hip bursitis

Do You Have Hip Bursitis?

hip bursitisHip bursitis is a painful condition caused by inflammation of the sacs found near the hip joint. These sacs, known as bursae, are fluid-filled and function to help cushion the joint and surrounding muscle, ligament, and other tissues.

Many diseases and injuries can present the same pain and symptoms of hip bursitis, so working with a specialist is the best way to ensure you’re diagnosed and treated properly. Understanding the symptoms of hip bursitis and working with an orthopaedic surgeon can help alleviate pain and bring relief.

How Do You Know If You Have Hip Bursitis? 

Hip bursitis can have symptoms that are non-specific to hip bursitis alone; however, here are the most common hip bursitis symptoms.

  • Joint pain that is severe enough to not allow walking
  • Inability to move the joint
  • Swelling and inflammation of the hip
  • Bruising in the hip area
  • Sharp, piercing pain that happens during exertion
  • A fever

Hip bursitis presents very similarly to other conditions, such as arthritis, tendonitis, undefined damage to the hip area, and even a hip fracture.. Working with an experienced and knowledgeable orthopaedic surgeon is the best way to receive a proper diagnosis.

How Is Hip Bursitis Treated? 

With proper diagnosis, treatment is possible. There are plenty of non-surgical treatments that your doctor may utilize. These can range from lifestyle changes to injections.

Your doctor may prescribe alterations to your daily lifestyle. For example, if you’re a runner, either taking a break for a while until symptoms alleviate or examining your running gait can lead to improvements in your hip bursitis.

Your doctor may also utilize non-steroidal anti-inflammatories that can help decrease inflammation. Coupled with examining the root cause of your hip bursitis, this may give you the opportunity to fully heal.

Your orthopaedic surgeon will be able to offer a variety of treatments that are tailored to you and your hip bursitis. In the event that a non-surgical intervention does not work, you may need surgery to remove the bursa. Under the hands of a good orthopaedic surgeon, your hip function and health won’t be affected.

Dr. John Moore Can Help Bring You Hip Pain Relief 

From diagnosis to treatment, hip bursitis is a condition that requires experience and knowledge. At Dr. John Moore’s offices located in North Carolina, you can expect experienced, professional care supplemented by decades of knowledge gained through practice and education. Board-certified Dr. Moore is certain to be able to bring pain relief to you. If you’ve been suffering from hip pain, make sure to call 910-295-0224 or schedule an appointment today.

asian woman suffering from hip joint pain

Understanding Hip Bursitis: Symptoms, Causes, and Treatment Options

Hip bursitis is a condition that causes pain and discomfort in the hip area in many people. Understanding hip bursitis can help you make informed health decisions and seek appropriate care if you have symptoms. Our blog post discusses the two major types of hip bursitis and their causes, symptoms, and treatment options.

What is Hip Bursitis?

Hip bursitis occurs when one of the two major bursae in the hip becomes inflamed. Bursae are small, fluid-filled sacs that act as cushions between bones and soft tissues. They help reduce friction and allow for smooth movement. The greater trochanteric bursa covers the hip’s bony point, and this bursa’s inflammation is called trochanteric bursitis. It is the more common form of hip bursitis. The iliopsoas bursa is located on the inside of the hip toward the groin. It is far less commonly affected, but inflammation in this bursa is known as iliopsoas bursitis.

Causes of Hip Bursitis

Hip bursitis can result from a variety of factors, including:

  • Repetitive stress or overuse: Activities that involve repetitive hip movements like running, cycling, or climbing stairs can cause irritation and inflammation in the bursae.
  • Trauma or injury: A direct blow to the hip or a fall can lead to bursitis.
  • Hip bone spurs or calcium deposits: These can irritate the bursa and cause inflammation.
  • Poor posture or muscle imbalances: Misalignment of the hips and pelvis can place stress on the bursae.
  • Underlying medical conditions: Rheumatoid arthritis, gout, and lupus are some of the conditions that can cause hip bursitis.

Symptoms of Hip Bursitis

The primary symptom of hip bursitis is a pain in the affected hip. In the case of trochanteric bursitis, pain is typically felt on the outer side of the hip and may radiate down the thigh. Iliopsoas bursitis often causes pain in the groin area. Other symptoms may include swelling, tenderness, stiffness in the hip joint, and difficulty sleeping on the affected side.

Treatment Options for Hip Bursitis

Treatment for hip bursitis typically begins with conservative measures, such as:

  • Rest and activity modification: Avoiding activities aggravating the condition can help reduce inflammation.
  • Ice and anti-inflammatory medications: These can help reduce pain and swelling.
  • Physical therapy: Targeted exercises can help improve strength, flexibility, and posture.
  • Corticosteroid injections: These may be recommended for severe cases that do not respond to conservative treatments.

