulsion Fracture Physio Singapore
An avulsion fracture of the ischial tuberosity is a hamstring-related injury causing deep buttock pain. Physiotherapy helps restore strength, reduce pain, and safely return to sport.


What is an Avulsion Fracture of the Ischial Tuberosity?
An avulsion fracture of the ischial tuberosity occurs when a small piece of bone is pulled away from the pelvis at the point where the hamstring muscles attach.
The ischial tuberosity is the “sitting bone” — the part of your pelvis that bears weight when you sit. When the hamstrings contract forcefully, especially during sports, they can pull a fragment of bone away instead of just straining the muscle.
This injury is more common in younger athletes but can occur in anyone during sudden or explosive movements.
If you are looking for expert rehabilitation in Singapore, ACE Physio Sports provides structured physiotherapy to guide your recovery safely.
How Does This Injury Happen?
This injury usually occurs during powerful or sudden movements such as:
- Sprinting or accelerating quickly
- Kicking forcefully
- Sudden stretching (e.g., splits or lunges)
- Rapid direction changes in sports
When the hamstring contracts while the hip is flexed, the force can be strong enough to pull on the bone attachment.
Common Symptoms
You may experience:
- Sudden sharp pain deep in the lower buttock
- Pain that stops you immediately during activity
- Difficulty walking or putting weight on the leg
- Pain when sitting directly on the affected side
- Tightness or pulling sensation in the back of the thigh
- Swelling or bruising in the buttock or upper thigh
- Weakness when bending the knee
Many patients describe it as “deep buttock pain when sitting” or “sharp pain when pushing off to run.”
What Should I Do?
- Stop all sports and high-impact activities immediately
- Avoid putting full weight on the leg if painful
- Use ice for 15–20 minutes every 1–2 hours
- Keep movement gentle and controlled
- Book a physiotherapy assessment as early as possible
Early management improves recovery and reduces complications.
What Shouldn’t I Do?
- Do not stretch the hamstring aggressively
- Avoid running or explosive movements
- Do not sit for prolonged periods on hard surfaces
- Avoid pushing through pain
- Do not delay assessment or treatment
Physiotherapy Treatment
Physiotherapy is essential for proper healing and safe return to activity.
At acephysiosport.com, your rehabilitation programme may include:
Early Phase (Protection & Pain Control)
- Pain management techniques
- Ice therapy and swelling control
- Gentle movement without stressing the injury
- Advice on safe daily activities
Recovery Phase (Restore Movement)
- Gradual improvement in hip and leg mobility
- Controlled activation of surrounding muscles
- Gentle stretching within safe limits
Strength Phase
- Progressive strengthening of hamstrings and glutes
- Core and pelvic stability exercises
- Improving muscle coordination
Return to Activity Phase
- Functional movement training
- Sport-specific exercises
- Gradual return to running and high-level activity
At acephysiosport.com, your recovery plan is personalised to your goals, whether returning to daily activity or competitive sport.
Recovery Timeline
- Initial healing: 2–4 weeks
- Strength recovery: 4–8 weeks
- Return to sport: 6–12 weeks
Recovery varies depending on injury severity and rehabilitation consistency.
Long-Term Effects
With proper treatment and physiotherapy:
- Full recovery is expected
- Strength and flexibility can be restored
- Risk of re-injury is reduced
If not managed properly, you may experience ongoing tightness, weakness, or reduced performance.
Why Choose ACE Physio Sports?
If you are looking for physiotherapy in Singapore for hamstring or pelvic injuries, ACE Physio Sports offers:
- Personalised 1-to-1 physiotherapy sessions
- Accurate injury diagnosis and management
- Structured return-to-sport rehabilitation
- Focus on long-term strength and prevention
- Convenient location near East Coast Road
We focus on getting you back to full performance — not just pain-free.
Book Appointment
Don’t ignore deep buttock or hamstring pain.
👉 Book now at https://acephysiosport.com 📞 Call: +65 81535374
Start your recovery with expert physiotherapy at ACE Physio Sports.
Frequently Asked Questions
How do I know if my upper leg fracture is healing properly?
Healing is tracked via X-ray at follow-up appointments. Signs of good progress include reducing pain, improving function, and callus formation visible on imaging. Your physiotherapist will guide you through each stage of loading the bone safely.
When can I start putting weight through my upper leg after a fracture?
Weight-bearing timelines depend on fracture type, location, and whether surgery was performed. Your physiotherapist and surgeon will work together to guide this safely, with load progressively increased once adequate healing is confirmed.
Can physiotherapy help with stiffness and weakness after a upper leg fracture?
Absolutely. Stiffness and muscle weakness are very common after fracture immobilisation. Physiotherapy uses gentle joint mobilisation, stretching, and progressive strengthening to restore full movement and prevent long-term limitations.
Ready to start your recovery?
Our specialist physiotherapists are here to help. Book a consultation today.
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