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Consult our MOH-accredited orthopaedic surgeon for an accurate diagnosis & personalised treatment plan.
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Hip bursitis is a condition characterised by inflammation of the bursae in the hip region. Bursae are small, jelly-like sacs filled with fluid, positioned between bones and soft tissues. They serve as cushions to reduce friction during movement.
Hip bursitis can be divided into two primary types:
This involves the inflammation of the bursa located around the greater trochanter of the thigh bone, on the outside of the hip. The greater trochanter is a bony prominence that can be easily identified as it protrudes at the side of the hip.
This type of bursitis affects the iliopsoas bursa, which is situated next to the iliopsoas muscle/tendon on the inside of the hip. The iliopsoas muscle helps the hip bend and facilitates various movements.
Hip bursitis can arise from a variety of causes, each contributing to the inflammation of the bursae.
The primary symptom of hip bursitis is pain at the hip’s point, typically on the outer thigh or inner hip, correlating with the location of the inflamed bursa. The nature of this pain can range from sharp and intense in the early stages to a more widespread, aching sensation as the condition progresses.
Activities such as prolonged walking, climbing stairs, or squatting can aggravate the pain associated with hip bursitis. Pain can also be worse at night, disrupting sleep and rest.
Limitations in movement are another symptom. As the condition advances, the pain and discomfort from hip bursitis can lead to a decrease in the range of motion and general mobility in the hip, impacting daily activities.
The process of diagnosing hip bursitis involves a combination of clinical assessment and imaging techniques, enabling accurate identification and differentiation from other hip-related conditions.
Medical Evaluation |
The hip specialist will first assess the patient’s medical history and evaluate any symptoms the patient experiences. |
Physical Examination |
The hip specialist will conduct a thorough physical examination, focusing on identifying tenderness in specific areas of the hip. Diagnosis is typically confirmed at this step. |
Imaging Tests |
While hip bursitis can often be diagnosed based on clinical examination alone, additional imaging tests may be required in certain cases. An X-ray, MRI or ultrasound can help rule out bone-related causes of hip pain and look at the affected area in more detail. |
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Consult our MOH-accredited orthopaedic surgeon for an accurate diagnosis & personalised treatment plan.
Non-surgical treatments typically suffice in managing hip bursitis, with most individuals experiencing improvement with these conservative approaches. They focus on alleviating symptoms and addressing the underlying causes.
In rare cases where non-surgical treatments for hip bursitis do not yield sufficient relief or if hip bursitis recurs frequently, surgical options may be considered. The primary surgical treatment is:
This is a minimally invasive, keyhole procedure designed to remove the inflamed bursa. It directly addresses the problem by removing the source of inflammation.
The use of small incisions and specialised instruments results in less tissue damage and scarring. As a day surgery procedure, it also allows for a quicker return to normal activities.
Preventing hip bursitis involves a combination of lifestyle adjustments and physical activities that reduce the risk of developing this condition.
MBBS
MRCSEd
MMED (Ortho)
FRCSEd
With over 18 years of experience, Dr Poh Seng Yew is an orthopaedic surgeon specialising in hip, knee, shoulder and elbow surgery, sports medicine, and trauma surgery.
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Recovery time varies depending on the treatment approach. Conservative treatments, such as rest, physical therapy, and medication, may take several weeks to a few months to recover. If surgical intervention is required, recovery typically takes around 6 weeks, depending on the surgery’s extent and the patient’s overall health.
Untreated hip bursitis can lead to worsening symptoms and potential complications. Persistent inflammation might cause the bursa to thicken, potentially leading to mobility issues, muscle atrophy, and even arthritis. Reach out to us for personalised care to avoid these complications.
Avoid activities that exacerbate hip pain, such as prolonged walking, stair climbing, or repetitive hip movements. Modifying activities to reduce stress on the hip can be beneficial.
While gentle massages may provide some relief, consult with our hip specialist to determine the most suitable approach for your condition.
To minimise discomfort while sleeping, avoid lying on the affected side. Using a pillow between the legs can help maintain alignment and reduce stress on the hip.