Hip bursitis may require surgery to address the underlying cause or to remove an inflamed bursa in rare cases.

Contact us today for more information about Hip Bursitis treatments at 910-295-0224. We serve Pinehurst and surrounding areas.

Asian men are cycling road bike in the morning

What Causes Bursitis To Flare Up

Lubrication and cushioning between your joints are critical to moving freely and without pain. One of the most important parts of the anatomy of joints are the small, fluid-filled sacs called bursae. These provide the primary cushioning between the joints during movement and protect the bones from damage should impacts happen.

As important as they are, they are very vulnerable, and if they are damaged or inflamed can cause significant and potentially debilitating pain. The most common issues of the bursae come when they become inflamed. Although the symptoms closely mimics arthritis, bursitis is also commonly misdiagnosed as other joint issues such as rheumatoid arthritis or gout. A thorough and accurate exam, potentially including blood work, is essential to a correct diagnosis of bursitis.

Although there is no cure for bursitis, there’s a few ways to help reduce the inflammation of the bursae before significant pain sets in.

Avoid repetitive stress and overuse. Bursitis is caused by several factors. Primary among these are repetitive stress and overuse. Repetitive movements of the legs while under load, such as during cycling, can lead to bursitis.

Too much pressure on the joint without moving. Placing a significant weight on the bursae without moving such as standing, can cause the sacs to compress and lead to inflammation. The bursae are meant to cushion the joints during movement and not continually support body weight.

Maintain treatment of other joint or muscle conditions. Although bursitis can mimic many other issues of the joints, many issues can be causal factors for bursitis development. Some joint issues such as gout and tendonitis can cause overcompensation towards another joint or even to portions within the same joint. By keeping up on treating other joint issues, you can reduce the likelihood they will cause bursitis.

If you believe you are suffering from bursitis and want relief, call Pinehurst Surgical Orthopaedic and Joint Replacement Center in Pinehurst, NC, at 910-295-0224, or visit www.drjohnmoore.com to schedule a consultation today. Dr. Moore and his expert team will provide a comprehensive examination and accurately diagnosis your joint pain and create a treatment plan to help you become pain-free.

Man waking up in the morning and suffer for back pain


Have you ever heard these old school names for a certain medical condition? Student’s Elbow. Tailor’s Bottom. Housemaid’s Knee. Probably not.

But you’ve heard of bursitis. The definition of bursitis is inflammation of the bursa. That sounds innocuous enough, but bursitis can be quite painful. Dr. Moore often treats bursitis in the hips and knees with corticosteroid injections to calm the inflammation.

What Is a Bursa?

The human body has over 140 bursae. These are small, thin, slippery sacs filled with fluid. The bursae are located near our joints. Their job is to reduce friction between our bones and the surrounding soft tissues (muscles, tendons, ligaments, even skin).

Each bursa is a sac with an outer membrane called the synovial membrane. Inside the sac is synovial fluid, which is a lubricating fluid.

Bursae are usually categorized by the tissue they are next to. If the bursa is between the skin and a bone, it’s the subcutaneous bursa. A subtendinous bursa would be found between a bone and a tendon.


Bursitis is inflammation of the bursae. When this happens from overuse or other causes, the bursa’s lining thickens, and more synovial fluid may be produced. Now the bursa will swell. It can become several times its normal size.

Causes of Inflammation

You can usually point to one of three causes for this inflammation: irritation, friction, or trauma to the bursa.

  • Irritation — Putting pressure on a bursa repeatedly can lead to bursitis. If you’re a desk jockey and you lean on your elbows all day at work, you can develop elbow bursitis.
  • Friction — Repetitive motions, such as bending your knee when running or walking, can lead to excess friction and this causes inflammation.
  • Trauma — With trauma, a bursa may temporarily fill with blood. This creates swelling and irritation of the synovial lining.


Except in cases of trauma, bursitis usually develops gradually. These are the symptoms:

  • Swelling — This happens when the inflamed bursa fills with fluid.
  • Pain — Pain occurs in the bursa and nearby soft tissues.
  • Tenderness — Pressing on the skin above the inflamed bursa is painful.
  • Stiffness — The inflammation can impact movement in a joint.
  • Skin redness and warmth — This can be a sign of bursa inflammation.

If you’re having signs of bursitis in one of your joints, Dr. Moore can help. Give us a call at Pinehurst Surgical, (910) 295-0224, to schedule an appointment.

Problems with Your Hips

Because the hips feature large bones, many people don’t think of them when it comes to orthopedics. The knees, shoulders, and even the ankles can seem more destined for overuse and damage.

