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What is bursitis?

A bursa is a closed fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. “Bursae” is the plural form of “bursa.” The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees. When a bursa becomes inflamed, the condition is known as “bursitis.”

Hip bursitis is –

  • A bursa is a fluid-filled sac that functions as a gliding surface to reduce friction between moving tissues of the body.
  • There are two major bursae of the hip.
  • Bursitis, or inflammation of a bursa, is usually not infectious, but the bursa can become infected.
  • Treatment of noninfectious bursitis includes rest, ice, and medications for inflammation and pain. Infectious bursitis (uncommon) is treated with antibiotics, aspiration, and surgery.
  • Bursitis of the hip is the most common cause of hip pain.
  • Trochanteric bursitis frequently causes tenderness of the outer hip.
  • Ischial bursitis can cause dull pain in the upper buttock area.

I saw a hip consultant last week for pain in my hips, mainly my right side. He sent me for an X-ray which showed medial osteoarthritis in the right hip but I had no symptoms or problems on examination for this problem.

What he did find was that I was very tender over the bursa area on my right and also on my left hip which he diagnosed as Bursitis. I was then given a steroid injection into both Bursas in the hope this would relieve my pain.

He also noticed how much discomfort I was in when he touched my sacroiliac joint and in my midline so he is sending me for an MRI of my sacroiliac joint and lumbosacral spine to make sure there is no impingement and to see if there is any inflammation of the sacroiliac joint.

It may be that I require a CT guided injection of my sacroiliac joint if there is arthritis seen on my scan so I will just have to wait for this result after my scan in a couple of weeks.

My pain after the injection initially went much worse and I had a really bad night but within 24 hours I could actually lie on my left hip without pain. My right took about another 24 hrs for it to kick in but I still get low back and sacroiliac pain when I lie on that side so it could be the pain is more related to that problem.

Steroid injections is something I’ve had in the past for my lumber spine and neck. Some work and last for months, others not so long but I always think this type of treatment for your pain is worth trying.


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