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Hip bursitis


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#1 Yurtie

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Posted 17 September 2003 - 03:01 PM

Hmmmmmmmm..............it appears that I have hip bursitis. It was caused about 3 years ago when I came off my bike at speed and landed on my hip. And boy did it hurt at the time!

So now, I've got some pain when I run.

So, anyone have some magic cures apart from the stretching? I'm going to ice it every day and stretch as much as possible. The physio says I might need an ultrasound and possibly an injection *gulp*. Anyone had the injection?

Thanks

Yurtie

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#2 Naughty

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Posted 17 September 2003 - 03:08 PM

Hey there...

Unfortunately there are no magic cures... I had a bit of hip bursitis earlier this year and I found that Nurofen Plus helped keep the inflammation down so that I could walk normally... but this isn't a long term cure!!  

Have a search on the message boards, there is another thread on hip bursitis that I started a while back - could have some handy hints there...

It's worth having it checked by an osteopath or someone that can check your alignment and gait - you could be off centre slightly and it could be causing your hip to become inflamed - which is what bursitis is - inflammation of the bursa (fluid sacs) that cushion the hip.  I'd certainly seek a 2nd opinion before I let someone jab a needle in me (but that could just be me, I hate needles!)

Also worth cutting back on the running a little bit until the inflammation goes away - perhaps do shorter runs (eg, 30mins) on flat ground rather than going out for long hard runs.  

Good luck, let us know how you get on... but worth exploring all avenues first!

The Naughty One
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#3 DrJH

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Posted 17 September 2003 - 07:13 PM

Ultrasound guided injection is probably your best option.

#4 Luckylegs

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Posted 17 September 2003 - 07:55 PM

After months of pain from hip-bursitis, I had the ultra-sound guided injection about 5 months ago & no return of the problem since!

DR JH is correct as usual!  :rolleyes:  

I'm now going to see what he has to say about the 'stretching' post... it's a topic I'm very interested to read about.

#5 AJS

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Posted 18 September 2003 - 06:02 PM

What is an ultrasound guided injection.  I know it sounds like ultrasound is used to image the affected area and then an injection is made into the right spot.  What is injected?                                                                                          

I have never heard of this method before.  A runner in our club possibly suffers from hip bursitis and had physio for a fair while yet this treatment was never suggested  to her.                                                                                                

Does anyone know who can do this in the Newcastle area or if necessary in Sydney.                                                                                            

I've never had this injury but after seeing the effect it has had on my friend then I hope I never get it.

#6 DrJH

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Posted 19 September 2003 - 02:38 AM

Soft tissue ultrasound is used by radiologists to image muscle, tendon, etc. In the right hands it can identify tears, scar tissue, calcification, fluid collections, haematomas, etc. If a bursa is inlfamed this can be identified and can be used to guide the needle (containing cortisone) to the right spot. The cortisone acts as a strong, localised anti-inflammatory agent.

#7 AJS

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Posted 20 September 2003 - 10:59 PM

Dr JH.  Thanks for that.  Very helpful, very prompt reply.  I will pass it onto my friend.

#8 Yurtie

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Posted 22 September 2003 - 02:44 PM

Thanks for your replies. Definately food for thought. I'll persevere with the stretching and the ice and see how I go. I've joined Pilates to try to build up some core strength and will hit the cortizone last .

Thanks again.

Yurtie

#9 JenEd

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Posted 14 January 2004 - 04:22 PM

Hi all,

I've read this entry with interest.  I've had bursitis in my left hip for about 8 months now.  I did the physio strengthening and stretches for a few months, now have oethotics and finally the cortisone injection, (not ultra-sound guided.)  Every time I've gone back to running it starts to inflame again.  I haven't run for two months or so now and have been stretching/strengthening the ITB and recently icing the area.  While it seems to be improving, it's still there.  Help!

Does anyone have any further suggestions.  Will having the cortison injection guided by ultra-sound make it more accurate?

Jenny

#10 Yurtie

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Posted 14 January 2004 - 04:28 PM

Well,

I haven't had as much problem as before. I found that shortening my stride and constant stretching have helped but I would say that it certainly hasn't gone away. I would call it "manageable".

I still need to ice it fairly regularly though.

Yurtie

#11 DrJH

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Posted 14 January 2004 - 04:34 PM

Ultrasound not only makes the injection more accurate, but also helps in diagnosis, identifying calcification, tears, etc. You need to use a good radiologist though, because only a few are proficient in musculoskeletal ultrasound (although many more do them).

#12 JenEd

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Posted 14 January 2004 - 06:25 PM

Hmmm, so bursas can be damaged in other ways (tearing, etc (ouch!)  Maybe this is my problem.  My cortisone injection was with a local.  The pain/awareness went away immediately, then gradually came back within a fortnight.  Are there ways to treat tears, etc or is it just a "wait and see" thing.

