Suggest Medication For Hip Bursitis
Theripy, pain releving shots, two epiderials in her spin. Nothing seems to work. Pain relief is only with Tylanol or excedrin and that only helps a little. We tried Cold Packs, Heating and still no relief.
My e-mail address is YYYY@YYYY .
Surgical removal is the best option sir, minor procedure, no tension
Detailed Answer:
Hello sir and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. Hip bursitis (inflammation of a bursa) is a very common condition and I encounter it quite often in my OPD (out-patient department).
Most patients respond well to pain management medications, rest, ice packs, cortisone injections, physical therapy, stretching exercises, etc. But there are a few patients who although not suffering with severe symptoms require drainage of the fluid in the bursa, and then completely recover without any recurrences. But this is only implied when the fluid is in large quantities.
Rarely (in my few years of experience only once) do patients with hip bursitis require surgery, during which we simply make a very small incision and complete remove the bursa. This is considered a very mild procedure, and we discharged the patient the very next day. If the bursectomy (removal of the bursa) is conducted well enough, you can guarantee complete recovery and relief from any recurrences in the future.
My recommendations would thus include:
1. Drainage
2. Bursectomy (preferred)
Do not worry sir, these are both minor procedures and ma'am should be up and about in no time, and best of all, without any more pain caused by the bursitis. I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help.
Best wishes.
It is a minor procedure sir, do not worry, ma'am will be fine
Detailed Answer:
Hello once again sir.
I am glad you liked my response and were able to follow everything, I guess I am not so bad at explaining things after all. :)
A bursectomy is indicated after all conservative methods of management (i.e. ice packs, rest, pain management medication, etc) fail. If the patient continues to present with the bursa after all these methods have been tried unsuccessfully, and also in cases of recurrences, then a bursectomy is considered.
Sure sir, please feel free to share the bone scan with me here if you would like my opinion on it, but it is not mandatory for me to observe right now.
The only preparation necessary is an elaborate blood panel, physical examination, MRI of the region and scheduling the OT (operation theatre), nothing more.
I usually do the procedure in the OT, and not the out-patient department, and then choose to keep the patient in a ward for about 2-3 hours, and then discharge them; it is almost like being an outpatient sir. :)
The procedure will take about 30-45 minutes maximum, possibly longer if it has to be conducted on both hips during the same session, and the form of anesthesia would be chosen based on her health and tolerance, but local anaesthesia (numbing the affected region and the region around it) is usually the choice of anaesthesia, which means she will be alert, but numb in the particular region.
I am currently located in Russia, in a city called Kursk sir. I work in the Government of Kursk Hospital no. 4. I am inaccessible for you I presume, and not to worry, any good doctor will be able to perform the procedure well enough, and with much more experience than me, I am sure. :)
Do not worry sir, all will surely be fine and you should write to me once ma'am recovers completely, okay? :)
Best wishes.
My sincere apologies, as I cannot help you with that.
Detailed Answer:
Hello once again.
I am sorry, I do not know of any doctors who are from the field in the region, and would not like to refer anybody just from reviews. I only like referring doctors who I personally know, have seen working, and trust; I am extremely sorry I cannot provide you with that information as I do not have it.
My sincere apologies,
Dr. Shoaib Khan