Specialists in Hip Bursitis Injection Treatment

Specialist in hip bursitis treatment with Plathelet-Rich Plasma Injections

I am Miguel Alfonso Porcar, Director of the Regenerat Traumatology Clinic, specializing in the symptoms and treatment of hip bursitis using bioregenerative therapies such as platelet-rich plasma, growth factors, and Qrem serum rich in cytokines.

At Regenerat Traumatology Clinic, we are specialists in the diagnosis and treatment of hip bursitis.

Our goal is to determine the cause of your bursitis, perform the appropriate diagnostic tests, and apply conservative, regenerative, or surgical treatments to relieve your hip pain so that you can regain your well-being as soon as possible.

We aim to help our patients using the safest, most effective and least invasive treatments available!

What is hip bursitis?

Hip bursitis is caused by inflammation of the small synovial fluid-filled sacs called bursae or synovial bursae around the hip joint.

The bursae, which provide cushioning between the soft tissues (muscles, tendons and ligaments) and the hip bones.

Most commonly, bursitis causes pain in the hip joint that extends to the outside of the thigh area.

Bursitis on the outer (lateral) side of the hip is called greater trochanteric bursitis or hip bursitis. It occurs when the bursa on the outside of the hip becomes damaged, irritated or inflamed.

There are several types of hip bursitis depending on the bursa or bursa affected.

Trochanteric Bursitis – Trochanteric Bursitis

The trochanteric bursa is located on the outside of the hip, over the prominent bone called the greater trochanter, which is located at the top of the femur.

• Symptoms of trochanteric bursitis: Pain in the outer hip, thigh and buttocks, which may worsen with activity, climbing stairs or lying on the side. There may also be tenderness to touch and swelling in the affected area.
• Causes: Repetitive motions, such as running, stair climbing or impact sports; direct trauma to the hip; muscle weakness; hip imbalance; inflammatory diseases such as rheumatoid arthritis.

Iliopsoas bursitis or ischial bursitis

This bursitis occurs when the synovial bursa of the iliopsoas muscle, located in the front of the hip near the groin, becomes inflamed. Symptoms include pain in the groin area and in the back of the hip that may radiate to the thigh or lower abdomen.

• Symptoms of ischial bursitis: Pain in the groin, inner thigh and lower back, which may be worse when the hip is flexed or rotated inward. Stiffness and difficulty walking may also be present.
• Causes: Repetitive motions involving hip flexion, such as bicycling, swimming or golfing; direct trauma to the groin; muscle weakness; hip imbalance; inflammatory diseases such as rheumatoid arthritis.

Septic hip bursitis

Septic hip bursitis is an inflammation of the synovial bursa of the hip caused by infection. This condition occurs when bacteria or other microorganisms invade the synovial bursa, causing inflammation and pain. It requires urgent medical attention.

Causes of hip bursitis

An irritated and inflamed bursa causes pain that can limit range of motion and make some activities or positions uncomfortable.

Certain positions, movements or diseases can cause friction or stress on the bursa and lead to bursitis or other hip injuries. When the bursa is injured, the muscles and tendons do not glide smoothly, which can cause pain.

Hip bursitis is most common in women and middle-aged people, and develops as a result of repeated irritation to the hip. It is rarely the result of a single injury.

Hip bursitis can be caused by:

• Repeated movements that irritate the bursa such as walking, running on hills or uneven surfaces, or climbing stairs, standing for long periods….
• Abnormal walking due to injury, leg length differences or spinal problems.
• Muscle weakness.
• Incorrect posture
• Hip surgery or replacement.
• Bone spurs in the hip.
• Infections and autoimmune diseases, such as rheumatoid arthritis, gout, psoriasis or thyroid disease; in this case it is called septic bursitis.
• Direct trauma from blows or falls on the side of the hip can irritate the synovial bursa causing trochanteric bursitis.

Trochanteric bursitis is the main form of hip bursitis.

Hip bursitis symptoms

In hip bursitis, the main symptom you may experience is pain in the outer hip, thigh, buttock or outer leg.

That pain may be worse when you get up after sitting, for example, from a low chair or car seat.

Pain can also be triggered by:

• Push with your fingers on the external part of the hip.
• Lie on the affected hip.
• Climbing stairs.
• Walking or running.
• Lift the leg to one side.
• Sitting cross-legged.

Causes of Hip Pain Treatable by a Hip Specialist

The primary cause of acute hip pain is often a fracture of the femoral neck.

Hip fractures are particularly common in the elderly population due to underlying conditions such as osteopenia and/or osteoporosis

Other causes and treatments for hip pain:

• Gluteal tendinopathy injection treatment: For overuse injury of the hip tendons that are activated when we walk, stand and transfer weight from one leg to the other during walking.
• Steroid injection for hip bursitis: A procedure to address inflammation of one or more bursae in the hip. Bursae are small, fluid-filled sacs located between bones and soft tissues, such as tendons or muscles, that act as cushions to reduce friction.
• Trochanteric bursa injection: A treatment for inflammation of the bursa that cushions the greater trochanter bone of the hip. This condition typically causes pain in the lateral region of the hip
• Hip joint injection: Osteoarthritis, a degenerative joint disease, is more common in the elderly. In this condition, the cartilage within the joint gradually wears away, leading to pain, swelling, stiffness, and restricted movement in the affected area.
• Bone edema of the hip: A condition characterized by increased interstitial fluid within the bone marrow, typically in the femur. It can result from inflammation or injury in the medullary area (inside the bone) of the hip, often due to trauma, overuse, or underlying conditions