The causes of bursitis can be very diverse, in particular, the disease can occur due to pathological changes in the spine or excessive physical exertion on the joint, however, the symptoms of the disease always come down to painful sensations in the hip area.
Injuries and large physical exertion on the muscles and tendons can lead to a disease such as bursitis of the hip joint, or, more simply, to inflammation of the periarticular synovial bag.
Also, this disease can develop due to a sedentary lifestyle, hypothermia and obesity. The cause of bursitis can be a significant difference in the length of the legs, which is noticeable to the naked eye. At the same time, experts claim that middle-aged and elderly women are most susceptible to this disease.
One of the main symptoms of the disease is acute and intense pain in the hip joint, spreading along the outer surface of the thigh. However, as the pathological process develops, the pain may become dull, spreading to areas remote from the affected area. Meanwhile, flexion and extension of the thigh is certainly accompanied by an intensification of the pain syndrome, however, like attempts to lie on the sore side.
Most often, three synovial bags inflame around the hip joint:
- skewer;
- iliac scallop;
- headquarters;
Trochaneteritis (trochanteric bursitis) is a more common disease than sciatic or iliac scallop bursitis. With trochanteric bursitis, the soft tissues of the pelvis rub against the trochanteric bone, which causes the onset of the disease. Trojaneteritis is most often affected by athletes, especially women. This is due to the anatomical features of the female representatives (the reason is a wider pelvis than men).
During walking, trochanteric bursitis causes a dull burning pain, which concentrates in the joint area on the outside of the thigh and can gradually increase – this is another of the main symptoms of the disease.
Also, the cause of pain can be prolonged sitting on a hard surface. But much more serious symptoms occur with purulent bursitis, the cause of which is the infection of the pathogen in the synovial bag. Often there is a sharp soreness that accompanies limb abduction, rotation and hip extension. In a calm state, the thigh is always in a bent state, slightly laid out. At the same time, swelling is detected even with palpation.
The inflammatory process of the subcutaneous bursa of the greater trochanter is similar to that of the deep bag by specialists by distinguishing it by its displacement during the movement of the hip from the back. That is, if this displacement is observed, then in this case we can definitely speak of inflammation of the subcutaneous bursa. If this displacement does not occur, then we are already talking about inflammation of the subcutaneous synovial bag.
Diagnostics
Diagnosis of the disease involves a full examination, which will include radiography and MRI. After the specialist makes an accurate diagnosis, the patient is prescribed treatment.
Hip bursitis treatment
To alleviate the general condition of people suffering from bursitis of the hip joint, you can change your lifestyle.
The most common ways:
- Conversion of physical activity. You should not engage in activities that can enhance the manifestation of the disease..
- The use of non-steroidal drugs. Drugs that control the processes of tissue inflammation and pain: Ibupron, Celecoxib, and so on.
- Extra walking aids. Use a cane or crutches while you need it.
- The physiologist will hold a consultation on teaching methods for stretching the hip muscles, and will also apply the method of exposure to cold, heat and ultrasound.
In the process of treatment, hormone-based drugs can be used to help alleviate the condition. For example, corticosteroids using local medicines. The introduction of the drug into the synovial bag can relieve pain, but only for a while. Another injection is possible if the process of inflammation worsens or pain reappears.
Do not forget that non-steroidal drugs with anti-inflammatory effect should not be used often. The use of these medicines can lead to side effects, which may increase in the presence of certain diseases.
Surgical treatment
Hip bursitis in rare cases requires surgical intervention. The specialist can warn the patient that the surgical intervention is used only when standard treatment does not give results, and the pain and inflammation do not go away. In this case, the synovial bag is removed, the joint itself remains intact and functions normally.
Today, the most common treatment is the removal of the synovial bag in an arthroscopic manner. This means that the entire operation is performed through a small incision in the hip area. A small chamber or arthroscope is inserted into another incision, with which the surgeon can see his manipulations with special tools.
Such surgical intervention to a lesser extent injures tissues, which means that the recovery process is several times faster than usual. The patient does not have to stay in the hospital after surgery.
After surgery, a recovery period begins. A cane, crutches or a walker should be used for several days. It is advisable to move more, because the recovery process will accelerate due to movement. After a few days, the pain will finally disappear.
