Bursitis of the Hip
Bursitis of the hip is an inflammation of the bursae in the hip.
There are two main bursae affected by bursitis:
- Trochanteric bursitis affects the bursa that lies lateral to the greater trochanter.
- Gluteus medius bursitis affects the bursa that lies beneath the gluteus medius muscle and medial to the greater trochanter.
Both bursitis’ are caused by biomechanical faults in the lumbar spine, gluteus medius muscle, ITB, tensor fascia lata muscle and other structures. These biomechanical faults often lead to weakness and then tightness of the gluteus medius and ITB which then press on the bursa causing inflammation and pain.
Common symptoms include
- A deep ache on the side of your thigh.
- Pain aggravated by extended walking.
- Pain aggravated by walking uphill and up stairs.
- Lying on the side of the thigh.
- Pain on bending of your hip or rotating.
- Stiff hip after periods of rest or inactivity.
As this condition worsens you may even start to get pain in your knee.
Physiotherapy treatment consists of;
- An assessment to diagnose why and what structures are involved in causing your condition.
- Stretches to restore muscle length.
- Soft tissue mobilisation to relax tight muscles.
- Lumbar spine treatment.
- Core stability exercises.
- Hip stability exercises.
In the case of longstanding bursitis some people may choose to undergo a cortisone injection which will allow more aggressive physiotherapy.