Ah, but your hips will let you know when they’re not happy. At Pinehurst Surgical, Dr. Moore diagnoses the root causes of our patients’ hip pain, and he employs different options for treatment.

What makes up the hips?

The hip is a ball-and-socket joint that joins the ball of the thigh bone (femur) to the socket of your pelvis. Inside the hip joint is a cartilage lining that cushions impacts between the femur and the hip socket. But those impacts can be pretty intense in the hips, and they can be very repetitive. That’s why dancers, gymnasts, and other athletes that participate in sports with impact often have damage to their hip cartilage, not to mention strains, bursitis, and the effects of osteoarthritis.

Common hip conditions

These are some common hip problems that we treat at Pinehurst Surgical:

  • Bursitis of the hip — Bursitis is the painful swelling of the bursae, the fluid-filled sacs that cushion areas where tendons and muscles slide across bone. When a patient has hip bursitis, the bursa at the top of the femur is affected. Because it is involved in so many movements, when this bursa is inflamed it can be very painful.
  • Arthritis in the hip — Osteoarthritis in the hip is gradual loss of cartilage due to daily wear and tear. As the cartilage wears down, or tears, it leads to chronic inflammation that can make it difficult to sleep, let alone perform certain normal activities. Usually, arthritis in the hip is in the form of osteoarthritis, but it can also develop after a traumatic injury.
  • Osteoporosis in the hip — When a person develops osteoporosis, their bone density drops. This leads to the bones weakening and breaking much more easily than is normal. A precursor of osteoporosis is known as osteopenia.
  • Avascular necrosis of the hip — If you’re old enough to know about Bo Jackson (if not, watch the ESPN 30-for-30 show or check out highlights on YouTube), this is the injury that sent him into retirement. A seemingly simple tackle led to dislocation of his hip. This led to avascular necrosis, where the bone tissue begins to die because it isn’t receiving enough blood. This eventually led Mr. Jackson to full hip replacement.

Having pain in your hips? Maybe it’s time to see Dr. Moore and our team at Pinehurst Surgical Orthopaedic & Joint Replacement Center. Give us a call at (910) 295-0224 to schedule an appointment.

Managing Hip Bursitis without Narcotics

The pain from hip bursitis can limit your mobility, reduce your ability to exercise and stay active, and impact your quality of life. In the past decade, it’s become more common for narcotics to be prescribed to alleviate the pain of hip bursitis.  You don’t need to turn to narcotics to manage your bursitis – there are several other steps you can take to keep the pain under control. Any initial treatment for hip bursitis at Pinehurst Surgical Orthopaedic & Joint Replacement Center is nonsurgical. Certain lifestyle changes can calm the inflammation and relieve the pain.

Switch Up Your Exercise Routine

If you typically jog or play tennis or other impactive sports for exercise, consider switching to a form of exercise that isn’t so hard on the joints – just until the inflammation is under control. Since extra weight can exacerbate hip pain, continuing to exercise is important. Try swimming or cycling.

Ice and Heat Can Improve Hip Bursitis Pain

When symptoms first occur, ice can help reduce pain and swelling, and moist heat is very beneficial during a bursitis flareup. You can soak in a tub or hot tub or use a moist heat heating pad.

Physical Therapy

Physical therapy can help improve hip bursitis. There are a number of exercises and stretches that can improve your mobility and alleviate hip pain.

Ibuprofen Can Help Reduce Inflammation

Ibuprofen is very effective for reducing inflammation. Ibuprofen is not addictive, but care must still be used when taking it. You should not drink alcohol or take more than the recommended dosage, as it can harm your liver.

Cortisone Shots

Pinehurst Surgical Orthopaedic & Joint Replacement Center can provide injections of a corticosteroid along with local anesthetic to relieve your pain. Cortisone injections can provide months of relief or even permanent relief, but this treatment can only be used on a limited basis because it can damage surrounding tissues.

If nonsurgical treatment doesn’t relieve your symptoms of hip bursitis, Dr. Moore may opt for surgery. With hip bursitis, surgery is rarely needed, but in some cases the bursa remains inflamed and painful despite physical therapy and other treatment. Surgery involves removing the bursa. This doesn’t affect the function of the hip and it doesn’t damage the hip.

Dr. Moore prefers to perform this surgery arthroscopically, if possible. He makes a small incision over the hip and a small camera, an arthroscope, is inserted. This provides guidance for miniature surgical instruments to be inserted through a second small incision to cut out the bursa.

For more information about Hip Replacement Surgery with Dr. Moore to reduce your joint pain or improve its function, call our office in Pinehurst, NC at (910) 295-0224.