Hip Bursitis & Gluteal Tendinopathy
A common cause of outer hip pain made worse by walking, climbing stairs, or lying on your side
Hip bursitis and gluteal tendinopathy are common conditions affecting the hip joint, causing pain, stiffness, and limited mobility. Dr Ben McGrath, an orthopaedic specialist, provides comprehensive assessments and personalised treatment plans to help patients manage symptoms, reduce inflammation, and improve function.
- What is Hip Bursitis?
- What is Gluteal Tendinopathy?
- Common Symptoms of Hip Bursitis and Gluteal Tendinopathy
- Causes and Risk Factors for Hip Bursitis and Gluteal Tendinopathy
- Diagnosis of Hip Bursitis and Gluteal Tendinopathy
- Non-Surgical Treatments for Hip Bursitis and Gluteal Tendinopathy
- Surgical Treatments for Hip Bursitis and Gluteal Tendinopathy
- When to See Dr Ben McGrath for Hip Pain
- FAQs About Hip Bursitis and Gluteal Tendinopathy
What is Hip Bursitis?
Hip bursitis is the inflammation of the bursa, a fluid-filled sac that reduces friction between the hip’s bones and soft tissues. The condition most commonly affects the bursa over the greater trochanter, located on the outer side of the hip, and may develop due to repetitive strain, direct trauma, or other underlying health issues.
What is Gluteal Tendinopathy?
Gluteal tendinopathy refers to damage or inflammation of the gluteal tendons, which attach the gluteus medius and minimus muscles to the hip bone. This condition often develops from overuse, resulting in tendon degeneration and pain on the outer hip. Without treatment, gluteal tendinopathy can lead to reduced hip stability and difficulty with movement.
Common Symptoms of Hip Bursitis and Gluteal Tendinopathy
Patients experiencing hip bursitis or gluteal tendinopathy may report the following symptoms:
- Outer Hip Pain: Pain along the outer side of the hip, often worsening when lying on the affected side or sitting for long periods.
- Increased Pain with Activity: Movements like walking, climbing stairs, or standing for extended periods can intensify symptoms.
- Swelling and Tenderness: Sensitivity to touch or swelling in the affected area, particularly around the greater trochanter.
- Pain Radiating to the Thigh: In some cases, the pain may travel down the thigh, adding to overall discomfort.
- Limited Range of Motion: Reduced hip mobility, making everyday activities like bending, sitting, or standing more challenging.
If you experience persistent hip pain or limited mobility, a consultation with Dr McGrath can help identify the underlying condition and recommend effective treatment options.
Causes and Risk Factors for Hip Bursitis and Gluteal Tendinopathy
Several factors can contribute to hip bursitis and gluteal tendinopathy, including:
- Repetitive Movement and Overuse: Activities that place stress on the hip, such as running or cycling, can lead to these conditions over time.
- Direct Trauma: Falls, impacts, or sports-related injuries can irritate the bursa and gluteal tendons, resulting in inflammation.
- Poor Posture or Gait Imbalance: Incorrect posture or irregular movement patterns, such as limping, can increase stress on the hip structures.
- Leg Length Discrepancy: Differences in leg length can cause imbalances, placing uneven pressure on the hip joints.
- Underlying Conditions: Conditions like arthritis or obesity can contribute to hip bursitis and increase the risk of developing tendinopathy.
Dr McGrath will consider these factors to provide preventative strategies and develop a personalised management plan.
Diagnosis of Hip Bursitis and Gluteal Tendinopathy
Dr McGrath conducts a thorough physical examination and reviews patient history to assess hip pain and function. Diagnostic methods include:
- Physical Examination: Assessment of tenderness, pain location, and hip movement. Dr McGrath may test hip stability and observe movements that elicit pain.
- Imaging Tests: X-rays can rule out bone-related issues, while ultrasound or MRI scans may be used to assess tendon or bursa inflammation and confirm the diagnosis.
An accurate diagnosis is essential to developing a targeted treatment plan, ensuring that symptoms are managed effectively.
Non-Surgical Treatments for Hip Bursitis and Gluteal Tendinopathy
Most cases of hip bursitis and gluteal tendinopathy respond well to non-surgical treatments, which include:
- Physiotherapy: Exercises prescribed by a physiotherapist can strengthen hip muscles, improve flexibility, and relieve stress on the bursa and tendons. Physiotherapists may also recommend movements to avoid aggravating symptoms.
- Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) can assist in managing pain and reducing inflammation. Patients should consult their healthcare provider before starting any medication.
- Activity Modification: Adjustments to daily routines, such as avoiding prolonged sitting or repetitive activities, can help relieve symptoms and prevent worsening.
- Corticosteroid Injections: For cases with significant pain, corticosteroid injections may provide temporary relief, reducing inflammation in the affected area and aiding rehabilitation efforts. Dr McGrath evaluates each patient to determine the suitability of injections.
These non-surgical options focus on symptom management and functional improvement, with treatment plans customised for each patient’s condition.
Surgical Treatments for Hip Bursitis and Gluteal Tendinopathy
Surgery is typically considered only when conservative treatments have proven ineffective.
Common surgical options may include:
- Bursectomy: This procedure involves removing the inflamed bursa to alleviate pain. Bursectomy is usually performed as a minimally invasive procedure, with a relatively quick recovery time.
LEARN MORE - Tendon Repair: In cases of severe tendon damage, surgical repair may restore hip stability and improve function. This option is carefully considered and discussed with each patient.
LEARN MORE
Dr McGrath thoroughly explains each surgical option, including expected recovery and potential outcomes, to ensure patients make well-informed decisions.
When to See Dr Ben McGrath for Hip Pain
If you have persistent hip pain that does not respond to non-surgical treatments, or if symptoms interfere with daily activities, Dr McGrath can provide a comprehensive evaluation and recommend suitable treatment options.
FAQs About Hip Bursitis and Gluteal Tendinopathy
Mild cases may improve with rest and activity modifications. However, ongoing symptoms often benefit from a tailored treatment plan to prevent further complications and improve mobility.
Yes, strengthening the hip and core muscles, along with flexibility exercises, can support hip stability and prevent strain. A physiotherapist can provide a customised exercise program.
Corticosteroid injections can provide temporary relief from pain and inflammation, allowing patients to engage in rehabilitation more comfortably. Dr McGrath can assess if injections are suitable as part of your treatment plan.