Hip Bursitis

Hip Bursitis Overview

Bursae are fluid-filled sacs that lie between joint bones and soft tissues. The two hip bursae are located on the hip bone point (the greater trochanter) and the inside of the hip near the groin. Hip bursitis is inflammation of the hip bursae. An appointment with a Carolina Orthopaedic and Neurosurgical Associates (CONA) hip specialist should be made when hip bursitis symptoms are experienced.

Symptoms & Causes:

Hip bursitis symptoms include:

  • A sharp and intense pain near the inflamed bursa
  • Difficulty getting up from a seated position
  • Pain when lying on the affected hip
  • Pain after prolonged physical activity

Hip bursitis causes include:

  • Arthritis
  • Bone spur
  • Injury (a fall or blow to the hip)
  • Overuse

Athletes and active individuals, most commonly runners and cyclists, who do not take breaks from training and competition are at risk.

Common Treatments:

Nonsurgical treatment options treat almost all hip bursitis cases. After a thorough evaluation, a CONA hip specialist may recommend:

  • Activity modification
  • Anti-inflammatory medications
  • Assistive devices (crutches, walker, cane)
  • Corticosteroid injection
  • Physical therapy

A treatment plan usually consists of multiple treatment options that quickly relieve symptoms. Surgical removal of the inflamed bursa is rarely recommended.

Diagnosis:

A CONA uses a step-by-step hip bursitis diagnostic approach:

A medical history is obtained

  • Symptoms are analyzed
  • The area around the bursae is palpated to check for tenderness and pain
  • A complete hip physical examination is performed

Medical imaging studies are not needed to diagnose hip bursitis.

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