What is Hip Bursitis?
What is Hip Flexor Bursitis? What is Iliopsoas Bursitis?
Each joint in the body has a bursa sac. This sac(s) acts as a cushion to the joint between bones and overlying soft tissue. It also provides lubication to reduce friction between tissues and bones as they move across each other.
Your hip flexors are among the most powerful muscles and tendons in your body. They are made-up of your iliopsoas (deep set muscles at the front of your hip), your tensor fasciae latae (outer hip muscle), and your rectus femoris and sartorius (they lie over top of the iliopsoas muscles in your front, upper thigh area). The hip flexors help you lift your upper leg to your torso or flex your torso towards your thigh (like when sitting up from a lying down position). They help to externally rotate your spine and thigh bone, and also limit your hip extension when walking or running.
Iliopsoas Bursitis affects the bursa underneath the tendon of your iliopsoas muscle, which becomes inflamed and irritated when your iliopsoas muscle is overused.
Iliopsoas Tendonitis involves inflammation and irritation of your iliopsoas tendon and the area surrounding your tendon. Overuse and repetitive activities cause small micro-tears to the iliopsoas tendon tissue.
Iliopsoas bursitis and iliopsoas tendinitis are similar and often occur at the same time as inflammation of the tendon often causes inflammation of the bursa and vice versa. Both of these conditions similar symptoms, and are less common that other groin strains.
Iliopsoas Syndrome refers to a stretch, tear or complete rupture of your iliopsoas muscle and tendon where the tendon attaches to your thigh bone, frequently experienced along with iliopsoas bursitis. It is rare for your iliopsoas muscle-tendon to rupture completely.
You can suffer from iliopsoas tendonitis and iliopsoas bursitis at the same time. The tendon is damaged and now rubbing on the bursa sac causing it to be come inflammed as well.
Of all sports injuries that occur, hip and pelvic injuries account for 2-5% with happen where the muscle and tendon joint (musculotendinous injuries) being the most common. The 2 most common hip injuries are iliopsoas tendinitis and iliopsoas bursitis. Most of the injuries occur at the top of your femur (around the lesser trochanter and tendon of the iliopsoas). Iliopsoas injuries are poorly recognized as a cause of hip and groin pain.
Conditions and symptoms related to iliopsoas bursitis are snapping hip syndrome, trochanteric bursitis, torn hip labrum, neuromyofascial tightness, iliopsoas tendinopathy, lumbar spine abnormalities, iliopsoas syndrome, iliopsoas tendinitis, inflammation of the tendon, anterior hip pain, groin pain, rheumatoid arthritis, hip fractures, hip overuse syndrome, lumbosacral injuries, osteitis pubis or a groin injury.
What are the Symptoms of Iliopsoas Hip Bursitis?
If you experience iliopsoas bursitis, or iliopsoas syndrome you may experience similar symptoms of inflammation in the tendon or bursa. Symptoms may also include pain, tenderness, swelling, heat or redness and loss of normal mobility.
Pain and tenderness are the most common symptoms and are experienced with iliopsoas bursitis. The pain is found deep in your groin and radiates around to the front of your hip or upper thigh area, and can follow the length of the tendon down toward your knee; it will often move into your lower back and buttock area as well.
Often the reason for the pain is known such as one specific event. Sometimes there may be no major reason or injury that brings it on. If you have iliopsoas bursitis you may experience a slow onset of pain and tenderness that builds up over a long period of time. If you have iliopsoas syndrome, your pain and tenderness will be sudden and sharp.
Pain will generally be experienced for a short period of time during activities like jogging or kicking a ball. You may experience pain when getting up from a seated position, extending your leg while driving, walking up stairs, lifting something heavy or bringing your knee up to your chest (especially against resistance). You may notice that you find it difficult to lie down comfortably without support. Occasionally pain diminishes while in doing an activity, but it returns with a extreme pain when you stop your activity. Average time from initial onset of symptoms to diagnosis ranges generally between 32 and 41 months.
