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.

Interested in more discussions like this? Go to the Bones, Joints & Muscles Support Group.

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.

REPLY
Profile picture for ellerbracke @ellerbracke

A lot of this sounds familiar. After 2 years of chronic hip pain I recently had an MRI that showed torn right side labrum (practically no symptoms), and major tendonosys where the gluteus minimus and the gluteus medius attach to the hip bone. Initially I self-diagnosed with piriformis problems since I had trouble with that in the past, and the general area fit.
Anyhow, I'm currently in my 3rd round of PT this year. In order to avoid the pain in the hip my gait got thrown out of whack, so did by balance, and my 7yo replacement knee started to hurt.
Things are VERY slowly improving. I had a cortisone shot a year ago into the piriformis muscle, which helped for a while. Current ortho says probably enough of the steroids accidentally ended up in the gluteii, thus the temporary relief.
I was also told about a surgical repair option, with a minimum recovery time of 9 months.
Not happening. I'm scheduled for a PRP procedure with a decent chance that this in combination with ongoing PT and exercises will bring lasting relief.
Because of past (and isolated, one-time thing) aFib I'm on aspirin and so very limited regarding pain relievers. The only thing that works for me is Aleve, and I've been able to limit those to 4 this year (one of them after eyelid surgery, the others after long travel days in planes and cars).
At least I'm past the point now where I need to dig my knuckles into my butt and clench my teeth in order to have a bowel movement. That is absolutely no fun!!!

Jump to this post

@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.

REPLY
Profile picture for ennaoj44 @ennaoj44

@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.

Jump to this post

@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.

REPLY

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.

REPLY
Profile picture for ellerbracke @ellerbracke

@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.

Jump to this post

@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.

REPLY

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

REPLY

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.

REPLY
Please sign in or register to post a reply.