Hip Bursitis

What is it?
A bursae is a fluid filled sac found between the tendons and bone with the purpose of absorbing shock and reducing friction. Hip bursitis can result from contusion or repetitive compression by the gluteal tendon. The pain can be severe enough to cause a limp and prevent one from sleeping on the affected side.

How did I get it?
There are many anatomical factors that contribute to development of Hip Bursitis. Bowed legs, excessive internal rotation of the lower leg, pelvic muscle imbalances, leg length differences and overpronation are some of the most common. Overpronation causes excessive internal rotation of the lower leg causing excessive, repetitive strain on the outside of the hip. In addition weak hip and gluteal muscles is one the most common reasons for development of the condition. While running, repetitive compression of the bursae by the gluteal muscles as they work to stabilize the hip can result in this painful condition.

How is it treated?
There are many ways that Hip Bursitis can be treated. What is important is that the right treatment is provided for the right cause. Common treatment employed include stretching and strengthening of the gluteal muscles, orthotics to prevent excessive pronation, ultrasonic therapy and Interferential electrical therapy to reduce inflammation and self massage using a foam roller. Compression shorts can also be useful in returning a runner back to sport quickly and with less pain.

Custom Orthotics: A proper foot orthotic can go a long way in taking the stress away from your hip and your Hip Bursitis. The right custom-made, biomechanical orthotic can address the underlying cause of your hip pain. Abnormal joint position, overpronation or foot rigidity can be addressed and the biomechanics normalized. San Diego Running Institute orthotics are custom molded to your foot and designed with your specific body weight and activity in mind. The restoration of correct mechanical function takes the abnormal stress off the hip and hip bursae allowing it to heal.

Rest: For many rest is not a realistic option, the race you are training for is looming Our bodies are wonderful “machines”, if you rest it long enough it will heal itself. How long? This is uncertain. If you rest too long you may not be able to achieve your race goal. If you do not rest long enough the injury may not heal. There are devices such as the Coretection compression shorts that sometimes allows a runner to continue training by decreasing stress at the hip and gluteal muscles.

Drugs/Anti-inflammatories: Drugs such as Ibuprofen are anti-inflammatory agents not healing agents. They actually impair the healing process and many times allow a runner to injure themselves further. Studies have shown that these medications are harmful to your body, can cause ulcers and strain your liver.

Ice: Ice is often recommended and is another example of a non-healing modality. A runner often reports that they have been icing their hip after running. Doing this may help with the pain and inflammation at the moment but how will it help to remove the abnormal stress that is occurring in your bursae and hip? It won’t. What it will allow you to do is further injure your hip, resulting in permanent damage. Addressing the underlying biomechanical cause prevents further damage from occurring and allows you to complete your race injury free.

How long will it take to heal?
This depends on how long you have been suffering from Hip Bursitis. By correcting the cause of the injury with San Diego Running Institute orthotics and following the treatment regimen provided by Dr. Runco you can expect 50-100% relief usually within two weeks. Ask your San Diego Running Institute expert about how to get your Hip Bursitis fixed today.

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