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Hip Bursitis - Treatment

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What is the treatment 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 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. This is sometimes done at the same time as the aspiration procedure.

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. Affected people should also avoid exercising on inclined surfaces and stairs, especially running hills, until symptoms have resolved.

Septic bursitis (rare in the hip) requires even further evaluation by a doctor. This is unusual in the hip bursa but does occur. The bursal 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.

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See what others are saying

Comment from: Snowy1945, 65-74 Female (Patient) Published: May 29

Both hips bother me. The left side is worse than the right. Have been to pain management ortho and another ortho. Today once again diagnosed as hip bursitis. This doctor ordered pill prednisone. It has helped before and since I am going on a road trip. He felt the pills would cover me thru the trip. I asked about surgery. I have spoken to some people that have had it and said it was the best thing to ever happen. Oh well. It's a wait and see. I have also had it in my shoulder. Repetitive stress from hairdressing. Froze my shoulder surgery fixed that. Bursitis is gone so like everyone else wait and see. I am so sorry this is happening to all of us. I know the pain of it so I can sympathize with you.

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Comment from: karen, 55-64 Female (Patient) Published: March 05

I have had hip bursitis for many years which left me unable to lay in one spot for more than 10 minutes without being in severe pain. I couldn't get up or down to floor. Couldn't bend legs to put shoes on etc. I have tried Myotherapy, massage, cortisone injections, all with no relief. Six months ago my GP put me on deep sea krill oil for arthritis. After about 2 months I realized my pain was not as bad, and the more I took the Krill oil the better it got. I now have no pain, can easily do all the things I did before, I can't believe it was so easy. Well worth giving it a try, but it may take a couple of months.

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