Diagnosis of Hip Bursitis
A physical examination of the hip that indicates tenderness and swelling around the painful bursitis confirms the diagnosis of hip bursitis. To check for any bone spurs that could be causing irritation of the bursa your doctor may order an X-ray. If the reason for the pain is not very clear, your doctor may order an MRI to view the soft tissues and structures not visible on an X-ray.
Treatment Options for Hip Bursitis
Conservative Treatment Options for Hip Bursitis
The treatment goals for bursitis are focused on resolving inflammation and pain. Rest is advised and activities causing the bursitis pain are restricted. Anti-inflammatory medications are prescribed to reduce inflammation and pain. Physical therapy and treatments with heat, ice, and ultrasound are sometimes recommended. An injection of corticosteroid medicine may be administered to reduce the inflammation. Sometimes, a second injection is necessary if the pain returns after a few months. These non-surgical treatments provide relief from hip bursitis in most cases.
Surgery for Hip Bursitis
Sometimes, however, your doctor may recommend surgical removal of the bursa if you do not respond to conservative treatment measures.