What is Bursitis?
Bursitis is inflammation and swelling of the bursa. Bursa is a closed, fluid-filled sac that functions as a cushion and gliding surface to reduce friction between tissues of the body. Trochanteric and Iliopsoas are the two most common bursitis found in the hip/groin regions. Trochanteric bursitis is a result of inflammation of the bursa located between the point of the hip and the overlying gluteal muscles. Iliopsoas bursitis is inflammation of the bursa located at the attachment of the iliopsoas (hip flexor) onto the hip bone. These bursitis are a result of friction on the bursa due to tight gluteal/hip flexor muscles and poor pelvic biomechanics.
These factors cause increase wear and tear on these bursas which develop into bursal thickening and inflammation. Activities such as stair climbing, running, crossing legs, kicking, walking, getting in and out of the car are all common aggravating factors for these injuries.
Signs and Symptoms of Bursitis:
- Generally produces a swelling and pain over the involved bursa which may become sharp pain with movements of the hip.
- Pain may radiate to the outside of the hip (trochanteric) or fornt of the hip (iliopsoas).
- Night pain, especially when lying on the affected hip.
- Altered gait pattern due to tight muscles around inflamed bursa.
What to Do If You Think You Have Bursitis
If you suspect you have trochanteric or iliopsoas bursitis, it is important to take the following steps:
Rest and Avoid Aggravating Activities: Limit activities that exacerbate the pain, such as stair climbing, running, or crossing your legs, to prevent further irritation of the bursa.
Apply Ice: Use ice packs on the affected area to reduce swelling and alleviate pain. Apply ice for 15-20 minutes every few hours as needed.
Seek Professional Assessment: Consult with a healthcare professional, such as a physiotherapist or chiropractor like us, to get an accurate diagnosis and develop a personalised treatment plan.
Engage in Gentle Stretching and Strengthening Exercises: Under the guidance of a professional, perform exercises to stretch and strengthen the gluteal and hip flexor muscles, which can help improve pelvic biomechanics and reduce friction on the bursa.
Monitor Symptoms: Keep track of your symptoms and any changes in pain or mobility.