Table of Contents
- Hip bursitis facts
- What is bursitis?
- What is hip bursitis?
- What causes hip bursitis?
- What are risk factors for hip bursitis?
- What are hip bursitis symptoms and signs?
- How do health-care professionals diagnose hip bursitis?
- What types of doctors treat hip bursitis?
- What are the treatments and home remedies for hip bursitis?
- What is the prognosis for hip bursitis? Is it possible to prevent hip bursitis?
What are the treatments and home remedies for hip bursitis?
The treatment of any bursitis depends on whether or not it involves infection. Noninfectious or aseptic hip bursitis can be treated with home remedies that include ice compresses, rest, and anti-inflammatory and pain medications. Occasionally, it requires aspiration of the bursa fluid. This procedure involves removal of the fluid with a needle and syringe under sterile conditions. It can be performed in the doctor's office. Sometimes the fluid is sent to the laboratory for further analysis. Frequently, there is inadequate fluid accumulation for aspiration. Noninfectious hip bursitis can be treated with an injection of cortisone medication, often with an anesthetic, into the swollen bursa. Cortisone injection is typically rapidly effective. Recovery time is usually within days. This is sometimes performed at the same time as the aspiration procedure. Home remedies include over-the-counter medications like naproxen (Aleve), ibuprofen (Advil, Motrin), and acetaminophen (Tylenol).
Patients with hip bursitis can often benefit by weight reduction, stretching exercises, and wearing proper footwear for exercise activities. Sometimes physical-therapy programs can be helpful. Generally, patients should avoid hills and stairs and direct pressure on the affected hip (sleep on the other side), when possible, while symptoms are present. People with hip bursitis should also avoid exercising on inclined surfaces and stairs, especially running hills, until symptoms have resolved. Other exercises to avoid until the hip inflammation has subsided include Stairmaster and similar exercises.
Infectious (septic) bursitis (rare in the hip) requires even further evaluation and treatment by a doctor. This is unusual in the hip bursa but does occur. The bursa fluid can be examined in the laboratory to identify the precise bacteria causing the infection. Septic bursitis requires antibiotic therapy, often intravenously. Repeated aspiration of the infected fluid may be required. Surgical drainage and removal of the infected bursa sac (bursectomy) may also be necessary. Continue Reading
Firestein, G.S., et al. Kelley's Textbook of Rheumatology, 9th ed. Philadelphia, Pa: Saunders Elsevier, 2012.
Klippel, John H., et al., eds. Primer on the Rheumatic Diseases. New York: Springer and Arthritis Foundation, 2008.
Ruddy, Shaun, et al., eds. Kelley's Textbook of Rheumatology, 6th ed. Philadelphia: Saunders, 2001.
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