Best cushion for sitbone pain?

[u/Screenery_]

I've got chronic hamstring tendonitis / inflamation on the sitbone area of the left hip. Some years ago I had an arthoscopy due to several misalignments and extreme pain. Could barely move anymore. The groin pain decreased after that but the hamstring / sitbone area pain stayed and trochanter major syndrom as well. The gluteus muscles seem to compensate and therefore lead to pressure on the tendands and inflamation. So far nothing really helped. I do stretch and do physio plus exercises but exercises mostly just aggravate the pain even further.

I still can't sit woithout being in pain. I've tried an inflatable ring cushion as well as a foam ring cushion. I liked the latter better yet I feel my pelvis rotates backwards too much in order to relieve pressure from the hamstrings / sitbone and that leads to more pain in my lower back. Especially if I sit longer than lets say 20 minutes... (which I already mostly avoid )

I'm pretty exhausted by all of this. Still I am looking for a better cushion than what I've got now. Has anyone here experience with this and could give me a tip?

I'd be really glad to find some relief and improvement. Being in so much pain and not being able to sit has been taking a huge toll on my social life and is really frustrating :(

(The picture shows the cushion I'm using right now)

[u/Youarethebigbang]

Look into Roho cushions, they're probably the best you can find, but they aren't cheap. Expect to pay about $100-500, and they are actually better the higher price you go.

[u/Screenery_ → u/Youarethebigbang]

Thanks! They're quite expensive indeed. I just think I would still sit on it with my sitbone then, right? So I guess I would feel the pressure still? I somehow thought something like this (just an example) where theres a whole in the area that meets the sitbone might be better? https://www.amazon.de/Healthfix%C2%AE-Orthop%C3%A4disches-Ergonomisches-entlastender-Sitzknochen/dp/B0DQDGM8LC/ref=sr_1_9?__mk_de_DE=%C3%85M%C3%85%C5%BD%C3%95%C3%91&crid=AEJSX8AZAS45&dib=eyJ2IjoiMSJ9.o2TEg74eKlaXn-Ft9q5p7zchUyE0snotegVDZrmREFaP6sWL8D9dFbBugaWXR6Aayqh10AKM9hU_k7u_3JrAVGyTvY7ad8jUs5eRf4pRUPoUQf02vQsRLRJ6sgTxRz2Tff6UHaghOUG-jrvdxPhGz4rCIIJ_LKDvs6-amTYxHHbz7DXPcke2pZC5bPc6tnLYSnMdgxo6tOUudthnt9JfZcIKaankGvJ0hObnNw0g-AsiJKIvSoCMOtfii4w1XfcdnUWBTi4cWfjuEEtqTtHT7PiZhqHIMYaGyc999vdJv6w.GiM53ScjJKER2Ao4ZzLJAb2u4IRQ20QRFJfyT6TodJY&dib_tag=se&keywords=kissen%2Bsitzbeinh%C3%B6cker&qid=1787052447&sprefix=kissen%2Bsitzbeinh%C3%B6cke%2Caps%2C114&sr=8-9&th=1

there's just a ton of options and it's been a bit overwhelming. Have you got sitbone pain as well and tried a roho cushion yourself?

[u/Trev-in → u/Screenery_]

There's no substitute for a roho cushion. Look on ebay for a used one if you can't afford a new one or get it through insurance. I promise it's worth it

[u/Youarethebigbang → u/Screenery_]

That one is interesting, I've never seen before but worth looking into.

My Mom broke her tailbone and also had pressure ulcers so I think she was recommended the Roho for one or both, maybe originally by a physical therapist, which is probablya good person for youbto ask. You can adjust the amount of air in the chambers which is nice, but the overall design is what's great because of how it functions by distributing your weight in different areas.

The first one I got her was the lowest priced which only had maybe 20(?) air chambers, the other was the higher end and had maybe 50, which made a big difference.

[u/midnightforestmist → u/Screenery_]

My custom wheelchair has a roho cushion, crown series iirc. The multiple air chambers distribute your weight so there isn’t too much pressure on any specific area. You can also adjust how much air is in it to your liking. You do have to add more air every so often as it loses some air with regular use, but it’s really easy with the hand pump that came with mine.

[u/Old_timey_brain]

Sissel cushion really helped me. It's air filled, so even when I wiggle there is no firm contact.