7 Steps to Treat Hip Bursitis

Relief From a Common Cause of Hip Pain

woman stretching on yoga mat
Juri Pozzi/Stocksy United

The best treatment for hip bursitis, or any form of bursitis, is aimed at controlling the inflammation caused by this condition. As with any treatment program, always talk with your doctor before initiating any specific treatments. The general treatment of hip bursitis consists of:

  • Rest
    • This usually means a period of time not participating in sports or activities that aggravate your symptoms. As a general rule of thumb, any activity that causes hip bursitis pain should be avoided—this only contributes to inflammation of the bursa. Often, modifying the way you performed particular activity can help to alleviate pressure on the inflamed bursa. It may help to work with an athletic trainer or a coach who could observe how you were performing athletic activities to see if there is some movement abnormality that could be causing irritation of the bursa.
  • Anti-inflammatory Medications
    • Anti-inflammatory medications (e.g. Motrin, Aleve, Naprosyn, etc.) will help control the inflammation associated with hip bursitis. These medications are helpful for the pain as well as diminishing inflammation. Oral anti-inflammatory medications can be extremely effective, but they should be taken with caution. Always follow the instructions of the label unless directed otherwise by your physician. Keep an eye out for side effects of anti-inflammatory medications, and let your doctor know if you are experiencing any of the side effects.
  • Ice the Injury
    • Icing the area of hip bursitis often helps to alleviate the symptoms. Especially after exercise, ice can control inflammation and stimulate blood flow to the injured area. Applying ice is a simple, and effective for a to address the pain associated with bursitis. Caution should be used to ensure ice is not applied directly to the skin, and ice should not be left home medication for more than approximately 15 minutes at a time.
  • Aspiration/Drainage of the Bursa
    • In some patients who have a significant amount of fluid that has collected within the bursa, a needle can be placed into the bursa to remove the fluid. This is rarely needed in cases of hip bursitis, but when it is done it may be combined with a cortisone injection.
  • Cortisone Injection
    • A cortisone injection may also be given into the bursa in patients with pain. The cortisone injection is helpful because it can be both diagnostic and therapeutic. In cases where hip bursitis may be one of several diagnoses being considered, cortisone can be given to see if the shot helps to alleviate symptoms. Cortisone is a powerful anti-inflammatory medication that can be administered directly to the location of the problem. These injections are generally well-tolerated although there are possible side effects of a cortisone injection.

    Once the initial symptoms are controlled, some physical therapy strengthening and stretching exercises may be helpful.

    • Stretching
      • Most patients find relief with stretching of the muscles and tendons that are found over the outside of the hip, specifically the iliotibial band. The idea is that a better conditioned muscle and tendon will glide more easily and not cause hip bursitis. Special attention to proper stretching technique is important.
    • Physical Therapy
      • Working with a physical therapist is a useful treatment adjunct for patients with hip bursitis. Not only can the therapist help develop a proper stretching and exercise program, but they can use modalities such as ultrasound which may be helpful as well.

    Is Surgery Ever Necessary for Hip Bursitis?

    Surgical treatment for hip bursitis is rarely needed, and most patients who are faithful about treatment get better within about six weeks. Patients who do not rest from their activities until the inflammation subsides often have a return of hip bursitis symptoms. Also, patients who return too aggressively (i.e. not a gradual build-up), may also find that their symptoms return.

    In those few cases where surgery is needed, this can be done through a small incision, or sometimes it can be performed arthroscopically. Either way, the bursa is simply removed (called a bursectomy), and the patient can resume their activities. The surgery is done as an outpatient, and most often crutches are only used for a few days. Patient's do not need a bursa and therefore there are few complications from this type of surgery. The most common complications are anesthetic-related complications and infection.

    A Word From Verywell

    Hip bursitis is a common condition that can lead to discomfort along the outside of the hip joint. People with hip bursitis often complain of symptoms of discomfort with physical activity and walking, as well as pain when trying to lie on the affected side at night. Fortunately, treatment of hip bursitis is generally accomplished with some simple steps. Efforts to limit pressure directly on the bursa, alleviate inflammation, and restore normal movement to the hip joint will generally lead to resolution of symptoms. Rarely are more invasive treatments necessary to alleviate the pain of hip bursitis.

    Was this page helpful?

    Article Sources