Hip Bursitis: Causes, Symptoms, Treatment, (⇐click to watch online) and Exercises (you can watch its treatment, exercise and diet recipes on our YouTube channel: “dixecosmetics”).
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Bursitis cases are categorized based on the region of the body and the exact bursa affected. The hip has two major bursae—the trochanteric bursa and ischial bursa. Appropriately, the types of hip bursitis, or bursitis of the hip, are named after these two:
1. Trochanteric Bursitis
If you have ever looked at a femur, you will notice a sort of “hump” near the ball-like part that connects to the pelvis. This hump is the greater trochanter, and the trochanteric bursa lies next to it. Trochanteric bursitis is when this bursa gets inflamed. The symptoms of trochanteric bursitis are more likely to feel one-sided and can be provoked by activities involving lifting motions with the legs.
2. Ischial Bursitis
The ischial bursa lies between the ischial tuberosity and the hamstring. The ischial tuberosity is easily identified since, when standing, it’s covered by the gluteus maximus. A less medically precise explanation is that the ischial tuberosity is your “butt bone.” Ischial bursitis, due to its location, produces symptoms that can be initially mistaken for a pulled hamstring or are otherwise connected to sitting or standing.
What Causes Hip Bursitis?
Hip bursitis is usually caused by repetitive motion or prolonged stance in one position. Let’s take a closer look at these and other hip bursitis causes that attribute to this painful condition.
1. Repetitive Pressure
Consistent movement or holding the hip in one position for extended time periods can cause bursitis. This strain on the bursa may be present with bouts of prolonged sitting, standing, or repetitive activity of the hip region such as with cycling and jogging.
2. Injury
Traumatic bursitis is a condition occurring from a hard fall or hit to the hip. The result is blood filling the lining of the bursa and the sac itself. Inflammation is present and remains after the blood is absorbed by the body.
3. Other Health Conditions
As bursitis is characterized by inflammation of the bursa lining, or synovial membrane, several related health conditions can trigger hip bursitis. This membrane is directly affected by rheumatoid arthritis and the synovial joints are affected by gout.
4. Physical Condition
Our body depends on the proper function of the skeletal and musculature systems, and when something breaks down or is disturbed, it can cause hip bursitis. This can be present with a deformity of the lower limbs, spinal issues, and joint conditions.
5. Surgery History
If you have undergone a surgical procedure involving the hips or any of the adjoining regions, hip bursitis can develop.
6. Bone Spurs or Calcium Deposits
Hip bursitis can be caused by the presence of bone spurs or calcium deposits. The spurs occur in the joints, while calcium can build up in the tendons.
7. Repeat Inflammation
Once you have bursitis, you are at a high risk of getting it again.
8. Gender and Age
Women are reportedly more likely to develop hip bursitis than men. This condition also seems to be more prevalent in those older than 40 years of age.
Symptoms
Hip bursitis symptoms may vary from patient to patient and depend on the health condition of the
person and the cause of the bursitis. See if any of the following signs or symptoms relate to your experience.
1. Pain
The most common symptom is pain. The initial stage may give a sharp, stabbing sensation that develops into a constant ache. The pain may be worse when lying on the affected side, during prolonged sitting, or after repetitive movement of the area.
2. Radiating Pain
The pain of hip bursitis may present on the outer region of the hip before radiating along the outer thigh, lower back, groin or buttocks regions.
3. Tenderness
The hip may become tender to the touch or when pressure is applied.
4. Range of Motion
You may lose some range of motion due to the excruciating pain felt when moving the leg.
Bursitis causes pain, stiffness, and inflammation within the affected area along with stiffness or an aching sensation. The main difference between bursitis types is where this pain will be located and what can worsen it. Additionally, there may be an angry redness around the joint in question.
With trochanteric bursitis:
- Pain will be localized on the outer hip, thigh, or within the buttock.
- Pain will manifest when lying down on the relevant side or when you press in on the side of the hip.
- Pain will worsen, as mentioned above, by activities like getting out of the car, walking up stairs, or anything that induces similar leg and hip motions.
With ischial bursitis:
- Pain will appear in the upper buttock or hamstring area.
