Bursitis of the hip which becomes inflamed and irritated.
Bursae are fluid-filled jelly-like sacs that act as cushions between bone and soft tissue for many joints throughout the body, most notably the shoulder, elbow, hip, knee, and heel. When this area is irritated, it can become inflamed causing localized pain, better known as bursitis. Typically, this is caused by repetitive stress or overuse, acute injury to the area, history of surgery to the joint, bone spurs, or calcium deposits in the tendons surrounding the bursa causing irritation. Symptoms present as pain worsened with continued repetitive motion, when resting on the affected side, and at night.
There are two major bursae in the hip that typically become irritated. The first one can be found over the greater trochanter, also known as trochanteric bursitis, where pain is usually felt at the outside of the thigh area. The second one is located inside of the hip joint close to the groin, commonly referred more generally as hip bursitis, and pain is often felt at the affected sided groin. A clinical exam in the office is often all that is needed for a diagnosis. Initial treatment for hip bursitis is often noninvasive and includes lifestyle modifications, NSAIDs, and physical therapy. Sometimes a simple cortisone injection to the bursa is used for immediate, and sometimes permanent, relief. Surgical intervention is rarely ever needed for hip bursitis. Prevention is key when hoping to avoid bursitis. Some modifications one can do to avoid this would be weight loss, avoiding repetitive activities that put stress on the hips, and maintaining strength and flexibility of the hip muscles.
The bursa that covers the greater trochanter of the femur is the most common are of bursitis in the hip, however the iliopsoas bursa can also become source of inflammation and pain.
Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.