Home Diseasesbursitis Hip bursitis: Symptoms

Hip bursitis: Symptoms

by Josephine Andrews
Published: Last Updated on 88 views

If a patient is diagnosed with bursitis – hip , a distinction is made as to which bursa is affected. The two most common bursitis of the hip joint are trochanteric bursitis on the outside of the hip and iliopectine bursitis in the groin. Patients suffer from pain that occurs after increased exertion and worsens with movement. Read more about bursitis – hip!

ICD codes for this disease:

ICD codes are internationally valid codes for medical diagnoses. They can be found, for example, in doctor’s letters or on certificates of incapacity for work.

M70 M71

What is hip bursitis?

When there is talk of bursitis in the hip, the bursa trochanterica on the right or left side of the hip is usually affected. The thigh bone ( femur ) has a bony prominence (large trochanter) on the outside, over which a strong stabilizing ligament (tractus iliotibialis) runs. In between lies the Bursa trochanterica and prevents friction between the ligament and the bony prominence when walking or running.

This bursitis in the hip (bursitis trochanterica) is one of the three most common bursitis in humans. Women are affected slightly more often than men. Obesity also plays a role in the development of trochanteric bursitis.

Another bursa in the hip is called the iliopectineal bursa. It is the largest bursa in the human body and lies deep in the hips, under the hip flexor muscle (iliopsoas). Bursitis in this region is less common.

What are the symptoms?

If the bursa trochanterica is inflamed and swollen, the stabilizing band rubs against it with every step. The patient feels the typical movement-dependent pain on the outside of the hip. They occur particularly when the leg is abducted to the side and when the hip is externally rotated.

Sometimes they also radiate into the buttocks and knees. Any prolonged pressure on the bursa (such as lying on the affected hip) is uncomfortable or painful for most sufferers. However, the swelling of the bursa is not necessarily visible from the outside, since the hip joint is covered by many large muscles.

In iliopectineal bursitis, the symptoms are less characteristic and are therefore sometimes misdiagnosed. Since the bursa is very deep, swelling is usually not visible. Deep-seated pain in the groin often occurs with this bursitis, which increases with pressure or severe hyperextension of the hip.

Which home remedies help?

Affected people often ask themselves “What can I do myself?” to alleviate the symptoms, especially at the beginning. As with all bursitis, cold therapy also helps with those in the hip area. This can be achieved with cold packs or ice cubes that are not placed directly on the affected area but wrapped in a cloth. Some people also swear by cooling quark wraps . The cold has a decongestant, pain-relieving effect and inhibits inflammatory processes.

Physical rest is also important as a first measure, especially if the cause of the symptoms has not yet been clarified.

It is currently being researched whether there are herbal alternatives to cortisone that also have an anti-inflammatory effect. Studies deal with curcumin, which is obtained from the turmeric plant and is responsible for the yellow color in curry powder. However, the research is still in the basic phase and does not yet allow any definitive conclusions.

Home remedies have their limits. If the symptoms persist over a longer period of time, do not get better or even get worse, you should always consult a doctor.

How is the treatment?

Regardless of whether bursitis affects the hip or other parts of the body, the treatment is generally very similar. In the case of acute symptoms, rest is the order of the day in order to avoid further irritation of the bursa as far as possible. Sometimes special compression bandages are used for the hips or the hip joint is stabilized with elastic taping.

Anti- inflammatory drugs (such as ibuprofen ) also have a soothing effect on the symptoms. Shock wave therapy is sometimes used to speed up recovery. However, a structural cause of the inflammation (such as a “snapping hip”) cannot be remedied in this way.

If the cause is a different leg length, this can be compensated for with orthopedic insoles in the shoes. Physical therapy (physiotherapy) or osteopathic treatment are sometimes used as supportive measures to treat a bad pelvic posture.

If the symptoms do not subside, the doctor injects cortisone into the bursa to remedy the situation. Surgery should be considered for recurring bursitis. In the case of chronic problems, surgery may be the most promising option in the long term.

In general, the following applies: With every bursitis (regardless of the joint), accompanying injuries and diseases, such as bacterial colonization of the bursa, must be ruled out before starting therapy. How long the disease lasts depends on the causes and whether treatment is given quickly. If a bursa treatment is delayed, there is a risk of chronicity – and the therapy will be lengthy.

If those affected are looking for a naturopathic approach at the beginning of the disease, homeopaths recommend homeopathic remedies such as Silicea, Sticta, Apis mellifica, Kali chloratum or Ruta graveolens for bursitis. These can be used individually or in combination – the treating homeopath will advise you on a case-by-case basis.

The concept of homeopathy and its specific effectiveness are controversial in science and not clearly proven by studies.

What investigations are carried out?

As with all bursitis, the doctor first takes the medical history ( anamnesis ) and physically examines the affected person to determine whether and where pain occurs when pressure is applied and how flexible the hip is.

If a bacterial infection is suspected as the cause of the bursitis, a blood sample is taken. The doctor has the inflammation values ​​in the blood , such as the number of white blood cells or C-reactive protein ( CRP ), determined in the laboratory.

In addition, imaging methods such as magnetic resonance imaging (MRI) are often used to more precisely assess the hip bursitis.

What are the causes?

Trochanteric bursitis is often caused by physical overload, especially with repeated, one-sided strain. This includes sports such as walking, running or cycling if they are done very intensely (an example is long-distance running). However, if the sport is practiced to a normal extent, bursitis usually does not occur.

Another, less common cause of trochanteric bursitis is, for example, underlying diseases such as rheumatism. Hip bursitis also occurs with different leg lengths, with bursitis developing in the longer leg.

Sometimes trochanteric bursitis develops in the context of the so-called coxa saltans (“snapping hip”). This means that the stabilizing ligament (iliotibial band) jumps back and forth over the greater trochanter (trochanter major). This jumping band is usually noticed by the patients themselves and sooner or later often leads to hip bursitis.

The “hip snap” can be felt and is sometimes even visible from the side when walking. Young, slim girls and women are particularly often affected.

Bursitis iliopectinea is usually the result of physical overload. Since the iliopectineal bursa is connected to the hip joint, the inflammation can sometimes spread to the joint. The reverse mechanism is also possible – the spread of inflammation of the hip joint to the bursa. For this reason, iliopectineal bursitis is a possible sign of a real joint disease and should therefore be further investigated.

You may also like

Leave a Comment