Hip bursitis is a painful condition that occurs when fluid-filled sacs called bursa become inflamed. Bursa are found in many joints, providing a cushion between the bones while preventing painful friction. In the hip, there are two bursa – the trochanteric bursa, located on the outer side of the upper thigh bone, and the iliopsoas bursa, located near the groin area. Hip bursitis can involve either (or both) bursa, but most commonly involved the trochanteric bursa.
Causes of Hip Bursitis
Inflammation of the bursa is often seen in people who participate in sports that require considerable running. The constant use and jolting of the joint can irritate the bursa, resulting in inflammation. Hip bursitis also commonly occurs as a result of falling or other injuries to the joint, and it can also occur following surgery. People with spine disease and rheumatoid arthritis are more likely to have hip bursitis, as are people who have one leg that’s shorter than the other.
People who have trochanteric hip bursitis typically experience pain on the outside of the hip extending to the thigh, which intensifies with long periods of walking, when climbing stairs, or when rising from a chair or squatting. Iliopsoas bursitis causes pain in the area of the groin.
Treatment of Hip Bursitis
Once bursitis is diagnosed with a physical examination and sometimes an x-ray or MRI when needed, treatment focuses on relieving inflammation and painful symptoms. Treatment for hip bursitis begins with rest and anti-inflammatory medications to help relieve inflammation and pain.
Heat and ice therapy may also be used to reduce painful symptoms, and physical therapy can also be used to help promote flexibility and improve pain-free range of motion while stimulating circulation for better healing. Injections of corticosteroids may be recommended when oral anti-inflammatory medicines aren’t effective.
When these conservative options don’t provide relief, surgical removal of the bursa may be recommended. Treatment recommendations are made following an in-depth evaluation of each patient’s medical needs, overall health, extent of the disease and other factors to ensure the most appropriate course of care and the best possible outcome.
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