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Hip Bursitis

Hip bursitis (trochanteric bursitis) is inflammation of the bursa - a fluid-filled sac that cushions the bony point of the hip (greater trochanter). It causes pain on the outside of the hip that can radiate down the thigh. It is one of the most common causes of hip pain, affecting approximately 15% of women and 8% of men.

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Symptoms

  • Pain on the outside of the hip
  • Pain that worsens with lying on the affected side
  • Tenderness when pressing on the outer hip
  • Pain that increases with climbing stairs or getting up from a chair
  • Pain that radiates down the outer thigh
  • Stiffness in the hip joint

When to See a Doctor

See an orthopaedic specialist if hip pain persists for more than 2 weeks, if you cannot sleep on the affected side, or if the pain is limiting your ability to walk or climb stairs.

Treatment Options

Rest, ice, and anti-inflammatory medication

NSAIDs (ibuprofen, naproxen) reduce inflammation. Ice applied for 15-20 minutes several times daily.

Physical therapy

Stretching and strengthening exercises for the hip, IT band, and gluteal muscles. Addresses the underlying muscular imbalance.

Cortisone injection

Injection of corticosteroid into the bursa provides significant relief in most patients. May last weeks to months.

Shock wave therapy

Extracorporeal shock wave therapy (ESWT) can help chronic cases that do not respond to injections.

Recovery Timeline

Most patients improve within 6-8 weeks with conservative treatment. Cortisone injection provides relief within days. Chronic cases may recur and require ongoing management with exercises and occasional injections.

Frequently Asked Questions

Is hip bursitis serious?

Hip bursitis is not a serious medical condition, but it can significantly affect quality of life due to pain and sleep disruption. It is treatable and rarely requires surgery. However, persistent hip pain should be evaluated to rule out other conditions.

What is the best treatment for hip bursitis?

The most effective treatment combines rest, anti-inflammatory medication, physical therapy (hip and IT band stretching), and cortisone injection for significant pain. About 90% of patients improve with these conservative measures.

What type of doctor treats hip bursitis?

Orthopaedic surgeons specializing in hip conditions, sports medicine physicians, and physical medicine and rehabilitation (PM&R) doctors all treat hip bursitis.

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This information is for educational purposes only and is not a substitute for professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.