Managing Hip Bursitis Pain

Posted by donnajones @donnajones, Nov 14, 2024

I have what has been diagnosed as bursitis in my right hip for almost a year now-steroids will relieve for a brief period of time . I can’t sleep of a night because that is when the pain is the worst. The only non pharmaceutical relief I have gotten is sound wave therapy has anyone had this and tried something that worked. This is now even bothering me when I walk of a day.

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It is that there is no clear path forward. A gl maximus transfer (a surgical option) is risky. I am wanting to move off of three years of fence sitting/vacillating on the only surgical option available for the repair of a full-thickness gl medius/minimus tear with fatty infiltration and atrophy--a gl maximus transfer. Dr. Leo Whiteside pioneered this option in 2006 and has written much on the topic, but is now retired. I don't find the literature reassuring. It may be that in future, way down the line, there will be a best remedy for tears, but it's not today. On my latest leg of a tour through the orthopedic surgeon (os) field, I recently met with an os who said "I am going to shoot straight! If I were in your shoes, I would not have a gl transfer. But I will work w/ you and pain management going forward. No injections, just pain meds and changes in live style." I did have a pre-op appt in June 2025 w/ an os who performs gl transfers but with having performed only 6 gl transfer, his experience/knowledge seemed too little for my consideration. But apparently I can't do any more damage, so a gl transfer option will always be available, but I am aging and general anesthesia is concerning. Confusion could result and I'm way to active to be slowed down any further. But what I wouldn't give to be able to run, move quickly, turn on a dime and walk without a cane. We are not alone w/ this medical issue. Gl tears are just beginning to get the attention deserved. I can't stress enough that a patient being diagnosed w/ bursitis, had a least 2-3 injection for pain management with no relief should insist on an MRI--it's likely a gl tear not bursitis. I've asked the Washington Post to print a health article surrounding this topic because so little information is available to the general public. I'm expecting if The Post agrees, it will be an eye opener!

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Profile picture for barry53 @barry53

I have had right hip bursitis for about two years. It comes and goes. It started with a rowing machine. Have had three cortisone shots over two years, from an Orthopedic. Only the first one made a difference (I think). After several bouts(getting worse), I finally went to physical therapy. Saw her four times for stretching, exercises and handson massage before she used Leukotape K (sport tape). It immediately stopped my pain (possibly with the massage), for four months. If it reccurred, I self applied (not easy, better if therapy does it) and pain was gone. Something about relieving surface tension of the skin? Everything else I tried, Voltaren, Tylenol or heat didn't work. Maybe Lydocain or Ibuprofen helped. Ice would have some effect, with some delay I think. I have recently had a lengthy reccurrence ( three weeks) after four months without pain. Worst ever. ( I was in the process of moving). Nothing helped until I got back home. In therapy again and it looks to be getting better. My Dr. of Physical Therapy is good and I am also going to get a wearable hip ice pack. Will see how this works. In the past, I was able to ride my mountain bike ten miles three or four times a week without it bothering my bursitis.

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barry53 Update: Salonpas doesn't work. Ibuprofen and Lidocain, minimal help. Leukotape doesn't seem to be helping this time. I also had an MRI originally with no apparent hip joint damage. Deep massage may be the best thing.

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Profile picture for barry53 @barry53

I have had right hip bursitis for about two years. It comes and goes. It started with a rowing machine. Have had three cortisone shots over two years, from an Orthopedic. Only the first one made a difference (I think). After several bouts(getting worse), I finally went to physical therapy. Saw her four times for stretching, exercises and handson massage before she used Leukotape K (sport tape). It immediately stopped my pain (possibly with the massage), for four months. If it reccurred, I self applied (not easy, better if therapy does it) and pain was gone. Something about relieving surface tension of the skin? Everything else I tried, Voltaren, Tylenol or heat didn't work. Maybe Lydocain or Ibuprofen helped. Ice would have some effect, with some delay I think. I have recently had a lengthy reccurrence ( three weeks) after four months without pain. Worst ever. ( I was in the process of moving). Nothing helped until I got back home. In therapy again and it looks to be getting better. My Dr. of Physical Therapy is good and I am also going to get a wearable hip ice pack. Will see how this works. In the past, I was able to ride my mountain bike ten miles three or four times a week without it bothering my bursitis.

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@barry53
Know the feeling. I also have right hip pain. I am not too happy with orthopedics because I think I can feel better. However, they have really fixed my knee joints with gel shots. I don't think the cause of my hip joint issues are bursitis though.

