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Hip Bursitis
Dr. Ambrose Yung
What is Hip Bursitis?
Hip bursitis is a condition where the bursae (small fluid-filled sacs that cushion the bones), tendons, and muscles around the hip joint become inflamed. These sacs help reduce friction during movement, but when irritated, they swell and cause pain.
Hip bursitis typically affects the outer part of the hip, making activities like walking, climbing stairs, or lying on the affected side uncomfortable. It is common among older adults, athletes, and those whose activities put repetitive stress on their hips.
Symptoms of Hip Bursitis
Symptoms of hip bursitis can range from mild discomfort to severe pain, depending on the level of inflammation. Common symptoms include:
- Outer Hip Pain
Pain is usually felt on the outside of the hip and can worsen with movement or prolonged pressure, such as when lying on the affected side. - Swelling and Tenderness
The hip area may become swollen and tender to the touch. - Stiffness
Stiffness in the hip can make movement difficult, especially after periods of rest. - Nighttime Pain
Pain may worsen at night, making it more challenging to move or find a comfortable position.
Causes and Risk Factors
Hip bursitis is often caused by repetitive movements or trauma, but several other factors contribute to its development. These include:
- Overuse or Repetitive Motion: Activities like running, cycling, or prolonged standing can irritate the bursae, causing inflammation.
- Direct Trauma: A fall or direct impact on the hip can inflame the bursae, causing pain and swelling.
- Age: The risk of developing hip bursitis increases with age, as wear and tear of the hip joint and surrounding structures make the bursae less resilient and more prone to irritation.
- Hip Surgery or Joint Issues: Previous hip surgery or conditions such as arthritis increase the risk by altering joint function.
- Poor Posture or Gait Issues: Poor posture or an uneven walking pattern can increase stress on the hip, leading to bursitis over time.
Treatment Options for Hip Bursitis
The following are some common treatments:
Medication
Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, are commonly used to relieve pain and reduce inflammation. In more severe cases, stronger prescription anti-inflammatories may be prescribed.
Rest and Activity Modification
Avoiding activities that aggravate the hip, such as prolonged standing or repetitive motion, allows the bursae to heal. Resting the hip and reducing pressure on the affected area can help alleviate discomfort.
Physical Therapy
A physical therapist can guide you through specific exercises to strengthen the muscles around the hip and improve flexibility. Strengthening the muscles relieves pressure on the bursae and prevents future flare-ups.
Corticosteroid Injections
Corticosteroid injections reduce swelling and pain by targeting the inflamed bursa. Relief can be immediate or take a few days, lasting from weeks to months, depending on the severity of the inflammation. They are typically used when other treatments fail.
Surgical Options
Surgery is rarely needed for hip bursitis. However, in severe or chronic cases that do not respond to non-surgical treatments, a surgeon may remove the inflamed bursa.
Reducing the Risk of Hip Bursitis
To lower the risk of developing hip bursitis, focus on minimising stress on your hip joints.
- Maintain Good Posture: Proper posture when standing, sitting, or walking helps distribute weight evenly across the hips and reduces pressure on the bursae.
- Strengthen Hip Muscles: Regularly strengthening the muscles around the hip with simple exercises like leg lifts and stretches helps stabilise the joint and protect against inflammation.
- Wear Supportive Footwear: Supportive shoes can reduce strain on the hips, especially during activities like walking or exercising.
- Avoid Prolonged Pressure: Minimise extended periods of lying on or standing on the affected hip, which can irritate the bursae.
- Stretch and Warm Up: Stretching and warming up before physical activity helps prevent muscle strain and reduces the risk of hip bursitis.
Our Clinic Locations
Spire Hip & Knee Centre
6 Napier Road #08-04
Singapore 258499
Monday – Friday: 9.00am – 6.00 pm
Saturday: 9.00am – 1.00pm
Sunday & PH: CLOSED
Spire Orthopaedic Physiotherapy & Rehab Centre
101 Irrawaddy Road, #18-03
Singapore 329565
Monday – Friday: 9.00am – 6.00 pm
Saturday: 9.00am – 1.00pm
Sunday & PH: CLOSED
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Frequently Asked Questions (FAQ)
Is hip bursitis a long-term condition?
While hip bursitis can occasionally flare up, especially with repetitive activities, proper care can help manage and prevent it. Strengthening exercises and avoiding activities that irritate the hip can reduce the likelihood of long-term issues.
Can hip bursitis cause other complications?
If left untreated, hip bursitis can lead to chronic pain and reduced mobility. In severe cases, prolonged inflammation may cause muscle weakness around the hip, making everyday activities more difficult.
When should I see a doctor for hip bursitis?
You should seek medical attention if the pain persists despite rest or if it worsens over time. If the pain interferes with daily activities like walking or sleeping, you should seek medical evaluation to prevent further complications.