Hi,
Thank you for your query. I can understand your concerns.
It seems that you are suffering from chronic non-infectious
hip bursitis.
Hip bursitis most often involves the bursa that covers the greater trochanter of the femur, although the iliopsoas bursa can also become inflamed.
Treatment includes rest, ice application, and NSAID (/Non-steroidal-anti-inflammatory-drug) e.g.
piroxicam 20 mg once daily orally along with
ranitidine 150 daily orally for acute exacerbation of pain.
You can undergo MRI hips to assess the extent of inflammation.
Additionally you may undertake the followings:-
Activity modification-Avoid the activities that worsen symptoms.
Assistive devices-Use of a walking cane or crutches for a week or more when needed.
Physical therapy-exercises to increase hip strength and flexibility. You may do these exercises on your own, or a physio-therapist may teach you how to stretch your hip muscles and use other treatments such as rolling therapy (massage), ice, heat, or
ultrasound.
Steroid injection-Injection of a corticosteroid along with a local
anesthetic may also be helpful in relieving symptoms of hip bursitis. It involves a single injection into the bursa. The injection may provide temporary (months) or permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be needed
Generally, no surgical intervention is required for cases of trochanteric /hip bursitis, because most patients respond well to nonsurgical treatment.
Only rarely does a patient with
trochanteric bursitis need a
bursectomy and partial resection of the greater trochanteric process.
Regards
Dr. T.K. Biswas M.D.
Mumbai