Common Causes of Hip Bursitis

Hip bursitis is a very common source of hip pain. The pain is on the outside part of the hip and is worse with pressure or lying directly on your hip.

One of the common causes of hip bursitis is repetitive activity. I see this commonly in runners especially if they run hills.

It can also can from overuse of stairs or biking as well.

Because the bursa is on the outside part of the hip it can be injured by falling onto the outside part of the hip.

This may cause swelling and pain, but you must certain there is not a hip fracture if you fall onto your hip.

If the pain is severe or you cannot bear weight on that leg see your orthopedist and get an x-ray.

A third common cause of hip bursitis is from tightness of the iliotibial band (IT band).

This is a very long flat muscle that overlies the hip bursa and if it is tight it will cause pressure and rubbing of the bursa and may result in bursitis.

Another cause of hip bursitis is an inflammatory underlying problem. People with rheumatoid arthritis, gout and psoriasis may develop bursitis of the hip.

In treating these patients, it is important to identify the underlying problem and deal with that underlying disease.

Other causes of hip bursitis

Other causes of hip bursitis are a bone spur or calcium deposit.

The tendons which attach in the area of the bursa may develop abnormal calcium deposit which will directly rub against the bursa and cause pain and swelling.

Almost all patients with hip bursitis do not require surgery. Most patients will get better with therapy and appropriate stretching.

Occasionally patients require an injection into the bursa and the results are often dramatic and cause quick relief of the pain.

It is very rare that someone needs surgery, however it is a relative straight-forward outpatient procedure and may be done arthroscopically.

Hip bursitis patient story

Two weeks ago I saw a patient in my office who was being treated by another doctor for almost one year for arthritis of her hip.

She was being treated with multiple medications and therapy but was still having severe pain. By simple examination and x-ray, I found her problem was not arthritis at all but hip bursitis.

After a simple injection done in the office the pain that was plaguing her almost one year was gone.

Make sure you get the right diagnosis and see the right orthopedic surgeon to get the right treatment.

To schedule an appointment with our Westchester orthopedic doctors, call (914) 358-9700 today.

Dr. Rick Weinstein, MD, MBA is an orthopedic surgeon specializing in sports medicine. He is the Director of Orthopedic Surgery at Westchester Sport and Spine and has subspecialty training in knee and shoulder surgery, including minimally invasive surgery and arthroscopy. Dr. Weinstein is a Board Examiner for the American Board of Orthopedic Surgeons, determining certification for other orthopedic surgeons.

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