Weakness in your upper thigh/hip area especially when lifting up your knee which results in a limp when walking or running are common with hip bursitis.
Hip stiffness and tightness in groin as well as the knee, can result from a tight iliopsoas muscle. Swelling and increasing amounts of fluid in the bursa can cause added pressure and increased pain and may be accompanied by redness and warmth in the groin.
Crepitus (clicking, snapping and/or popping hip sounds) may occur, especially with an inflamed iliopsoas bursa or snapping hip syndrome (caused by your iliopsoas tendon catching on your pelvis when your hip is flexed). This will also occur with a severe or complete iliopsoas tear. If you have a complete tear it will generally prevent you from walking upstairs.
Should you seek medical attention?
This is up to your discretion; however any continued discomfort in your groin or pelvis area should be investigated. If you continue to experience the iliopsoas tendinitis or bursitis symptoms and have tried the suggested conservative treatments (see conservative treatments for iliopsoas tendinitis or bursitis), it is recommended that you seek professional medical attention. If you experience any of the symptoms noted below it is recommended that you seek immediate attention:
- Severe pain and tenderness.
- Problems or swelling in or around the genitalia (penis, scrotum, testicles).
- A cut, lump or bulge or bleeding in your groin area.
- Major hip/thigh movement problems causing a severe limp.
- Urinary problem.
- A groin rash.
- Postoperative problem after groin operation.
- Exposure to an STD.
- Groin pain has not improved after 1 week, where symptoms are more severe or frequent.
- Signs of shock (light headedness, restlessness, shallow breathing, sweating, weakness and/or nausea.)
We have tools that will help you to prevent and treat the symptoms of hip bursitis When it comes to hip injuries and pain, it's best to start effective long term healing right away. Our Advisers are highly trained individuals and will help find the long term healing goal that's right for YOU. Why wait?
Call today and get on the road to recovery faster than ever before!
Call now! Toll Free: 1-866-237-9608
International: +1 705-445-3505
How Do I Diagnose Iliopsoas Bursitis?
Diagnosing iliopsoas bursitis can be difficult as many conditions (iliopsoas tendinitis, hip flexor muscle strain, iliofemoral ligament sprain, etc.) have bursitis-like symptoms. Your doctor will need to narrow down the possibilty by run tests to determine if your pain is caused by bursitis or by muscle or joint injury, local bleeding, synovitis, arthritis, tendonitis, cellulitis or a number of other conditions.
To begin with, your doctor will gather a medical history about you and your current condition and symptoms. You will discuss the level of your present pain, how long you have had your symptoms, which movements are causing your pain, and if you are loss of range of motion in your hip and leg. He/she will inquire about any recent activity or injury, even if the injury is a small one that could cause trauma, when your pain started, and whether or not you have ever had treatments for this or a similar condition in the past.
A physical examination will be performed and your doctor will look and feel the bones and soft tissue around your sore hip and the opposite joint to evaluate symmetry and recognize differences. This will identify any abnormalities, such as mild or severe inflammation, bone or tissue deformity, atrophied muscles, redness and/or warmth on the skin.
You will generally be asked to complete a series of movements to measure your range of motion. These will test any possible weaknesses, joint stability and location of tenderness.
In order to rule out other conditions your doctor may recommend blood tests, an x-ray or MRI to investigate your bone structure and/or to examine the soft tissues and fluid in your hip.
Diagnostic Exams and Tests
Fluid Removal - Your doctor may aspirate (use a needle) to remove fluid from the bursa to check for possible staphylococcus epidermis (or staphylococcus aureus) bacterial infection. The knee and elbow tend to be the joints that are prone to septic (infectious) bursitis. If infection is detected you will be prescribed an antibiotic to treat it.
X-rays - X-rays will provide a two-dimensional image of the overall structure of your pelvis. Although bursitis cannot be diagnosed from an X-ray, they are helpful in identifying other possible causes of pain and/or ruling out other conditions.
