Ischium is a thick, rough-surfaced prominence below the lesser sciatic notch. This is the portion that supports weight while sitting (especially noticeable on a hard surface) and can be felt simply by sitting on the fingers. It serves as the origin for the inferior gemellus muscle and the hamstrings. The superior ramus is a partial origin for the internal obturator and the external obturator muscles. The inferior ramus serves partially as origin for part of the adductor magnus muscle and the gracilis muscle. The ischial ramus joins the inferior ramus of the pubis anteriorly and is the strongest of the hip
Sciatic nerve also innervates muscles. In particular: Pain caused by a compression or irritation of the sciatic nerve by a problem in the lower back is called sciatica. Common causes of sciatica include the following lower back and hip conditions: spinal disc herniation, degenerative disc disease, lumbar spinal stenosis, spondylolisthesis, and piriformis syndrome. Other acute causes of sciatica include coughing, muscular hypertension, and sneezing. Sciatic nerve injury occurs between 0.5% and 2.0% of the time during a hip replacement. Sciatic nerve palsy is a complication of total hip arthroplasty with an incidence of 0.2% to 2.8% of the time, or with an