- Pain may be more noticeable when trying to climb uphill or after prolonged sitting on a hard surface.
- Stretching the hamstring may also aggravate the pain.
Allopathic Treatment of Hip Bursitis
Many people rely on the use of over-the-counter pain relievers to combat the inflammation and pain sensations of hip bursitis. Other medical treatments include:
1. Aspiration
A needle can be used to drain the bursa in extreme inflammation cases.
2. Corticosteroids
Injections may be necessary to relieve symptoms with the assistance of ultrasound imaging.
3. Antibiotics
For infections such as septic hip bursitis, an antibiotic treatment may be prescribed by a health professional. Severe cases involve hospitalization.
4. Surgery
Certain factors causing the hip bursitis may require surgery. This can include a bursectomy (removal of the bursa), a tendon repair and iliotibial release procedure, or an osteotomy (surgical cutting) of the greater trochanter bone.
5. Physical Therapy
Hip bursitis physical therapy may be part of your doctor’s treatment plan. Specific exercises can help to ease pain, strengthen muscles, and prevent complications.
Homeopathic Treatment of Hip Bursitis
Kalmia Latifolia
This homeopathic remedy is recommended in cases of pain traveling downwards in hip or shoulder. Bursitis in shoulder is chronic and pain expends to wrist or elbow. Symptoms are worsening at night or from motion.
Gaultheria procumbens
Clinical: Neuralgia. Pleurodynia. Rheumatism. Sciatica. Cystic and prostatic irritation, undue sexual excitement, and renal inflammation. Inflammation. Sever pain.
Rutta Graveolens
Spine and limbs feel bruised. Small of back and loins pain. Legs give out on rising from a chair, hips and thighs so weak. Contraction of fingers. Pain and stiffness in wrists and hands. Ganglia. Sciatica; worse, lying down at night; pain from back down hips and thighs. Hamstrings feel shortened. Tendons sore. Aching pain in tendon-Achilles. Thighs pain when stretching the limbs. Pain in bones of feet and ankles. Great restlessness.
Conium Maculatum
Heavy, weary, paralyzed; trembling; bands unsteady; fingers and toes numb. Muscular weakness, especially of lower extremities. Perspiration of hands. Putting feet on chair relieves pain.
Phosphorus
Ascending sensory and motor paralysis from ends of fingers and toes. Stitches in elbow and shoulder joints. Burning of feet. Weakness and trembling, from every exertion. Can scarcely hold anything with his hands. Tibia inflamed and became necrosed. Arms and hands become numb. Can lie only on right side. Post-diphtheritic paralysis, with formication of hands and feet. Joints suddenly give way.
Worse, touch; physical or mental exertion; twilight; warm food or drink; change of weather, from getting wet in hot weather; evening; lying on left or painful side; during a thunderstorm; ascending stairs. Better, in dark, lying on right side, cold food; cold; open air; washing with cold water; sleep.
Acid Benzoicum
Joints crack on motion. Tearing with stitches. Pain in tendon Achillis. Rheumatic gout; nodes very painful. Gouty deposits. Ganglion; swelling of the wrist. Pain and swelling in knees. Bunion of great toe. Tearing pain in great toe.
Rhus Toxicodendron
Rhus Tox is a top listed medicine to treat cases of hip bursitis. People who need it have marked pain in the hip. They feel worsening of pain from lying on the side. The pain also worsens in them when rising from sitting position. Sometimes they complain of radiation of pain from hip down to the knee. This is most felt when they are walking or standing. Along with pain they also experience stiffness in the hip region. It is one of the best medicines to treat conditions that follow over overstraining or overuse of hip or from injury to the hip.
Bryonia Alba
Acts on all serous membranes and the viscera they contain. Aching in every muscle. The general character of the pain here produced is a stitching, tearing, worse by motion, better rest. Mucous membranes are all dry. Knees stiff and painful. Hot swelling of feet. Joints red, swollen, hot, with stitches and tearing; worse on least movement. Every spot is painful on pressure. Constant motion of left arm and leg.
