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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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heyjoe415 | @heyjoe415 | May 25 7:51am
In reply to @pamglutemedius "@heyjoe415 hey Joe! I could be an anatomist by now -lol. Thxs for being so congenial..." + (show)
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@heyjoe415 hey Joe! I could be an anatomist by now -lol.
Thxs for being so congenial and good natured. I'm thrilled for your recovery and success at this point.
It's through people like yourself that I've gotten some good referrals and encourage encouragement. BE WELL! 🙂 Pam

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Well thank you Pam! Your kind words made my day!

And yeah as we age and these joint and back problems develop, we get a pretty good education on anatomy. I do it out of curiosity, and also what to expect during recovery.

So far so good with both knees, right hip and left shoulder replaced. All four surgeries greatly relieved the pain I was in. The shoulder recovery was longer even though it was an anatomically-correct procedure. Patience was, and is, a virtue in post-op recovery.

All the best!

Joe

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heyjoe415 | @heyjoe415 | May 25 7:54am
In reply to @pamglutemedius "@heyjoe415 oh Joes- I think my 3 miles was an old post after working hard to..." + (show)
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@heyjoe415 oh Joes- I think my 3 miles was an old post after working hard to build strength. It didn't last long I can barely walk. Being Evaluated at HSS in NYC in a few weeks👍

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I'm so sorry Pam. Hopefully you can get some good direction after your visit with HSS.

It's hard to rebuild strength, and I admire you for the hard work you've done. You are the type of person who just doesn't give up. Good for you Pam.. You are a great example for all of us!

(Please let me know how the visit with HSS goes.)

Joe

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jonijean | @jonijean | Jun 11 6:30pm
In reply to @mnsansei "@heyjoe415 Thank you for empathizing with me. I think my pain killer restrictions are the same..." + (show)
Profile picture for mnsansei @mnsansei

@heyjoe415 Thank you for empathizing with me. I think my pain killer restrictions are the same as for all of us who have a chronic kidney disease. Aspirin is a NSAID, too.

I think either hip bursitis is in remission or I was wrongly diagnosed. I still have hip pain but a new reason: pseudogout aka chondrocalcinosis. Like gout (which I also have) it's another form of arthritis. I had bilateral total hip replacement for advanced osteoarthritis. After a very long, incomplete convalescence, my nephrologist sent me to have a Dual Scan CT which revealed deposits of pseudogout throughout my pelvis. I was still limping along and unable to take the long walks we enjoyed.

Then I had my second ever gout flare. I have a bottle of the gout painkiller colchicine on hand so I took it even though I wasn't sure it _was_ a gout flare. I was right and the toe stopped hurting within hours. To my complete surprise, my hip pain faded away because colchicine is also effective for pseudogout. I was finally able to do the PT I was supposed to start 17 months earlier on Day 5 after the first hip surgery. I'm about half way through the expected number of PT sessions and am feeling much stronger and more flexible. I was able to walk three miles about a month ago. Hurray!

I do wonder if hip pain, including bursitis, is difficult to diagnose and incorrect diagnoses make for persistent pain.

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@mnsansei how much colchicine did you take? Newly diagnosed CPPD after over 10 years. I started .6mg daily and it didn’t help my chronic Pseudogout at all after 4 weeks. I asked for increase in dose and doc stopped it and started plaquenil a week ago. It might take 6 months to work. I too can’t take nsaids but I’ve had to sneak 600mg every now and then. It’s the only thing that works. I’m afraid this doc , even though he was the only one that took the time to look at my old X-rays and found the crystals, May not be an expert on treatment.

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mnsansei | @mnsansei | Jun 11 7:33pm
In reply to @jonijean "@mnsansei how much colchicine did you take? Newly diagnosed CPPD after over 10 years. I started..." + (show)
Profile picture for jonijean @jonijean

@mnsansei how much colchicine did you take? Newly diagnosed CPPD after over 10 years. I started .6mg daily and it didn’t help my chronic Pseudogout at all after 4 weeks. I asked for increase in dose and doc stopped it and started plaquenil a week ago. It might take 6 months to work. I too can’t take nsaids but I’ve had to sneak 600mg every now and then. It’s the only thing that works. I’m afraid this doc , even though he was the only one that took the time to look at my old X-rays and found the crystals, May not be an expert on treatment.

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@jonijean On Day 1 I took 1.2 mg and after that, 0.6 mg/day on my local nephrologist's advice. The rationale is that half of the colchicine taken is eliminated from your body in about 24 hours. So before taking the 0.6 mg on Day 2, you have 0.6 mg left in you (and, of course, are back up to 1.2 mg after taking it). If you take 0.6 mg at about the same time every day, it will be like starting from scratch every day.

If my calculation is correct, if you take 0.6 mg on Day 1 and every subsequent day, you will plateau at about 0.6 mg on Day 5. I wonder if your doctor would let you give my nephrologist's dosing strategy (1.2 mg on Day 1 and 0.6 mg per day from then on) a whirl.

I take 0.6 mg colchicine every day. I get fairly good pain relief.

The only OTC analgesic I take is tylenol (even that is more limited that most people are allowed to take). Generally speaking, it is not worth taking tylenol. I am not familiar with plaquenil but google suggests it would be okay for me to take. I'll keep that in mind in case colchicine quits working.

Good luck.

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