If a patient receives the diagnosis “Bursitis – Hip”, various bursae may be affected. The two most common bursitis on the hip joint are the trochanteric bursitis on the outside of the hip and iliopectineal bursitis in the groin. Patients suffer from pain that occurs after increased exercise and becomes worse during exercise. Read more about Bursitis – Hip!
Bursitis – Hip: Bursitis trochanterica
This bursitis in the hip is one of the three most common bursitis in humans. Women are more affected than men. Obesity also plays a role in the development of the trochanteric bursitis.
The femur (femur) has on the outside a large, rough bony prominence (large rolling mound). Over this runs a strong stabilizing band (iliotibial tract). When walking or running, an intervening bursa prevents friction between the ligament and the bony prominence.
Symptoms of bursitis trochanterica
But if this bursa is inflamed and swollen, the stabilization band will rub against it at every step. The patient feels the typical movement-related pain on the outside of the hip, They occur especially in the lateral spreading of the leg and in the external rotation of the hip. Sometimes they also radiate in the buttocks and in the knee. Any prolonged pressure on the bursa (such as lying on the affected hip) is perceived by most sufferers as unpleasant or painful. However, the swelling of the bursa is not necessarily visible from the outside, as the hip joint is covered by many large muscles.
Causes of bursitis trochanterica
Possible cause of bursitis trochanterica are, for example underlying diseases like rheumatism. More often, however, this bursitis is caused by physical overload (about long-distance runners). She also joins different leg lengths with the bursitis developing on the longer leg.
Sometimes the bursitis trochanterica develops in the context of the so-called Coxa saltans (“snapping hips”), This refers to the jumping back and forth of the stabilizing band (iliotibial tract) over the large trochanter (trochanter major). This jumping band is usually noticed by the patients themselves and often leads sooner or later to a bursitis (hip). The “hip snap” can be felt and sometimes even seen from the side while walking. Particularly often affected are young, slim girls and women.
Bursitis – Hip: Bursitis iliopectinea
The bursa iliopectinea is the largest bursa in the human body. He lies below the hip flexor muscle (iliopsoas) deep in the hip. Bursitis in this region is rarer. If they occur, they are mostly consequence of physical overload, Since the bursa is very deep, a swelling is usually not seen. However arise Pain on pressure on the groin or excessive hyperextension of the hip.
Since the bursa iliopectinea may be associated with the hip joint, one is Spread of the inflammation possible on the joint. The reverse mechanism is also possible – a spread of hip inflammation on the bursa. For this reason, bursitis iliopectinea may be a sign of a true joint disease and should therefore be further clarified.
Bursitis – Hip: Therapy
Regardless of whether bursitis affects the hip or other parts of the body, the treatment is generally very similar. In case of acute complaints protection announced, that is one should as far as possible avoid further irritation of the bursa. Anti-inflammatory drugs (for example with ibuprofen) additionally have a soothing effect on the symptoms. Physiotherapy and shockwave therapy can accelerate the regeneration. However, they can not resolve a structural cause of inflammation (such as a “snap-in”).
If the symptoms do not go away, the doctor can use one Cortisone syringe into the bursa Remedy. For recurring bursitis should be a surgery be considered. For Coxa saltans, surgery is the most promising option in the long term.
In general: At everyone Bursitis (hip or elsewhere), concomitant injuries and illnesses, such as bacterial colonization of the bursa, must be ruled out before starting therapy.