Thanks for the info.

Jen

P.S.  Can you recommend any good radiologists in Sydney.

#13 maccattack

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Posted 14 January 2004 - 10:32 PM

Noakes etal at North Sydney Orthopaedic and Sports Med Centre are top notch sonographers.

#14 JenEd

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Posted 16 January 2004 - 03:27 PM

Thanks for the replies everyone - I'm off for an ultrasound to see what the real cause is.

Happy running!

Jenny

#15 Doe

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Posted 18 May 2005 - 05:15 PM

I am not a runner, but do exercise 4-5 times a day.  Dr. just said I had bursitis of the hip, got a cortisone shot.  Some better, but still have pain in the butt.  Dr. said it may be a pinched nerve in my back.  Going for MRI...sure don't want back surgery.  Any other suggestions.  Still on pain pills.  Yuck!

#16 CJS

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Posted 02 July 2005 - 05:00 PM

I've been having some bursitis problems of my own recently. I was diagnosed with bursitis in both hips, but nothing seems to be working to cure it. I've tried: ice, stretching, heat, physical therapy, ultra sound, oral steroids (to reduce inflammation), and a cortizone shot. None of the above have worked, and I've actually gotten worse results from some of the above treatments. For example, I was in a small percentage of people who experienced a cortizone flair (when the cortizone crystalizes in the bursa)and the flair was BY FAR more painful than the bursitis itself.

I'm having an MRI scan done in a few days, but does anyone have any other suggestions? I'd really appreciate and feedback I can get.

#17 Angus100

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Posted 12 September 2005 - 12:51 PM

I have had hip bursitis for 2 years. I have had x-ray, MRI, seen a specialist, I had cortisone injection about 12 months ago but affect was lessoned by activity. Was scared to try again as very painful and told many horror stories. Was going to a physio about 12 months who did help a lot I had a huge decrease in pain and increase in mobility. However he did not check leg length etc or stress core strengthening so thinking I was all better started running on the beach (without shoes) and ended up worse than before. I then let it go and have started a month ago doing physio again. While some times feeling much better something as simple as grocery shopping can be painful and tiring. My new physio has discovered I have flat feet and I not have orthotics and currently doing core strengthening as very weak abs and glut’s. My biggest concern is that I am doing this and still relapsing. Am interested in hearing about other people’s cortisone experiences. As am considering maybe undergoing regular cortisone to speed up the progress?

#18 Steve 'The Footman'

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Posted 12 September 2005 - 01:50 AM

The most common type of hip bursitis is trochantric bursitis which is actually on the top of the femur rather than in the hip itself.  The bursa stops the tendon of the gluteus medius muscle from rubbing against the greater trochanter (a projection of bone on the outside of the hip).  If you have had a 2 year history of problems then you must be reaggravating it for some reason.  Bursas get inflammed due to excessive tension in the tendon.  While they react well to anti-inflammatory treatment such as icing and cortizone injections you also need to address the cause.  Pelvic instability is by far the most common causative factor but your physio should have already addressed that.  Sometimes a spasming Glut meadius muscle is an issue and pressure point massage can help along with targeted crossfibre massage on the tendon.  Excessive stretching will make it worse.  You would expect some sort of biomechanical factor considering the duration of your injury and the ineffectiveness of physical therapies.  I would suggest you see a sports podiatrist to get a thorough review especially for Leg Length Difference or asymmetrical structural or gait issues.

I know Allan Boys in Newcastle who is a fellow of the Australian Academy of podiatric Sports Medicine.  His practice is the Newcastle Family & Sports Podiatry 51 Denison Street, Hamilton 4961 4411.  He should be able to help.

You should have significant improvement within a month and resolution within two months otherwise you need to try another form of treatment.  2 years is too long for any injury.  I would always reccomend you exhaust conservative treatments like orthotics before trying invasive methods such as injections.

#19 Angus100

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Posted 30 September 2005 - 03:14 AM

thanks for your response. I will look them up.

#20 SirBronco

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Posted 02 June 2006 - 12:41 AM

I have been to a dr and he has diagnosed it as hip bursitis.  Although now the only running I do is during basketball games do to bad knees and hip I loved to do it as a kid.  I am also not sure if dr's diagnosis is correct.  Seems like my hip pops now just like my knee did before I had surgery on it.  I was very impressed with some of the things I heard here.  Seems like the pain is over the bone in my hip.  Usually hurting quite a few hours during the day.  Had it for three years now.  Due to a torn meniscus and patella band that I had been overcompensating for like 5+ years.  Pain can be very sharp at times.  Sometimes making me want to pass out,cry or throw up.  Does this sound anything like bursitis.  I have had a cortason shot and tried pt which the dr recommended but still nothing is helping.  If I can get any advice I would appreciate it.  Thanks.
Mike