Managing Hip Bursitis
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Hip bursitis is a painful problem affecting the fluid filled sacs, known as a bursa, found outside the upper thigh. This bursa allow for smooth movement between any two uneven surfaces reducing friction on the tissue and the body. The hip has two major bursae, that is the ischial bursa and the trochanteric bursa. Inflammation to any one of these areas can lead to pain and stiffness around the hip joint. For example, ischial bursitis will cause pain at the base of the hips, especially when you sit down and trochanteric bursitis causes pain at the side of the hip. The inflammation may be due to injury caused by straining or trauma to the soft tissue.
Bursitis of the hip can be caused by a direct hit to the hip, health problems such as arthritis, gout or scoliosis, infection, past surgeries which include hip replacement or hip arthroplasty. Athletes or runners may also get this condition due to the overuse and exert pressure on the hip joint. The symptoms associated with hip bursitis depend on the type of bursitis. However, general symptoms may include aches and stiffness in the affected joint, swelling and redness, fever, or a sharp pain especially when you exert yourself. A dull, burning pain may be felt on the outer hip if you have trochanteric bursitis. The pain may be increased through simple activities such as stair climbing and walking.
Diagnosis is most reliable when based on physical examination. This is achieved by getting a history on the outer hip pain and areas of tenderness and swelling on the hip. Further examinations may be carried out such laboratory tests which include fluid analysis from the inflamed bursa or blood tests to locate the cause of pain and inflammation. Imaging tests such as X-rays are done so as to confirm that there are no calcium deposits or bone spurs that may be contributing to your problem. Magnetic Resonance Imaging and ultrasound may be used when diagnosis of hip bursitis cannot be done through physical examination only.
Treatment of hip bursitis is dependent on infection. Non infectious bursitis can be treated using ice to control inflammation and improve blood circulation in the affected area. Anti inflammatory drugs reduce pain and inflammation. In some cases aspiration of the bursa is done by removing the fluid in aseptic conditions using a needle and a syringe. Cortisone injections are administered directly to the joint and serves both therapeutic and diagnostic purposes. After the initial symptoms have been controlled, physical therapy may be considered.
Physical therapy incorporates exercises that focus on stretching and strengthening the muscles and tendons found in the hip. The premise is that a conditioned tendon and muscle with move effortlessly with minimal friction thus avoiding bursitis. Rest is also vital in the recovery process, especially for those who participate in sports so as to avoid aggravating the inflamed region. There are few cases of hip bursitis that may require surgery, whereby the bursa is removed and you can continue with life with no complications.
Bursitis of the hip can be caused by a direct hit to the hip, health problems such as arthritis, gout or scoliosis, infection, past surgeries which include hip replacement or hip arthroplasty. Athletes or runners may also get this condition due to the overuse and exert pressure on the hip joint. The symptoms associated with hip bursitis depend on the type of bursitis. However, general symptoms may include aches and stiffness in the affected joint, swelling and redness, fever, or a sharp pain especially when you exert yourself. A dull, burning pain may be felt on the outer hip if you have trochanteric bursitis. The pain may be increased through simple activities such as stair climbing and walking.
Diagnosis is most reliable when based on physical examination. This is achieved by getting a history on the outer hip pain and areas of tenderness and swelling on the hip. Further examinations may be carried out such laboratory tests which include fluid analysis from the inflamed bursa or blood tests to locate the cause of pain and inflammation. Imaging tests such as X-rays are done so as to confirm that there are no calcium deposits or bone spurs that may be contributing to your problem. Magnetic Resonance Imaging and ultrasound may be used when diagnosis of hip bursitis cannot be done through physical examination only.
Treatment of hip bursitis is dependent on infection. Non infectious bursitis can be treated using ice to control inflammation and improve blood circulation in the affected area. Anti inflammatory drugs reduce pain and inflammation. In some cases aspiration of the bursa is done by removing the fluid in aseptic conditions using a needle and a syringe. Cortisone injections are administered directly to the joint and serves both therapeutic and diagnostic purposes. After the initial symptoms have been controlled, physical therapy may be considered.
Physical therapy incorporates exercises that focus on stretching and strengthening the muscles and tendons found in the hip. The premise is that a conditioned tendon and muscle with move effortlessly with minimal friction thus avoiding bursitis. Rest is also vital in the recovery process, especially for those who participate in sports so as to avoid aggravating the inflamed region. There are few cases of hip bursitis that may require surgery, whereby the bursa is removed and you can continue with life with no complications.