HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Hip Bursitis

Hi: I was diagnosed with bursitis in my right hip 5 years ago. Since then, my thighs on both sides have deteriorated visibly and I am having trouble walking. I had a minor heart attack a few months ago and my walking situation is even worse. I have a good doctor but he doesn t seem to understand my walking situation. I have had hip xrays and all is well. I am in constant pain. Thank you, Anne
Tue, 14 Oct 2014
Report Abuse
Internal Medicine Specialist 's  Response
Hi,

Thank you for your query. I can understand your concerns.
It seems that you are suffering from chronic non-infectious hip bursitis.
Hip bursitis most often involves the bursa that covers the greater trochanter of the femur, although the iliopsoas bursa can also become inflamed.

Treatment includes rest, ice application, and NSAID (/Non-steroidal-anti-inflammatory-drug) e.g. piroxicam 20 mg once daily orally along with ranitidine 150 daily orally for acute exacerbation of pain.
You can undergo MRI hips to assess the extent of inflammation.
Additionally you may undertake the followings:-
Activity modification-Avoid the activities that worsen symptoms.

Assistive devices-Use of a walking cane or crutches for a week or more when needed.
Physical therapy-exercises to increase hip strength and flexibility. You may do these exercises on your own, or a physio-therapist may teach you how to stretch your hip muscles and use other treatments such as rolling therapy (massage), ice, heat, or ultrasound.

Steroid injection-Injection of a corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. It involves a single injection into the bursa. The injection may provide temporary (months) or permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be needed

Generally, no surgical intervention is required for cases of trochanteric /hip bursitis, because most patients respond well to nonsurgical treatment.
Only rarely does a patient with trochanteric bursitis need a bursectomy and partial resection of the greater trochanteric process.






Regards

Dr. T.K. Biswas M.D.
Mumbai
I find this answer helpful

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest Treatment For Hip Bursitis

Hi, Thank you for your query. I can understand your concerns. It seems that you are suffering from chronic non-infectious hip bursitis. Hip bursitis most often involves the bursa that covers the greater trochanter of the femur, although the iliopsoas bursa can also become inflamed. Treatment includes rest, ice application, and NSAID (/Non-steroidal-anti-inflammatory-drug) e.g. piroxicam 20 mg once daily orally along with ranitidine 150 daily orally for acute exacerbation of pain. You can undergo MRI hips to assess the extent of inflammation. Additionally you may undertake the followings:- Activity modification-Avoid the activities that worsen symptoms. Assistive devices-Use of a walking cane or crutches for a week or more when needed. Physical therapy-exercises to increase hip strength and flexibility. You may do these exercises on your own, or a physio-therapist may teach you how to stretch your hip muscles and use other treatments such as rolling therapy (massage), ice, heat, or ultrasound. Steroid injection-Injection of a corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. It involves a single injection into the bursa. The injection may provide temporary (months) or permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be needed Generally, no surgical intervention is required for cases of trochanteric /hip bursitis, because most patients respond well to nonsurgical treatment. Only rarely does a patient with trochanteric bursitis need a bursectomy and partial resection of the greater trochanteric process. Regards Dr. T.K. Biswas M.D. Mumbai