Hip Bursitis

Hip burstitis (greater trochanteric bursitis) is a common complaint that produces pain on the outside (lateral) part of the hip directly over the bony prominence of the upper part of the femur.  It is differentiated from arthritic pain which tends to be more focused in the groin area. The bursitis is caused by irritation of one of the tendons in the hip as it passes by the bony prominence of the hip. Most patients present with complaints after long walks, especially long gentle uphill inclines such as on a golf course. My initial treatment involves taking an x-ray to make sure the joint is not involved. I will then inject corticosteroid into the burst to relieve the inflammation.  Hip bursitis can be stubborn and I often have to give patients more than 2 injections spaced over a 3-4 month period. Physical Therapy is a useful adjunct when corticosteroid injections only give transient reflief. Surgery is rarely indicated for this problem.