Managing Hip Bursitis Pain

I’ve had hip outer hip pain for about 6 months now. I found out that my bike seat was not adjusted properly combined with doing hip flexion exercises with bands. So pain was “self inflicted”. I opted out of steroid injection offered by doctor and working with a PT. Most of the work is stretching and a bit of strength moves. Once pain is gone, or at least greatly reduced, they will start more strength exercises. I’ve reduced my bicycling and when I go now, keep high cadence (less torque) and proper bike fit. Feeling better each day. When have a flare up, take Motrin and ice.

@ellerbracke Please link thru to https://www.webmd.com/pain-management/what-to-know-trendelenburg-gait

If you want to question reason for gate/balance issues, then look up gluteus medius tears on Google. There is much to see/read and good information.

@ennaoj44 Thanks. I'm in the hands (literally) of an excellent physical therapist. The gluteus medius (and minimus) aren't actually torn, there's just an awful lot of inflammation and swelling where they attach to the hip bone. The labrum has a full tear, but mostly symptomless. Go figure! Mostly 60 seconds balancing on left leg, 25 to 30 with maximum of 40 seconds - so far - on right/affected leg. Above average for 76 years old, from what I read. I have done some checking on Google and Chatgpt as well. Thanks for advice.

I discovered after a couple of years of pain and injections that I actually have Gluteal Tendonopathy which affects my hips and glutes and lower back. Stretch labs, acupuncture, dry needling, massage, myofascial trigger therapy, PT etc. just didn't work. Looking into PRP injections with your own plasma. I did have some bursitis at the beginning but was triggered by Gluteal Tendonopathy.

@ellerbracke That is what my Orthopedist said was Gluteal Tendonopathy. I have mild tears in gluteus medius but shouldn't be enough for the pain. In my research it seems that it could be due to lack of estrogen which destroys tendons. I just don't want to go on estrogen. This is affecting other tendons in my body but the hips, gluteals are always giving me sharp or debilitating pain. Sometimes it eases up but not sure why. I may try PRP - Platelet Rich Plasma which comes from your own blood.

Injections before x,as in November so I can walk longer with the grandkids in holidays. The other is knowing where you are walking that upsets it. No running is better for me
Hip replacement helped and if you are starting to feel pain in the groin area as well … then MRI or CT will show if you need a hip replacement … I also had a tear ..hope that helps

Try MFR therapist. Great stuff.
"MFR is a hands-on, manual therapy known as Myofascial Release, used to treat pain and restore movement by addressing restrictions in the fascia. Fascia is a tough, web-like connective tissue that surrounds and supports the body's muscles, bones, nerves, and organs. MFR involves applying gentle, sustained pressure to release tension in this tissue caused by injury, stress, or poor posture, which can lead to a variety of physical dysfunctions and pain."
you probably need your IT band adjusted so it stops irritating your hip.

@donnajones
I know this is a old post, just saw it today.
If you are able, Voltaren from Europe has 2% Diclofénac de diéthylamine.
In United States you can only get 1%
I have found the 2% much more helpful. Any Pharmacia in Europe will have it, look for the Green "+" on the store front, many are illuminated to easily identify a European Pharmacia.
Don't know if you can purchase 2% on the internet in USA.

@dlydailyhope I have I intercostal neuralsia after fracturing my T-7 last July. After almost four months of excruciating pain, my brother in law suggested that I had that. I asked my pain doctor and he confirmed it. A month later, still complaining and seeing the nurse practitioner, she prescribed me lyrica along with cymbalta. I did not know that that would help so much but my gabapentin wasn't working one bit. After taking it one day, I felt 60-70% better! So now I have been on it for 3 months, and because two a day of 150mg wasn't doing the complete job they increased it to 3 a day.. It helps, and I can a function *halfway" normal.. This morning, I was trying to research on how to get rid of it, and does it heal....Found out it may stay for a long time.. And i've noticed that due to the pain and the limited movement i can do, i've gained some weight.😢 i would highly suggest trying the lyrica/cymbalta for the nerve pain.. It truly has helped me.

Hi @blessednanaof5 and thank you for answering DailyHope's question about Lyrica, and adding info on Cymbalta. I've never had to use either Rx, but have heard they are prescribed to quiet nerve pain. Sounds like it helped you.

I have been prescribed gabapentin for pain and it just doesn't work. I get a very weird feeling, like a very low-level electrical charge, and it does make me dizzy. Anyway, no more gp for me......

Joe