Gelenk-Klinik Dr. Baum - Arthrosebehandlung

Diffuse or localized pain in the area of the hip and groin is one of the most common symptoms of hip bursitis. An intensification of the pain typically occurs when walking, climbing stairs, and getting up from a chair after being seated for a while. If the trochanteric bursa is affected, then pain is also likely to be felt while lying on the affected hip.

Bursa Function Bursae are fluid-filled sacs located throughout the body, most importantly around the shoulder, elbow, hip, knee and heel. The bursae act as cushions between bones and the overlying soft tissues. They help to reduce friction between the gliding muscles and the bone. Of all the bursae in the area of the hip, the trochanteric bursa located between the bony point of the hip (the greater trochanter) and the iliotibial band is the most susceptible to becoming inflamed. Other bursae are located deeper at a deeper level in front of the hip joint capsule and between the powerful muscles that wrap around the hip joint.
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To diagnose hip bursitis, your doctor will perform a comprehensive physical examination, looking for tenderness near the point of the hip and elsewhere in the general area of the hip. In addition to this, your doctor may also carry out additional tests to rule out other possible injuries or disorders that might also cause the pain. Such tests include x-rays, bone scanning and magnetic resonance imaging (MRI).

Causes of Hip Bursitis

• 

  Mechanical irritation (repetitive motion stress)
• Hip injury
• Leg-length inequality
• Bacterial infection
• Rheumatoid arthritis
• Crystal arthropathy (gout, calcium deposits)

It will be necessary to arrive at an exact determination of the cause of the pain before beginning any form of treatment. The lumbar spine and the knee should be included in the physical examination, as well as a form of imaging if necessary to rule out a case of referred pain.

Treatment

Physical therapy with cold compresses and injections represents an effective way of treating hip bursitis. More intensive forms of physical therapy may be helpful depending on the cause and current condition. Shockwave therapy can be quite effective when it comes to soothing inflamed structures.

Summary

This article describes the causes of hip bursitis as well as a number of effective treatments. The hip joint is outfitted with a number of bursae. The function of bursae in the body and the development of bursitis are described. The subject of bursitis in other joints is not addressed. Damage to a bursa may be a cause of hip pain and pain in the groin. Hip bursitis may be misdiagnosed as osteoarthritis in the hip. Athletes and individuals suffering from other musculoskeletal disorders may face an increased risk of developing hip bursitis.