Basics
A bursa is a small sack that is situated between a bone and a tendon to prevent friction when the two parts are moved. Repetitive motions such as waking, climbing stairs and cycling wear down the bursa over time. The bursa can become inflamed and swollen, creating a condition called bursitis. Constant pressure on the bursa, such as sleeping on a hard surface in the same position night after night can aggravate the bursa as well. Sitting on a hard chair for a considerable amount of time also will increase the unnatural pressure on the bursa, creating hip bursitis. Tight tendons can cause additional trauma to the bursa. Regular stretching before and after activities can help to prevent bursitis. Trauma from a fall or accident that puts pressure on the joint can damage the bursa and cause bursitis. If left untreated, scar tissue builds up on the bursa, creating chronic bursitis that can be very difficult to treat.
Symptoms
Symptoms of bursitis include constant pain and stiffness in the hip area when moving. The pain remains consistent even when resting. Stiffness results when the bursa is left immobile for long periods. When pain occurs on the outside of the hip and thigh, it could be a result of trochanteric bursitis, a common hip ailment. The pain is noticed more when pressure is put on the area and when exerting pressure to stand from a sitting position. Pain is noticeable when walking up stairs and while sleeping. Trochanteric bursitis often occurs following surgery around the hip area or from the use of prosthetic devices. Spinal arthritis and scoliosis often are precursors to this type of bursitis.
Treatment
The hip joint that has been traumatized should be immobilized so healing can take place. A brace that keeps the joint stiff and prevents the tendon from moving over the bone and rubbing the bursa is the best treatment following an accident. Lying on a soft mattress or one filled with memory foam or latex can relieve the pressure on the hips while the bursa heals. With the body weight evenly distributed, the hip can relax and not have to bear the full weight while sleeping. Topical creams that have menthol in them can help to relieve the inflammation and reduce the pain level. Anti-inflammatory medications, such as ibuprofen or methyl sulfonyl methane (MSM), can help to heal the inflammation before it becomes chronic. Cortisone relieves inflammation but can ultimately weaken the tendons and cause more bursitis attacks. Ultrasound and massage can help to break down the scar tissue once the initial trauma has healed. Strenuous exercise should be avoided because it can damage the bursa even more.
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