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12/09/2011 11:26 PM

Bursitis of the Hip

Bettyg
 
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Bursitis of the Hip

Overview

What is bursitis?

Bursitis (say: “burse-eye-tiss”) is the painful swelling of bursae.

Bursae are fluid-filled sacs that cushion your tendons, ligaments and muscles. When they work normally, bursae help the tendons, ligaments and muscles glide smoothly over bone.

But when the bursae are swollen, the area around them becomes very tender and painful. Trochanteric (say: “tro-can-tair-ick”) bursitis is swelling affecting the bursae of the hip.

Bursitis does not only happen in the hip. It can also occur in the shoulder, knee and elbow joints.

Bursitis may be acute (short-lived) or chronic (long-lasting).

Symptoms

What are the symptoms of hip bursitis?

Symptoms include joint pain and tenderness, swelling and warmth around the affected area. The pain is often sharp in the first few days, and dull and achy later.

You may notice it more when getting out of a chair or bed, when sitting for a long time, and when sleeping on the affected side.

Acute bursitis usually flares over hours or days.

Chronic bursitis can last from a few days to several weeks, and it can go away and come back again. Acute bursitis can become chronic if it come backs or if a hip injury occurs.

Over time, the bursa may become thick, which can make swelling worse. This can lead to limited movement and weakened muscles (called atrophy) in the area.

Causes & Risk Factors

What causes bursitis?

Several things can lead to hip bursitis, including the following:

Repeated overuse or stress of the hip

Rheumatoid arthritis

Gout

Pseudogout

Injury of the hip

Infection with bacteria, such as Staphylococcus aureus (or a staph infection)

Diabetes

Spine problems, such as scoliosis

Uneven leg lengths

Bone spurs (bony growths on top of normal bone) on the hip

Diagnosis & Tests

How is hip bursitis diagnosed?

Your doctor will examine you and ask you about your symptoms. Sometimes certain tests may be needed to rule out other conditions that can cause similar symptoms. These tests may include X-rays and magnetic resonance imaging (MRI).

Treatment

How is hip bursitis treated?

Treatment for bursitis usually involves resting the joint as much as possible.

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (brand names:

[b]Advil, Motrin) or naproxen (brand name: Aleve) can be used to relieve pain and swelling.

You also may want to use an ice pack on the area to reduce swelling. During this time, be sure to avoid activities that make symptoms worse.

Your doctor may recommend exercising the area once your pain decreases. [/b]This helps prevent muscle atrophy. Ask your doctor about exercises to help build strength in the area.

If your bursitis is affecting your ability to function normally, you may need physical therapy to help you move again. This is especially true for people who have chronic bursitis.

If these treatments don't help, you may need to have fluid taken out of the bursa or receive steroid shots to reduce pain and swelling.

Steroid shots are usually very effective in treating bursitis. You may need another shot after a few months.

bettyg note: NO STEROIDS FOR LYME/CO-INFECTION PATIENTS; IT SUPPRESSES OUR IMMUNE SYSTEM MAKING US WORSE; NOT BETTER!!

Surgery is rarely needed to treat bursitis. It is only used when all other treatments fail.

For people who do need surgery, it is a simple procedure. The doctor removes the bursa from the hip. The hip can function normally without the bursa. Usually, the surgery doesn't require a long hospital stay and the recovery period is short.

Prevention

How can I prevent hip bursitis?

You can avoid getting bursitis by not putting too much strain on your hips. Avoid activities that are especially difficult or painful, and take breaks to rest your hips.

When you exercise, remember to warm up your muscles and then stretch to prevent injury.

If you are overweight, losing weight can help reduce pressure on your joints, including the hips.

Building strength in your hips with an approved workout routine can greatly reduce your chances of getting bursitis.

Ask your doctor what types of exercise are best for you.

Questions to Ask Your Doctor

What could have caused my symptoms?

What is the best treatment option for me?

How long before I can expect relief from my symptoms?

Is it possible that my symptoms could return?

Is it safe for me to exercise? What kind of exercise should I do?

Written by familydoctor.org editorial staff

Reviewed/Updated: 02/11

Created: 11/09

http://familydoctor.org/familydoctor/en/diseases-conditions/ bursitis-of-the-hip.printerview.all.html

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12/09/2011 11:31 PM
Bettyg
 
Posts: 32201
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I'm an Advocate

Bursitis

Treatment options

The basic treatment for bursitis is common to all types:

Rest: Stop performing activities that irritate the affected area.

•Cold: Apply cold compresses or ice packs.

•Medication:

◦

Nonsteroidal anti-inflammatory drugs (NSAIDs) usually will relieve pain and inflammation.

◦

Steroid injections directly into the affected bursa may be done and will usually quickly relieve pain and inflammation.

If your bursitis is caused by an infection, your doctor will prescribe antibiotics.

If your bursitis is caused by an underlying joint disease, your doctor will treat the arthritis and may refer you to a rheumatologist.

Rarely, if all other treatments fail to relieve the pain, the bursal sac can be surgically removed. Most forms of bursitis resolve, but some can be chronic or recur.

http://www.arthritis.org/disease-center.php?disease_id=6& df=treatments

Copyright © 2011 Arthritis Foundation. All Rights Reserved.