Helleborus Niger
Tearing in arms bones and joints, and in the upper part of the fingers. Jerking in arm muscles. Piercing and shooting in the hands and joints of the fingers. Want of strength in the hands. Spasmodic stiffness of the fingers. Humid, painless vesicles between the fingers. Ulceration around the nails.
Lower Limbs: Violent lancinations and burning pressure in the hips. Pricking pain in the hip. Want of stability in the legs, yielding of the knees. Stiffness and tension in the thighs and hams. Obtuse and piercing lancinations in the knee’s joints, and of the feet. Humid, painless vesicles between the toes.
Shooting and piercing pains in different parts, and especially in the periosteum, corporeal fatigue, eating and drinking. Pullings and tearing in the limbs. Sudden relaxation of all the muscles. Convulsions. Cramps. Syncope. Dropsical swellings. Falling off of the hair and nails.
Colocynth
This medicine is prepared from pulp of fruit of plant Citrullus colocynthis having the common name bitter apple. The family of this plant is Cucurbitaceae. This medicine is indicated for continuous drawing pain in the hip. The persons who need it feel the pain all the time while standing, walking and even while sitting. Next it is also indicated for stitching or tearing pain in the hip that extends to the knee. This is particularly worse from motion.
Pyrogenium
Aching in bones; all over body as from a severe cold; with soreness of flesh, head feels hard; Cold extremities. Numbness of hands, arms, and feet, extending over whole body. Automatic movement of arm and leg, repeated as often as she was put right (Cerebro-spinal meningitis).
Upper Limbs. Pain in shoulder-joint; in front, passing three inches down arms. Hands and arms numb. Hands cold and clammy. Dry eczema of hands.
Lower Limbs aching above knees, deep in bones, while sitting by a hot fire. On going to bed aching in patella. Aching above knee as though bone broken. Tingling in little toe as if frost-bitten. Feet and legs swollen (Bright’s disease). Numbness of feet.
Cannot lie more than few minutes in one position, changes sides. Debility in morning, staggered on trying to walk. Nervous, restless. Aching all over, bed feels hard. Great muscular debility
Causticum
Manifests its action mainly in chronic rheumatic, arthritic and paralytic affections, indicated by the tearing, drawing pains in the muscular and fibrous tissues, with deformities about the joints, progressive loss of muscular strength, tendinous contractures. Broken down senile. Soreness of the hip on the side on which they lay upon. The soreness is also felt in the thighs. This especially appears at nighttime. They frequently turn the sides when lying due to this complaint. With soreness pain in the hip is present that can be stitching type or aching type. Restlessness at night, with tearing pains in joints and bones, and faint-like sinking of strength. This weakness progresses until we have gradually appeared paralysis. Local paralysis.
Left-sided sciatica, with numbness. Paralysis of single parts. Dull, tearing pain in hands and arms. Heaviness and weakness. Tearing joints. Unsteadiness of muscles of forearm and hand. Numbness; loss of sensation in hands. Contracted tendons. Weak ankles. Cannot walk without suffering. Rheumatic tearing in limbs; better by warmth, especially heat of bed. Burning in joints. Slow in learning to walk. Unsteady walking and easily falling. Restless legs at night. Cracking and tension in knees; stiffness in hollow of knee. Itching on dorsum of feet.
Arnica Montana
Gout. Great fear of being touched or approached. Pain in back and limbs, as if bruised or beaten. Sprained and dislocated feeling. Soreness after overexertion. Everything on which he lies seems too hard. Deathly coldness of forearm. Cannot walk erect, on account of bruised pain in pelvic region. Rheumatism begins low down and works up (Ledum). Sore, bruised sensation in the hip. It is also indicated for drawing and pressing pains in the hip. Back, pains. Pain, as of dislocation, in the joints.
Weakness of the muscles. Painful swelling of the glands. Pains, as from a bruise, and of dislocation in the back, in the chest, and the loins. Tingling in the back. Dragging-down pain and sense of weight in loins.
Painful paralytic weakness in the joints, chiefly of the hip and knee. Tension in the knee, as from contraction of the tendons. Pale swelling in the joints. Inflammatory erysipelatous swelling of the feet with pain, and aggravation of the pain by movement.
