Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Dr. Lee was born in Shanghai, China, and received his college and medical training in the United States. He is fluent in English and three Chinese dialects. He graduated with chemistry departmental honors from Harvey Mudd College. He was appointed president of AOA society at UCLA School of Medicine. He underwent internal medicine residency and gastroenterology fellowship training at Cedars Sinai Medical Center.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Featured patient discussions on coping with hip bursitis
"I am 89 years old, and for the past three weeks, I have been hardly able to function. I have severe pain in my right hip. I went to my primary doctor who just gave me pain medication and sent me to physical therapy. Then I went to a chiropractor, who after two visits, wasn't sure what the problem was. He also took X-rays. Finally, my son made an appointment with a specialist. I went on Thursday. He had me do all kinds of walking and bending and diagnosed me with bursitis in my right hip. He gave me a cortisone shot, which really relieved the pain there, but Friday I started having severe pain in my groin area. I called, but the doctor didn't want to give me anything until he could see me again. He said, if the pain got severe over the weekend, to go to the emergency room. All I can do is sit or lay without pain, when I try to walk, it is excruciating. I am using a four-footed cane."
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Hip bursitis facts
A bursa is a fluid-filled sac that functions as a gliding
surface to
reduce friction between moving tissues of the body.
There are two major bursae of the hip.
Bursitis is usually not infectious, but the bursa can become
infected.
Treatment of noninfectious bursitis includes rest, ice,
and medications for inflammation and pain. Infectious bursitis (uncommon) is
treated with antibiotics, aspiration, and surgery.
Bursitis of the hip is the most common cause of hip pain.
What is bursitis?
A bursa is a closed fluid-filled sac
that functions as a gliding surface to reduce friction between tissues of the
body. "Bursae" is the plural form of "bursa." The major bursae are located adjacent to
the tendons near the large joints, such as the shoulders, elbows, hips, and
knees. When the bursa becomes inflamed, the condition is known as
"bursitis."
What is hip bursitis?
There are two major bursae of the hip, the trochanteric bursa and the ischial bursa. Inflammation of either can be associated with stiffness and pain around the hip joint. The trochanteric bursa is located on the side of the hip. It is separated significantly from the actual hip joint by tissue and bone.
What causes hip bursitis?
Most
commonly, bursitis is a noninfectious condition (aseptic bursitis) caused by
inflammation resulting from local soft tissue trauma or strain injury. On rare occasions,
the hip bursa can become infected with bacteria. This
condition is called septic bursitis.
Although uncommon, the hip bursa can become inflamed by crystals that deposit there from gout or pseudogout.
Gout is a condition that results from crystals of uric acid depositing in tissues of the body. Gout is a condition that can lead to abnormally elevated levels of uric acid in the
blood, recurring attacks of joint inflammation (arthritis), deposits of
hard lumps of uric acid in and around the joints, and decreased kidney
function and kidney stones.
Bursitis is inflammation of a bursa. A bursa is a tiny fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. There are 160 bursae in the body. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.
A number of vital tasks carried out during sleep help maintain good health and enable people to function at their best. Sleep needs vary from individual to individual and change throughout your life. Not getting enough sleep can hurt memory performance, health, and your mood.
Chronic pain is pain (an unpleasant sense of discomfort) that persists or progresses over a long period of time. In contrast to acute pain that arises suddenly in response to a specific injury and is usually treatable, chronic pain persists over time and is often resistant to medical treatments.
Pseudogout, a form of arthritis, results when deposits of crystals collect in and around the joints. Symptoms of pseudogout include pain, stiffness, warmth, and joint swelling of the knees, ankles, hips, shoulders, and/or wrists. Treatment for pseudogout aims to decrease inflammation through the use of nonsteroidal antiinflammatory drugs, ice, and rest.
Regular physical activity can reduce the risk of disease. Regular exercise can also reduce the symptoms of stress and anxiety. There are fitness programs that fit any age or lifestyle.
Nonsteroidal antiinflammatory drugs (NSAIDs) are prescribed medications for the treatment of inflammatory conditions. Examples of NSAIDs include aspirin, ibuprofen, naproxen, and more. One common side effect of NSAIDs is peptic ulcer (ulcers of the esophagus, stomach, or duodenum). Side effects, drug interactions, warnings and precautions, and patient safety information should be reviewed prior to taking NSAIDs.
Calcific bursitis is the calcification of the bursa caused by chronic inflammation of the bursa. Calcific bursitis most commonly occurs in the shoulder. Calcific bursitis treatment includes medication for inflammation, ice, immobilization, cortisone injections, and occasionally surgical removal of the inflamed bursa.
There are over 20 definitions of "sleep" in several dictionaries. The first,
a verb, seems most appropriate:
to take the rest afforded by a suspension of
voluntary bodily functions and the natural suspension, complete or partial, of
consciousness; cease being awake.
Physiologically, sleep is a complex process of
restoration and renewal for the body. Scientists still do not have a definitive
explanation for why humans have a need for sleep. We do know that sleep is not a
passive process or "switching off" of body functions; sleep is believed to be
important in many physiologic processes including the processing of experiences
and the consolidation of memories. It is also clear that sleep is essential, not
only for humans but for almost all animals.
The importance of sleep is
underscored by the symptoms experienced by those suffering from sleep problems.
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