A hip bursitis is caused when the bursae in the hip bone become irritated and inflamed. Hip bursitis can cause immense pain in the hip joint and may also lead to disability in using the hip joint to perform everyday activities such as standing and walking.
Bursa is a small sac filled with a soft jelly-like liquid. These are situated in every major joint in the body, such as heel, knee, hip, elbow and shoulder. These are located between the two bone of the joints in order to provide cushioning as well as to reduce the friction between bones of the joints and prevent premature bone wear and tear.
The bursitis condition causes these bursa sacs to become irritated and inflamed. The hip contains two major bursae - trochanter bursa and iliopsoas bursa.
Hip bursitis is mainly of two types:
Trochanteric Bursitis - This form of bursitis affects the greater trochanter bursa in the hip joint. This is situated to cover the bony end of the hip bone.
Iliopsoas Bursitis - This bursitis affects the iliopsoas bursa which is located in the inner side (groin) of the hip bone. This causes a distinct pain in the groin area and is rare.
The main sign of development of Trochanteric bursitis is the pain in the joint portion of the hip. The pain may also spread to cover the thighs as well. Initially, the pain is sharp and intense but eventually becomes a dull and constant ache that spread to more of the hip region.
Usually, the pain is felt to worsen at night, especially when lying on the side of the affected hip joint or while getting up from a seating position after a while.
Hip bursitis is a commonly seen hip disorder. It is more prevalent among middle-aged and elderly persons, especially women. It is less commonly seen in younger people and in men.
These are some risk factors that have been identified for increasing the risk of the development of hip bursitis:
A complete physical examination is initially performed to deduce any other cause of the symptoms
Imaging tests such as x-ray, MRI and bone scanning may also be performed to know more about your condition.
There are several methods of treating hip bursitis, these are:
Initially, the doctor may advise non-surgical treatment methods for hip bursitis cases. Most people affected with hip bursitis are treated successfully through these methods:
Surgical treatment is rarely required to treat hip bursitis. In case the bursa remains swollen (inflamed) and the pain is still felt after non-surgical treatment methods, the doctor may recommend a surgery to remove the affected bursa entirely. This does not in any way affect the function of the hip.
An ultra-modern surgical technique using arthroscope is used to perform the surgery. The surgeon will use this minimally invasive surgical technique to remove a bursa. This surgery requires using an arthroscope (small, thin tube attached with light-source and small high-definition video camera. The surgeon will make a few (2-4) very small (keyhole) incisions around the affected hip joint. The arthroscope is first inserted in one of the incisions and it gives the doctor a clear and magnified image of the affected bursa on a video monitor.
The surgeon will then use specialized miniature surgical instruments to perform the required surgical procedure and remove the inflamed bursa completely.
This is a minimally invasive surgery and has the advantage of being less invasive, less painful and with faster recovery time as compared to the traditional 'open-type' surgical method.
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