Ledum Pauluster
Affections of knee-joint; hip-joints; toe-joints; gouty pain; when striking the toes there is a coldness in the parts, and a gouty pain shoot all through the foot and limb; cracking of the joints. Heat in hands and feet in evening. Long-continued warm sweat on hands and feet.
Arthritic nodosities in joints. Perspiration on palms. Itching, miliary eruption on wrist. Trembling of hands on moving them, or on grasping anything. Panaritium.
Rheumatic, paralytic pain in the coxo-femoral joint. Pressure in the region of hip joint. Rheumatic pains in hip, knee, and foot-joints. Contusive pain, and pain as from excoriation in periosteum of femur, and in knees. Pressure on thigh, posteriorly; as if the muscles were not in their right places, like pains of dislocation, in every position, but especially violent when walking or when touched.
Agaricus Muscarious
Neuralgia. Numbness. Nystagmus. Phthisis. Rheumatism. Limbs affected diagonally; left forearm, right thigh; right knee, left hand. Tearing in limbs in rest or sitting or moving. Cracking in joints. Subsalts tendinum. Feels as if her limbs did not belong to her/him.
Legs heavy and fatigued, especially in the thighs. Twitching, quicksilver sensation, in gluteal muscles. Pains in legs like electric shocks. On crossing thighs feels a violent pain in them. Drawing in the legs, as if in the interior of the bone, especially when sitting or standing, aggravates by motion. Painful sensation in the hip on walking. Drawing in the legs. Drawing pressure in the malleolae. Burning itching and redness in the joints as if from chilblains. Bunion.
Painful cramps in the muscles when seated. Sensation of tearing in the limbs, principally during repose, whether seated or standing, and which disappears on movement. Piercing pains in different parts of the body, chiefly in the head, with desire for sleep, and faintness when seated.
Natrum Sulphuricum
Sharp pains in the hips (in morning on rising, and all day, particularly on making certain motions), on stooping, especially when rising from a seat or from bed. Stabbing pain in hip. Heat and burning in legs, morning and evening. Tearing and drawing in legs, and especially in tendon-Achillis and calf. Legs and thighs feel weary and exhausted. In heels lancinating pain, tearing and ulcerating pain. Shooting tearing, and pain as from ulceration in feet. Hip pain worsens from walking and from climbing stairs.
Phytolacca
Intense cramps, muscles gather in large knots, hard and ridged; come and go suddenly. Rheumatism of all joints. Sudden transference of internal pains to extremities. Pains in limbs always in outer aspects. Patient is subject to rheumatic pains on change of weather, especially in hips and thighs, rheumatic muscular or chronic rheumatism. Rheumatic pains in arms and hands.
Enlarged glands in axillae. Shooting in joint with stiffness and paralysis. Pains at attachment of deltoid. Weakness and aching in humerus – Dull aching and excessive tenderness, as from a bruise, in outer muscle. Hard, shiny swelling of joints. Bony growth.
Neuralgic pain in outer side of both thighs (shooting from sacrum); sciatica. Sharp, cutting pain in hip, drawing, cannot touch floor; pain runs down outside of thigh. Rheumatic pains. Sensation of shortening of tendons. Syphilitic and mercurial rheumatism; nightly pains in periosteum of tibia, with nodes and irritable ulcers on lower leg. Stitches in various parts, always from without inward and near surface. Ankles swollen. Feet puffed, soles burn and ulcerative. Corn painful.
Carbo Animalis
Pressive pains in the joints, and the muscles of the limbs. Burning pains. Nocturnal pains in the joints. Pain as from a bruise, want of strength, and cracking in the joints, which yield easily. Arthritic stiffness and gouty nodosities in the joints. Tension in some limbs, as if from contraction of the tendons. Spasmodic contraction of several parts. Tendency to strain the loins. Numbness of all the limbs. Torpor of all the members, especially of the head. Great fatigue and weakness, with easily produced perspiration. Tension and contraction in the groins. Loss of strength in the joints. Pain as of dislocation when walking or moving the limbs. Inflammatory.
