Hip Bursitis

Hip Bursitis Treatment in Coachella Valley

Understanding Hip Bursitis

Hip bursitis is a common cause of hip pain that occurs when one of the fluid-filled sacs, known as bursae, becomes irritated or inflamed. These small sacs help reduce friction between bones, muscles, tendons, and other soft tissues surrounding the hip joint.

When a bursa becomes inflamed, even simple activities such as walking, climbing stairs, standing for long periods, or sleeping on the affected side can become painful.

At Spencer Orthopedics, we provide comprehensive evaluation and treatment for hip bursitis, helping patients reduce pain, improve mobility, and return to their normal activities.

What Is Hip Bursitis?

A bursa is a thin, fluid-filled sac that acts as a cushion between moving tissues.

Several bursae are located around the hip, but the two most commonly affected are:

Trochanteric Bursa

The trochanteric bursa is located on the outside of the hip near the greater trochanter, a bony prominence on the upper femur.

Inflammation of this bursa is known as trochanteric bursitis and is the most common form of hip bursitis.

Iliopsoas Bursa

The iliopsoas bursa is located near the front of the hip joint and may become inflamed due to repetitive hip flexion or overuse.

Common Causes of Hip Bursitis

Hip bursitis often develops gradually as a result of repetitive stress or irritation.

Common causes include:

Repetitive Motion

Activities that involve repetitive hip movement may increase friction and irritation.

Examples include:

• Walking long distances
• Running
• Cycling
• Climbing stairs

Direct Pressure on the Hip

Lying on one side for extended periods may place pressure on the bursa and contribute to inflammation.

Muscle Imbalances

Tight or weak muscles around the hip can alter movement patterns and increase stress on surrounding structures.

Hip Injuries

Falls or direct impacts to the side of the hip may trigger bursitis.

Underlying Conditions

Certain medical conditions may increase the risk of developing hip bursitis, including:

• Arthritis
• Scoliosis
• Leg-length differences
• Tendon disorders

Symptoms of Hip Bursitis

Symptoms may develop gradually or appear after a specific injury.

Common symptoms include:

• Pain on the outside of the hip
• Tenderness over the hip
• Pain when lying on the affected side
• Discomfort during walking or climbing stairs
• Pain after prolonged standing
• Stiffness
• Increased pain with activity

In some cases, symptoms may radiate down the outer thigh.

Diagnosing Hip Bursitis

A thorough evaluation helps determine whether bursitis is the source of hip pain and rule out other conditions.

Physical Examination

Your orthopedic specialist may evaluate:

• Hip motion
• Areas of tenderness
• Muscle strength
• Walking mechanics
• Functional limitations

Imaging Studies

X-Rays

X-rays help rule out arthritis, fractures, and other structural conditions.

MRI

MRI may be used to evaluate soft tissue inflammation and identify associated injuries.

Ultrasound

Ultrasound can help visualize inflamed bursae and guide certain treatment procedures when necessary.

Non-Surgical Treatment Options

Most patients experience significant improvement without surgery.

Activity Modification

Reducing activities that aggravate symptoms allows inflammation to decrease and healing to occur.

Physical Therapy

Physical therapy may focus on:

• Improving flexibility
• Correcting muscle imbalances
• Strengthening the hip muscles
• Improving movement patterns
• Reducing stress on the bursa

Anti-Inflammatory Medications

Medication may help reduce pain and inflammation.

Ice Therapy

Applying ice to the affected area can help decrease swelling and discomfort.

Corticosteroid Injections

In some cases, injections may provide significant relief by reducing inflammation within the bursa.

Lifestyle Adjustments

Modifying daily activities and avoiding prolonged pressure on the affected hip may help prevent recurring symptoms.

Surgical Treatment for Hip Bursitis

Surgery is rarely necessary for hip bursitis.

However, surgical intervention may be considered when:

• Symptoms persist despite extensive conservative treatment
• Chronic inflammation continues to interfere with daily activities
• Other structural problems contribute to the condition

Bursa Removal (Bursectomy)

In rare cases, the inflamed bursa may be removed through minimally invasive surgical techniques.

Most patients do not require surgery and improve with non-surgical management.

Recovery and Rehabilitation

Recovery varies depending on symptom severity and treatment approach.

Most patients can expect:

• Gradual reduction in pain
• Improved mobility
• Increased strength
• Return to normal activities over time

Patients who participate in physical therapy often experience improved long-term outcomes and a lower risk of recurrence.

Potential Complications of Untreated Hip Bursitis

Without appropriate treatment, hip bursitis may lead to:

• Chronic pain
• Reduced activity levels
• Altered walking patterns
• Muscle weakness
• Difficulty sleeping
• Decreased quality of life

Early intervention can help prevent ongoing discomfort and functional limitations.

When Should You See an Orthopedic Specialist?

You should seek evaluation if you experience:

• Persistent hip pain
• Pain when lying on one side
• Difficulty walking
• Hip tenderness that does not improve
• Symptoms interfering with daily activities
• Recurrent episodes of hip pain

Prompt diagnosis can help identify the source of pain and guide effective treatment.

Schedule an Appointment

If you are experiencing hip pain, tenderness, or difficulty with daily activities, contact Spencer Orthopedics today to schedule an evaluation and learn more about your treatment options for hip bursitis.