Understanding Hip Bursitis: Causes, Symptoms, and Treatment

? Causes

Hip bursitis is the inflammation of the bursa, a fluid-filled sac that cushions bones and soft tissues. Key causes include:

• Repetitive Motion: Activities like running or cycling.
• Injury: Direct blows to the hip.
• Prolonged Pressure: Long periods of sitting or lying on one side.
• Hip Surgery: Post-surgical inflammation.
• Spinal Issues: Conditions like scoliosis or lower spine arthritis.
• Leg Length Discrepancy: Uneven legs causing abnormal stress.
• Rheumatoid Arthritis: Joint inflammation.
• Bone Spurs/Calcium Deposits: Irritating the bursa.

? Symptoms

• Pain: Sharp pain that becomes a dull ache, typically on the hip's outer side.
• Tenderness: Sensitive to touch.
• Swelling: Occasionally visible.
• Stiffness: Limited hip motion.
• Worsening Pain: Increased with activity or prolonged sitting.

? Diagnostic Tests

• Physical Examination: Assessing pain, motion, and tenderness.
• X-rays: To rule out fractures or arthritis.
• MRI: Detailed imaging to detect inflammation.
• Ultrasound: Visualizing the bursa and tissues.
• Aspiration: Fluid sample to check for infection.

? Treatment Plan

• Rest: Avoiding aggravating activities.
• Ice: Reducing inflammation and pain.
• Physical Therapy: Strengthening hip muscles and improving flexibility.
• LIPUS (Low-Intensity Pulsed Ultrasound): Using devices like LipusPlus to promote healing and reduce pain by delivering micro-mechanical stress to the affected area [1 ].

? Exercise Plan

• Stretching Exercises:

-Hip Flexor Stretch: Kneel on one knee and push hips forward.

-IT Band Stretch: Cross one leg over and lean to the side.

• Strengthening Exercises:

-Bridges: Lie on back with knees bent, lift hips.

-Side-Lying Leg Raises: Lie on side, lift top leg.

-Clamshells: Lie on side, open and close top knee.

• Range of Motion Exercises:

-Hip Circles: Stand on one leg, circle the other leg.

-Heel Slides: Slide heel up towards buttocks and back down.

• Low-Impact Aerobic Exercises:

-Swimming/Water Aerobics: Reduces hip joint weight.

-Stationary Biking: Low-impact workout.

?? Sources

1. lipusplus.com - Product Page | LipuPlus device - LipusPlus medical devices
2. researchgate.net - Single Session Combined Low-Intensity Pulsed Ultrasound
3. ncbi.nlm.nih.gov - Low-Intensity Pulsed Ultrasound Treatment for Non-unions
4. ncbi.nlm.nih.gov - Low intensity pulsed ultrasound (LIPUS) use for the
5. se.linkedin.com - LipusPlus