Drosera Rotundifolia
Paralytic pains in the coxo-femoral joint, and in the thighs, on walking, which occasion limping. Incisive shootings in the legs. Violent stitch in the os ischium, on rising from a seat. Tearing in the joints of the foot, as if they were dislocated, only when walking. Stiffness in the joints of the feet. Cold sweat in the feet, which are constantly cold. Gnawing shootings in the cavities of the bones of the arms and of the legs. paralytic weakness in all the limb. Stiffness in the joints
Artemisia Abrotanum
A very useful remedy in marasmus, especially of lower extremities only, yet with good appetite. Metastasis. Rheumatism following checked diarrhea. Ill effects of suppressed conditions especially in gouty subjects. Tuberculous peritonitis. Exudative pleurisy and other exudative processes. Inability to move. Marasmus of lower extremities only. Soreness and lameness; worse mornings. Chilblains itch; frost-bitten limbs. Gout in wrists and ankles. Inflammatory rheumatism before swelling begins.
Weak, sickly feeling when excited, trembling. Lame and sore all over. Weak and prostrated after influenza. Inability to move. Numbness. Joints stiff and lame. Painful contraction of limbs.
Dulcamara
Paralysis of the arms, with icy coldness, as from apoplexy. Paralytic pain in the arms, as from a bruise, chiefly during repose. Tetter eruption, and warts, on the hands. Perspiration in the palms of the hands.
23. Lower Limbs. Tractions and tearing in the legs, esp. in the thighs. Tetters on the knee. Puffing and swelling of the leg as far as the knee. Burning sensation in the feet, and in the toes. Erysipelatous desquamation and itching in the feet. Tingling in the feet, as from formication.
Hip Bursitis Exercises
While rest and immobilization are important to combating symptoms of hip bursitis, it is equally crucial to maintain movement of the region. This can be safely done with several hip bursitis stretching and weight reduction exercises you can do at home four to five times each week.
https://youtu.be/ABEe67LSoQw
1. Hip Bridges
Strengthen your hip by working the hamstrings, lower back, glutes, quadriceps, and hip flexors. Lie on your back on the floor with knees bent and feet placed flat on the floor near the buttocks. Raise your hips to knee height by pushing your weight toward the heels. Lower the hips and repeat 20 times for five sets.
2. Lateral Leg Raises
Strengthen the iliotibial band across the outer region of the hip with this targeted leg exercise. Lie on your right side on the floor and balance yourself by extending your right arm. Lift the left leg as far as you are able comfortably, and then lower it back to starting position. Repeat on the other side. Do four sets 15 times. This exercise targets the hamstrings, obliques, quadriceps, gluteus maximus, and gluteus minimums muscles.
3. Leg Circles
Improve your leg and hip strength, range of motion, and flexibility with leg circles. Target the hip flexors and gluteal muscles. Lie on your back on the floor and lift one leg about three inches high to make a circular motion—keep your leg straight. Repeat on the other leg. Do five times on each leg for three sets.
4. Abductor Stretch
The abductors are the muscles that run along the outer thigh from the hip joints. Begin this exercise for hip bursitis in a standing position, then cross the unaffected leg in front of the affected one and begin leaning away from the bursitic side of your body. Continue leaning until you feel a stretch along the outer hip, then hold and release.
5. Adductor Stretch
The adductor muscles are in the same area as the abductors but are responsible for inward leg motions. Begin this stretch in a standing position with your legs more than shoulder-width apart. Slowly bend the non-bursitic knee out to the side until you feel a stretch on the inner thigh of the bursitic side. Hold, then release.
6. Rotator Stretch
This targets the muscles that help rotate the leg at the hip. Begin in a sitting position and rest the ankle of the bursitic-side foot on the thigh of the non-bursitic leg. Gently press down on the knee of the bursitic side until you feel a stretch in your buttocks.
7. Flexor Stretch
The flexors are the muscles that help raise the leg towards the front of your body. Begin in a standing position and bend the knee of the bursitic side so that your heel is being brought towards the buttocks. Continue until you can grab your ankle with your hand, then hold and release. Note: you do not necessarily have to be standing to perform this stretch; it can also be done on your side or stomach.
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