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Profile picture for satishgarg @satishgarg

@heyjoe415
Hi Joe
it happened during exercise session with my trainer , one day while getting priformis stretch he applied more pressure - immediately QL & gluteus minimus got impacted .
did manual therapy , machine therapy , hot packs , cold packs , supplements , nothing worked . over period of time it got worse ( pain in hip ) initial MRI in April 24 showed almost full thickness tear of GL/ Min & tight hamstring.
did whatever rehab advised & therapies from - ultrasonic / IFT / laser / shock wave / needling but nothing worked .
march 25 steroid injection was highly recommended by couple of doctors , took one shot . helped for one month , pain resurfaced with more force !
eventually July first week of 2025 underwent " stem cell therapy " to heal GL/MIN tear
slowly my gait got impacted , walking with lot of limp & increased pain
did another MRI last month & it revealed Full Tera of GL/MD with 32 mm retractment from GT ( bone where it is attached )
here am struck up with no clear path forward .

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Oh wow Satish I am so very sorry to hear this news. If it is any comfort, your experience tells me to be very careful with any ballistic stretch, where pressure is being applied to deepen the stretch.

I hava a tight piriformis, always have, I think from running. While seated I put my right foot over my left knee and bend forward slightly, and then reverse for the other side.

I had my hip replaced this March, and forgot about the post-op admonition to NOT bend more than 90 degrees at the waist. I did that 4 weeks after surgery, an IT band stretch I've been doing forever. The force yanked by brand new hip apart. The pain was excruciating but fortunately it was pulled back into place in the ER - no broken bones and the prostheses looks fine. Lesson learned.

I work with a trainer too and he is extremely careful in what he has me do. And my trainer never touches me, I just follow his lead. The fact that your trainer did this may be something you want to get legal help for. I'm sure that, like me, you like your trainer. But this simply shouldn't happen.

I'm at a loss for what to offer you Satish. I know you've seen a lot of Drs. Might help to see a neurologist if you haven't. I would also see what used to be called a Sports Doctor. Now they're called Doctors of Physical Medicine. I have one and she finds things even my specialists don't see.

I wish you the best friend. Medical science has come so far - have you tried contacting Mayo or the Cleveland Clinic? They have probably the best Drs in the USA, although you may have to travel to see them.

Take care of yourself Satish.

Joe

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Profile picture for Lynn Brooks @lbroomayo1

@barry53
Know the feeling. I also have right hip pain. I am not too happy with orthopedics because I think I can feel better. However, they have really fixed my knee joints with gel shots. I don't think the cause of my hip joint issues are bursitis though.

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Hi Lynn,

Have you had xrays done on your right hip? You may have arthritis that is causing the pain.

You mentioned gel shots in your knee are working. That's great! Do you think you'll eventually have them replaced?

All the best to you.

Joe

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Yes Joe. My orthopedic PA says I have arthritis in my hip. But I believe it can be improved. He gave me a cortisone shot, but with my knee gel shots the hip is feeling much better. I can walk on the treadmill for two miles. Not back to running yet. Thanks for asking.

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Profile picture for barry53 @barry53

I have had right hip bursitis for about two years. It comes and goes. It started with a rowing machine. Have had three cortisone shots over two years, from an Orthopedic. Only the first one made a difference (I think). After several bouts(getting worse), I finally went to physical therapy. Saw her four times for stretching, exercises and handson massage before she used Leukotape K (sport tape). It immediately stopped my pain (possibly with the massage), for four months. If it reccurred, I self applied (not easy, better if therapy does it) and pain was gone. Something about relieving surface tension of the skin? Everything else I tried, Voltaren, Tylenol or heat didn't work. Maybe Lydocain or Ibuprofen helped. Ice would have some effect, with some delay I think. I have recently had a lengthy reccurrence ( three weeks) after four months without pain. Worst ever. ( I was in the process of moving). Nothing helped until I got back home. In therapy again and it looks to be getting better. My Dr. of Physical Therapy is good and I am also going to get a wearable hip ice pack. Will see how this works. In the past, I was able to ride my mountain bike ten miles three or four times a week without it bothering my bursitis.

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@barry53 This is just my experience, but I was told for over 4 years that my hip pain and difficulty walking were due to bursitis. Had 3 injections into my hip joint, physical therapy, exercises- all not helpful. Finally, my last physical therapist said she thought the pain was referred from my spine. A few months later, after being diagnosed with spinal stenosis, I had spine surgery. Now, 10 years later, no problems with my hip and I can walk as far as I want to. I'm 75 years old by the way.

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