Inflammation of the bursae that cushion the bones and tendons of the hip.
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Hip Bursitis
Hip bursitis is a painful condition caused by inflammation of the synovial bursae, which act as shock absorbers in the joints. Symptoms include pain, stiffness and swelling in the hip. Treatment may include rest, anti-inflammatory medications, and in some cases, surgery.
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Introduction to Hip Bursitis
Hip bursitis is a painful condition caused by inflammation of a bursa in the hip. Synovial bursae are fluid-filled sacs that reduce friction and provide cushioning in the joints. The trochanteric bursa is located on the outer side of the upper thigh bone (femur), while the iliopsoas bursa is found in the groin region. Trochanteric bursitis is more common and often affects people who participate in sports with extensive running.
Causes and Symptoms
Bursitis can be caused by overuse, an injury, a fall on the hip, or after hip surgery. Conditions such as spinal disease, rheumatoid arthritis, and leg length inequality can also increase the risk.
- Trochanteric bursitis: causes pain on the outer side of the hip, which increases with prolonged walking, climbing stairs, or lying on the affected side.
- Iliopsoas bursitis: causes pain in the groin region.
- Tenderness and swelling are also common symptoms.
Diagnosis and Treatment
Diagnosis is typically confirmed with a physical examination. Your doctor may order an X-ray to look for bone spurs or an MRI for a clearer view of soft tissues.
Non-surgical treatments:
- Rest and avoiding aggravating activities.
- Anti-inflammatory medications.
- Physical therapy with heat, ice, and ultrasound.
- Corticosteroid injections to reduce inflammation.
Surgical treatment: If non-surgical methods fail, a doctor may recommend a hip bursectomy, which is the surgical removal of the bursa. This can be done through a traditional open incision or a minimally invasive arthroscopic procedure.