Hip bursitis can cause back pain

Bursitis in the Hip - Medical Experts

Bursa - shock absorbers of the hip

As in all of our joints, there are bursae in the hips that perform a complex task. Let us imagine bursa as small flat fabric pillows before that one gel-like liquid contain. They form a kind resilient bufferthat compensates for the stress on the joint and absorbs the pressure on it. It also acts as a bursa Sliding layeron which the cartilage and bones of the joint move smoothly. Several of these small shock absorbers can be found on the hip:

  • on the ischial tuberosity,
  • on the hip joint capsule and antibiotics
  • on the inside and outside of the thigh bone near the hips (greater trochantor).

The bursa becomes inflamed, increased tissue fluid accumulates inside, which causes the bursa to swell. These swelling now presses on the surrounding tissue - pain occurs, which is usually associated with restricted mobility.

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Causes of hip bursitis

The causes of trochanteric bursitis are common in mechanical overload to find. Athletes and people who suffer from the hip joint are particularly susceptible Unusually much running, walking or cycling overwhelm. Wear likewise Improper loads and misalignments contribute to bursitis.

Sometimes are too Viruses or bacteria responsible for hip bursitis. In this case it is a so-called septic bursitis. Here, pathogens from the bloodstream penetrate the encapsulated membrane into the bursa and trigger an infection there.

Bursitis in the hip is not uncommon in people in their second half of life rheumatic diseases or gout in context.

Symptoms: what symptoms does trochanteric bursitis cause?

Depending on the location of the affected bursae, bursitis causes diffuse or localized Pain on the outside of the hip or less often in the groin. The hip pain in trochanteric bursitis is not dependent on movement - so it occurs even at rest on. However, the symptoms increase significantly when the leg is loaded and moved. If the bursa in the outer hip area is inflamed, the hip also hurts when lying on the side.

In contrast to other bursitis, hip bursitis is usually not recognizable from the outside by typical signs of inflammation such as swelling, warming and redness. Here the focus of inflammation is hidden too deep under the muscles and tissue. However, the affected area hurts when pressed.

You can do that yourself

In self-therapy turn out to be cooling gels and ointments or applied cooling pads as pain reliever. In the acute stage it is helpful to have this Immobilize the joint for a few daysto counteract inflammation. During this rest phase, limit your movements to the bare minimum. Bend your hips as little as possible and avoid walking unnecessarily. To stabilize and relieve the hip joint is also Taping with special Y-tapes an accompanying measure to support the healing process. If there is no improvement after a few days despite protecting the joint, it is better to consult a doctor.

What is the diagnosis?

If you have hip pain, an orthopedic doctor is the right address. In diagnostics, it is not easy to differentiate bursitis from other diseases such as hip osteoarthritis or signs of wear and tear. Diffuse pain in the hip area often does not initially clearly indicate a bursitis. Since bursitis is often caused by an overload of the hip joint, the doctor will advise you first Ask about changed habits or activities.

He will then check whether a To trigger tenderness is. It may be based on a Blood test determine the inflammation levels. He can then tell whether the problem is bursitis caused by overuse or bursitis caused by pathogens. The doctor may also pull one Ultrasound or other imaging tests such as x-rays or magnetic resonance imaging (MRI) to help make a clear diagnosis.

Treatment: medication, rest, exercise

Medical therapy is primarily based on the type of trochanteric bursitis. A septic bursitis, i.e. bursitis caused by pathogens, is treated differently than one exercise-induced bursitis. But other parameters are also included in the treatment. Here it is important to distinguish whether the bursitis in the early stages is located acute is or already chronisch has become. The age of the patient and possible other underlying diseases such as rheumatism, osteoarthritis or gout, which could influence the therapy, also play a role here.

Is it a septic bursitis, depending on the causative agent, is the ingestion of Antibiotics or Antivirals essential. In case of bursitis caused by Overload of the hip joint, the orthopedist also prescribes Hip immobilization anti-inflammatory and pain reliever drugs. Their task is to contain the inflammatory process sustainably. After the break, the doctor will recommend special exercises that slowly and gently mobilize the hips again.

How long the Healing process also depends on the factors mentioned above. The healing process is quickest in the case of bursitis that is due to mechanical stress. Here is within a week a significant improvement can already be expected. In the case of chronic courses, the treatment decreases sometimes several weeks in claim.

Another treatment option: surgery

In rare cases, anti-inflammatory drug treatment is unsuccessful. Then all that remains is an operation to stop the inflammatory process and prevent permanent restriction of movement. Here the surgeon removes parts of the inflamed bursato allow healing.