Hip bursitis is a painful condition that affects 15% of women and 8.5% of men of all ages in the United States and tends to affect more patients in middle-aged and elderly age range.
Hip bursitis can have many causes, but the most common is a repetitive activity, such as walking or running on an uneven surface, which creates friction in the hip area. Athletes often develop hip bursitis after running up and down hills repetitively.
It can also be caused by abnormal walking, such as limping, due to an uneven leg length, or arthritis in the back, hip, knee, or other joints in the leg...or even without any specific cause.
Hip pain physical therapy can be an effective treatment for hip bursitis to
Hip bursitis (also called trochanteric bursitis) occurs when one or both of the 2 hip bursae (fluid-filled sacs on the side of the hip) become
Bursitis (“-itis” means “inflammation of”) means the bursa has become irritated and inflamed, usually causing pain. Normally, the bursa acts as a shock-absorbing cushion for muscles and tendons that are close to it.
Hip bursitis can be caused by:
With hip bursitis, you may experience:
If you see our senior physiotherapist first, we will conduct a thorough evaluation that includes taking your health history. We also will ask you detailed questions about your condition, such as:
We will perform special tests to help determine the likelihood that you have hip bursitis. We will gently press on the outer side of the hip to see if it is painful to the touch, and may use additional tests to determine if other parts of your hip are injured. We also will observe how you are walking.
We will test and screen for other, more serious conditions that could cause lateral hip pain.
To provide a definitive diagnosis, we may collaborate with an orthopedic physician or other health care provider, who may order further tests (eg, an x-ray) to confirm the diagnosis and rule out other damage to the hip, such as a hip fracture.
We will work with you to design a specific treatment program that will speed your recovery, including exercises and treatments that you can do at home. Our goals for physiotherapy will help you return to your normal lifestyle and activities as soon as you can.
The time it takes to heal the condition varies, but results can be achieved in 4 to 8 weeks or less, when a proper stretching and strengthening program is implemented.
During the first 24 to 48 hours following your diagnosis, we may advise you to:
We will work with you to:
Reduce Pain and Swelling
If repetitive activities have caused the hip bursitis, we will help you understand how to avoid or modify your activities to allow healing to begin. We may use different types of treatments and technologies to control and reduce your pain and swelling, including
We will choose specific activities and treatments to help restore normal movement in the hip and leg. These might begin with "passive" motions that the we do for you to gently move your hip joint, and progress to active exercises and stretches that you do yourself.
We will determine if any leg or spinal muscles are tight, help you to stretch them, and teach you how to stretch them.
Hip bursitis is often related to weak or injured hip muscles. Certain exercises will aid healing at each stage of recovery; we will choose and teach you the correct exercises and equipment to steadily restore your strength and agility.
These may include using
Regaining your sense of balance is important after an injury. We will teach you exercises to improve your balance skills.
Return to Activities
We will discuss your activity goals with you and use them to set your work, sport, and home-life recovery goals. Your treatment program will help you reach your goals in the safest, fastest, and most effective way possible.We will teach you
Accelerate Recovery Time
We are trained and experienced in choosing the best treatments and exercises to help you safely heal, return to your normal lifestyle, and reach your goals faster than you are likely to do on your own.
If Surgery Is Necessary
Surgery is not commonly required for hip bursitis. However, if corrective surgery is needed, you will follow a recovery program over several weeks guided by our senior physiotherapist. We will help you minimize pain, regain motion and strength, and return to normal activities in the safest and speediest manner possible.