02/20/2012 10:42 PM
Bettyg
 
Posts: 32201
VIP Member
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Are You at Risk for Hip Bursitis?

Here are common factors

By Diana Kohnle

Friday, February 10, 2012

(HealthDay News) --

Hip bursitis occurs when the bursa, a small sac of fluid that cushions the hip joint, becomes inflamed.

The American Academy of Orthopaedic Surgeons mentions these risk factors for hip bursitis:

•Having a repetitive stress injury from overuse, which may be caused by factors such as biking, running or long periods of standing.

•Having an injury to the hip from falling, bumping the hip or resting on the hip for a long period.

•Having a spinal condition such as scoliosis or arthritis.

•Having one leg that is shorter than the other.

•Having had rheumatoid arthritis or a previous surgery on or near the hip.

•Having calcium deposits or bone spurs affecting the hip.

HealthDay

Copyright (c) 2012 HealthDay. All rights reserved.

http://www.nlm.nih.gov/medlineplus/news/ fullstory_121803.html


04/27/2012 11:13 PM
Bettyg
 
Posts: 32201
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Bursitis--What are the effects?

Whether your irritated and swollen bursa is in your shoulder, elbow, hip or knee, the symptoms generally are similar. You'll experience pain, tenderness, sometimes swelling and, occasionally some limitation of ability to move the affected joint.

It is not always easy to tell the difference between bursitis and tendonitis, which is inflammation of the structures which attach muscle to bones.

Bursitis is named according to the bursa that is affected or the occupation that may have caused it.

Most forms of bursitis are mild, and can be chronic, but some can be quite severe and painful.

If you experience acute bursitis with swelling and redness or have a fever with it, you should see a doctor right away, since the cause could be infectious.

•Shoulder bursitis (subacromial-subdeltoid bursitis):

Bursitis in the shoulder is difficult to distinguish from tendonitis in the shoulder, and both problems usually occur together. You will feel pain and tenderness at the outer side of the shoulder and you will have difficulty raising your arm overhead due to pain. This type of bursitis is often seen in people who do a lot of overhead work or who use a throwing motion (like baseball players).

•Olecranon bursitis: This bursa is located at the tip of the elbow. Bursitis here will result in a swollen, tender knob (sometimes with pain, heat and redness) on the end of the elbow. It can be caused by repetitive low-grade trauma (leaning on the elbows), inflammatory conditions (such as rheumatoid arthritis, gout or CPPD crystal deposition) or infection.

•Trochanteric bursitis:

This bursa is located over the prominent bone on the side of your hip and when irritated causes pain and aching in the hip and on the outside of the thigh. The pain will be worse while walking and while lying on the affected side. It occurs mainly in middle-aged to elderly people, and somewhat more often in women than in men. It often occurs in people who have one leg somewhat shorter or stiffer than the other, or osteoarthritis of the hip, lower spine or knee.

•Iliopsoas bursitis: This is a deep bursa thatis located at the front of the hip. When irritated, it causes pain in the groin and front of the thigh. If the bursa becomes quite swollen, pressure on structures near the bursa can result in leg swelling, thigh muscle weakness and restricted blood flow to the leg. Iliopsoas bursitis can be due to repetitive trauma and overuse or can be due to rheumatoid arthritis or osteoarthritis of the hip.

•Ischial bursitis (weaver's bottom, tailor's seat): This bursa is located below the “sitting” bone in your buttock called the ischium. Pain in the buttock can be exquisite when sitting or lying down and can radiate down the back of the thigh. It is caused by an injury or by prolonged sitting on hard surfaces.

•Anserine bursitis: This bursa is located just below the knee on the inner part of the leg. Bursitis here produces pain and tenderness on the inside portion of the knee that is usually at its worst when climbing stairs. It is most common in overweight, older women with osteoarthritis of the knees or in people with knock-knees. Runners may also develop anserine bursitis from overuse or poor training techniques.

•Prepatellar bursitis (housemaid's knee): This bursa is located beneath the skin in front of the kneecap. Swelling over the kneecap is the main symptom. Pain usually is mild unless you press directly on the swollen part. It usually is caused by an injury or repetitive low-grade trauma, such as kneeling. If there is redness, heat and increased pain, the bursitis may be caused by a bacterial infection or gout.

•Infrapatellar bursitis (clergyman's knee): This condition is similar to prepatellar bursitis, except that the bursa is located just below the kneecap.

•Retrocalcaneal bursitis: This bursa is located between the heel bone and the Achilles tendon. Irritation and inflammation of this bursa result in pain, tenderness and swelling at the back of the heel. It may result from poorly fitting shoes, overuse (as in runners), or from various forms of arthritis (such as rheumatoid arthritis, ankylosing spondylitis or gout).

•Retroachilles bursitis (pump bump bursitis): This bursa is located between the skin and the Achilles tendon. Irritation of this bursa results in pain, tenderness and swelling at the back of the heel. It usually is caused by shoes that rub against the bursa.

http://www.arthritis.org/disease-center.php?disease_id=6& df=effects

Copyright © 2012 Arthritis Foundation. All Rights Reserved.

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