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Overview

 

What is Hip bursitis?

Arthritis Treatments, Hip Fractures, Arthroscopic Surgery, Hip Bursitis Treatment Mumbai Bangalore Delhi India Hip bursitis is a common problem that causes pain over the outside of the upper thigh. A bursa is a fluid filled sac that allows smooth motion between two uneven surfaces. For example, in the hip, a bursa rests between the bony prominence over the outside of the hip (the greater trochanter) and the firm tendon that passed over this bone. When the bursal sac becomes inflamed, each time the tendon has to move over the bone, pain results. Because patients with hip bursitis move this tendon with each step, hip bursitis symptoms can be quite painful. Hip bursitis is commonly seen in runners or athletes who participate in running-oriented sports.

Bursitis of the hip doesn’t cause any visible swelling or skin redness because the bursae are located beneath some of your body’s bulkiest muscles. In this type of bursitis, pain is primarily over the greater trochanter



Types of Bursitis


Trochanteric bursitis



Hip Bursitis Surgery Clinic, Hip Bursitis Treatment Clinic, Hip Bursitis Surgeons India



The trochanteric bursa is located over the prominent bone on the side of the hip. Women and middle-aged to older people are more often affected by this type of bursitis. It may occur spontaneously without specific injury. Also, it can be caused by walking abnormally due to arthritis in the hip, knee, ankle, foot, or back. Symptoms include pain gradually occurring over the side of the hip (and sometimes traveling down the thigh); pain when sleeping on the side affected by bursitis, rising from a deep chair, sitting in a car, or climbing stairs; and occasionally, pain when walking.


Ischial bursitis


The ischial bursa is located below the bone in your buttock called the ischium. Inflammation may occur as a result of injury or prolonged sitting on hard surfaces. Symptoms include pain when sitting or lying down on the buttocks and pain that travels to the back of the thigh. Ischial bursitis is also called "weaver's bottom" or "tailor's seat."



What causes hip bursitis?

Hip bursitis can be associated with different types of patients:

Athletes

Hip bursitis is commonly seen in runners or athletes who participate in running-oriented sports (e.g. soccer, football, etc.).


Injuries

Hip bursitis is sometimes associated with patients who fall onto their upper thigh, causing a so-called traumatic bursitis. The symptoms are similar to a hip pointer.


Post-surgical

Patients who have had surgery, such as hip fracture surgery, or total hip replacement, may complain of pain over the outside of the hip. These symptoms are often due to irritation to the bursa causing hip bursitis.



Hip Bursitis Signs & Symptoms


A person suffering from Hip Bursitis will have pain over the area of the bursa, but in severe cases it may radiate down the leg. The pain will usually be brought on by hip movements such as walking, running, and climbing stairs. The physiotherapist should be able to diagnose the condition through manual tests, but it can be confirmed by an ultrasound scan.



Hip Bursitis Treatment


Rest is very important in the treatment of Hip Bursitis in order to allow the condition to settle down. Physiotherapy treatment typically includes ice therapy, electrotherapy and stretching of the Ilio Tibial Band, and may be successful in curing the condition. Ice Packs can be applied for twenty minutes every couple of hours to help relieve pain (never apply ice directly to the skin as there is the danger of an ice burn). Anti inflammatory medication from the pharmacist can also be very effective at relieving hip pain and inflammation.

Hip Bursitis Surgery Superspeciality Hospital India, Broken Bones Treatment options can either be chemical, physical or both. As an osteopath, I will be concerned with the physical (structural and functional) aspects that have caused the pain and will then try to remedy them. In my experience, many cases of bursitis can be improved very quickly with a good chance of avoiding recurrence. Of course, there are some that will be far more difficult, which may eventually require surgery if not treated appropriately or early enough.

A case of trochanteric bursitis ('hip bursitis') was presented to me recently in clinic. The lady in question had seen an osteopathic colleague of mine initially, whom had then referred her to an orthopaedic surgeon where she underwent a number of corticosteroid injections.

As the symptoms of the bursitis were still not resolving to a satisfactory level, she was then referred to me for a further osteopathic opinion and treatment.

However, in a number of cases, particularly chronic (long-term) cases of Hip Bursitis, a Corticosteroid injection may be necessary (a corticosteroid is a naturally occurring substance which can settle down inflammation). Following a Corticosteroid injection into the Hip Bursa it is necessary to rest from sports for around one week to allow the problem to settle down.

Once the condition has settled down, core strengthening and stabilising exercises can begin. Core Strength and Core Stability exercises can improve muscle function across the trunk and pelvis and this can reduce the risk of overuse injuries. Core strength exercises on a mat using a Swiss Ball and Resistance Bands are ideal. Once Core Strength and Hamstring strength are improved, then a return to functional activity is possible.



Is surgery ever necessary for hip bursitis?

Surgical treatment for hip bursitis is rarely needed, and most patients who are faithful about treatment get better within about six weeks. Patients who do not rest from their activities until the inflammation subsides often have a return of hip bursitis symptoms. Also, patients who return too aggressively (i.e. not a gradual build-up), may also find that their symptoms return.

In those few cases where surgery is needed, this can be done through a small incision, or sometimes it can be performed arthroscopically. Either way, the bursa is simply removed (called a bursectomy), and the patient can resume their activities. The surgery is done as an outpatient, and most often crutches are only used for a few days. Patient's do not need a bursa, and therefore there are few complications from this type of surgery. The most common complications are anesthetic-related complications, and infection.



Hip Bursitis Prevention


As with all overuse injuries, doing too much, too soon can be a major contributing factor in developing Hip Bursitis. When beginning or stepping up a running program, gradual progress must be made. For example, it is impossible to increase from running 2 miles per day one week to running 10 miles per day the next week, because the tissues of the body are not prepared for the increased stress and they may fail under the increased load. By gradually increasing the training intensity, frequency and duration the tissues can adapt without a problem.

Core Strength and Core Stability exercises can improve muscle function across the trunk and pelvis and this can reduce the risk of overuse injuries. Core strength exercises on a mat using a Swiss Ball and Resistance Bands are ideal. Once Core Strength and Hamstring strength are improved, then a return to functional activity is possible.










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