About this topic
A bursa is a small, fluid-filled sac. It acts as a cushion between your bone and tendon. A tendon is a thick band that attaches your muscle to the bone. Bursae help the tendons glide and let your joints move easier. In the hip, there are two sets of bursae. There is one around the boney part of your hip joint. It is called the greater trochanter. Another set are near the groin area. These are called iliopsoas bursae. These bursae can get swollen and hurt. This problem is called hip bursitis. ‚
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What care is needed at home?
- Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
- Rest. Allow your injury to heal before you do slow movements.
- Place an ice pack or a bag of frozen peas wrapped in a towel over the painful part. Never put ice right on the skin. Do not leave the ice on more than 10 to 15 minutes at a time.
- Prop your leg on pillows to help with swelling.
- Pad the hip to keep pressure off the bursa.
- Stretching and strengthening exercises
- Heat may be used later but not right away. Heat can make swelling worse. If your doctor tells you to use heat, put a heating pad on the painful part for no more than 20 minutes at a time. Never go to sleep with a heating pad on as this can cause burns.
What follow-up care is needed?
Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. Your doctor may send you to physical therapy to help you heal faster. ‚
What drugs may be needed?
The doctor may order drugs to: ‚
- Help with pain and swelling
- Fight an infection
The doctor may give you a shot of an anti-inflammatory drug called a corticosteroid. This will help with swelling. Talk with your doctor about the risks of this shot. ‚
Will physical activity be limited?
You may need to rest your hip for a while. You should not do physical activity that makes your health problem worse. Talk to your doctor if you run, work out, or play sports. You may not be able to do those things until your health problem gets better. ‚
What can be done to prevent this health problem?
- If your bursitis is due to overuse, try not to do movements that caused the problem.
- Take breaks often when doing things that use repeat movements.
- Do not sit or lie in one position for a long time. This will keep pressure off the bursae at the hips and buttocks.
- Bend your knees when you lift to keep extra pressure off the bursae in your hips.
- If you sleep on your side, use a pillow in between your legs. This can help keep pressure off the bursae in the hips.
- If you are a runner, stretch before a run. Use good ways to train, such as slowly adding to how far you run.
- Keep a healthy weight so there is not extra stress on your joints.
- Stay active and work out to keep your muscles strong and flexible.
When do I need to call the doctor?
- Signs of a very bad reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat. Go to the ER right away.
- Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or wound that will not heal.
- Pain or swelling gets worse
- Health problem is not better or you are feeling worse
Teach Back: Helping You Understand
The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚
- I can tell you about my condition.
- I can tell you what may help ease my pain.
- I can tell you what I will do if I have more pain or swelling.
Where can I learn more?
American Academy of Orthopedic Surgeons ‚
http://orthoinfo.aaos.org/topic.cfm?topic=a00409 ‚
Consumer Information Use and Disclaimer
This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚
Copyright
Copyright ‚ © 2015 Clinical Drug Information, LLC and Lexi-Comp, Inc. ‚