Hip Bursitis Home A-Z Health Information Health Library A-Z Hip Bursitis Overview Hip bursitis is a common hip problem involving inflammation of the bursa, which is a small fluid-filled sac that reduces friction and cushioning between bones and soft tissues. In the hip, bursae are located around the greater trochanter (the bony prominence on the side of the hip) and the ischial tuberosity (the bony part you sit on). Types Greater trochanteric bursitis: Inflammation of the bursa located on the outer side of the hip. It is the most common type.Ischial bursitis: Inflammation of the bursa located under the ischial tuberosity.Iliopsoas bursitis: Inflammation of the bursa located in front of the hip joint near the iliopsoas muscle. Symptoms Pain on the outer side of the hip may worsen with activities like walking, climbing stairs, or prolonged sitting.Tenderness over the bursa when pressed.Swelling around the hip area (less common but possible).Difficulty moving the hip or feeling of stiffness.Pain that worsens at night, particularly when lying on the affected side. Risk factors Repetitive activities or sports that put stress on the hip.Old age, especially age-related wear and tear.Activities that involve repetitive hip movements or prolonged sitting.Trauma or a fall onto the hip.Excessive physical activity, especially without proper conditioning or warm-up.Incorrect posture or gait issues can place extra stress on the hip bursae.Underlying conditions, such as osteoarthritis, rheumatoid arthritis, or gout. Diagnosis Physical examination to assess pain, tenderness, range of motion, and functional limitations. The healthcare provider will also evaluate the hip joint for signs of swelling or other issues.Medical history to discuss symptoms, activities, injuries, and any previous treatments or underlying conditions.Imaging studies:Radiographs (X-rays) to rule out other conditions like fractures or arthritis, which may have similar symptoms.Ultrasonography to visualise inflammation of the bursa and guide treatment regimens, such as injections.Magnetic resonance imaging (MRI) for detailed images of soft tissues and to help identify bursitis and other hip joint issues.If there is significant swelling, fluid can be aspirated (withdrawn) from the bursa and analysed to rule out infection or other conditions. Treatment Non-surgical treatmentResting and reducing activities that exacerbate symptoms.Applying ice to the affected area to reduce pain and swelling.Medications such as:Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.For severe inflammation, corticosteroids can be injected directly into the bursa for relief.Physical therapy exercises to strengthen the muscles around the hip, improve flexibility, and correct any gait or posture issues contributing to the bursitis.Changing activities or using supportive devices like cushions or orthotics to reduce stress on the hip.Surgical treatmentSurgery is rarely needed but may be considered if conservative treatments fail. It may involve bursectomy (removal of the bursa) or other procedures to address underlying issues.