Hip Bursitis

Your hip contains multiple bursae, small fluid-filled sacs which act as cushions between your bones and soft tissues, but the most commonly affected is the trochanteric bursa, located over the bony point of the hip (greater trochanter). When this bursa becomes inflamed, it causes trochanteric bursitis, which leads to outer hip pain and tenderness.

Another type, iliopsoas bursitis, causes pain in the front of the hip or groin but is less common.

Causes and Risk Factors
Bursitis often develops from repetitive use or prolonged pressure on the hip, but it can also result from other conditions or injuries.

Common causes include:

• Overuse or repetitive motion (walking, running, climbing)
• Hip injuries, such as falls or direct blows
• Poor posture or gait
• Leg length differences
• Hip arthritis or spinal problems
• Surgery or implants, like a hip replacement
• Tight muscles or tendons, especially in the IT band or gluteal region

Women and adults over age 40 are more likely to develop hip bursitis.

Symptoms of Hip Bursitis
Symptoms often develop gradually and may include:

• Sharp or aching pain on the outside of the hip
• Pain that worsens with activity, standing, or climbing stairs
• Tenderness when pressing on the outer hip
• Pain when lying on the affected side
• Stiffness or swelling near the joint

If left untreated, the pain may radiate down the thigh or become constant.

How Is Hip Bursitis Diagnosed?
At Iowa Ortho, your provider will begin with a detailed history and physical exam. If needed, additional tests may include:

• X-rays to rule out bone conditions or arthritis
• Ultrasound or MRI to confirm bursitis and check for related soft tissue issues
• Diagnostic injections to help isolate the source of pain

Treatment Options
Most cases of hip bursitis respond well to non-surgical treatments.

Non-Surgical Treatment

• Rest and activity modification to avoid aggravating movements
• Ice therapy to reduce inflammation
• Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief
• Physical therapy to stretch and strengthen surrounding muscles
• Corticosteroid injections to reduce swelling and provide longer-term relief
• Assistive devices (cane or crutches) if pain is severe

Surgical Treatment
Surgery for hip bursitis is rare but may be considered if symptoms persist after months of conservative care. A bursectomy, or removal of the inflamed bursa, can be performed using minimally invasive techniques.

At Iowa Ortho, our hip specialists are committed to helping you find relief from bursitis and other causes of hip pain. We’ll create a comprehensive, customized plan that addresses both the symptoms and the root cause.

Our on-site physical therapy and diagnostic imaging services make it easy to get the full spectrum of care in one place.