Some other possible causes of pain that an x-ray can identify include instability, abnormal bone shapes (bone spurs or bone cysts), wear and tear on the joints, avulsion fractures (when a fragment of bone tears away from the main bone along with the muscle, tendon, or ligament as a result of trauma), dislocations, arthritis, calcium deposits in the bursa or joint, and/or other problems.
MRI and CT Scans - You doctor may also order an MRI (magnetic resonance imaging) or a CT (computed tomography) scan for more detailed information to help evaluate the soft tissues (bursa, muscles, tendons, ligaments, fascia, and other connective tissues) in and around your hip joint. They will show fluid next to the muscle, and may identify bursitis, tendinitis, inflammation, tears and other associated conditions.
Diagnostic Ultrasound - Ultrasonography can confirm diagnosis and show tissue tears or thickened tendons. It is good for identifying bursitis and excessive fluid in bursa, and/or ruling out other causes of pain.
What Causes Iliopsoas Hip Bursitis?
Iliopsoas bursitis is an overuse injury that results from overloading the hips with repetitive movements. This can lead to a strain of your iliopsoas muscle(s) and tendon.
People who participate in activities such as golf, hockey, cheerleading, ballet dancing, rowing, gymnastics, and resistance training (sit-ups) are most susceptible to iliopsoas bursitis. This condition is more common in women than men, especially those who have loose ligaments.
Overuse of the Iliopsoas Muscle
Changes in equipment or training terrain (mountain bike to road bike, road running to trail running) or changes in the intensity of your activity (increase running time or weight lifting poundage without proper preparation) can result in overexertion, which end in iliopsoas injuries.
Loads of up to eight times your body weight have been demonstrated in your hip joint during vigorous athletic competition, and movements such as standing and twisting at the waist without moving your feet, or externally rotating your leg outward while its in normal extension are responsible for iliopsoas injuries. Hurdlers, high jumpers, baseball, soccer players, or athletes who are at risk of getting tackled are prone to this type of injury. Others who participate in activities that involve uphill running and/or jumping, lots of kicking, weight training and heavy lifting (lots of bending and squatting) are also at risk.
Iliopsoas syndrome is caused from an abrupt contraction of your iliopsoas muscle, which results in a tear or rupture of your muscle (normally a partial tear where your muscle and tendon connect).
Do You Really have Hip Bursitis?
Pain, swelling and inflammation in your hip could mean that you have hip bursitis. It's also important to consider that there are other conditions that might cause pain in your hip as well. You hip is a complicated joint with 5 bones, 17 muscles, numerous tendons, ligaments and bursae connecting your leg bone (femur), pelvis and spine all together. With so many connections of tissue to the bone it's easy to see why any pain in the hip can be bursitis or some other injury in the same area. You may even have bursitis AND another hip condition at the same time.
The only way you can know for sure whether you have hip bursitis is if you get a proper diagnosis for the condition by your doctor. Some other hip injuries include:
Crystal Deposits in the Joint - Rheumatoid arthritis or gout can cause iliopsis bursitis. Some people with diseases such as rheumatoid arthritis, gout or scleroderma may contract bursitis from crystalline deposits in the joints. Although not much is known about how this process happens, it is common knowledge that uric acid is a normal byproduct of daily metabolism. If you have gout, you are unable to break down this uric acid properly, leading to crystalization of this excess acid which deposits in joints. This can cause joint pain that can often lead to bursitis.
Excessive Friction - Iliopsoas bursitis and iliopsoas tendonitis are often caused by excessive rubbing against a broad, shallow groove over which your iliacus and psoas major pass (the pubic iliopectineal eminence). The tendon may first become irritated and inflamed, leading to swelling and increase friction on the iliopsoas bursa underneath.
Leg length discrepancies may result in a skewed gait (abnormalities in the way you walk) which can cause more pressure on the iliopsoas bursa than usual. In addition, age and degenerating tissues often causes a decrease in your tendon flexibility can change the movement in your hip joint, leading to excess friction on the tendon and bursa.
Iliopsoas tendinitis and/or bursitis are common during growth spurts when you are younger because your biomechanics are altered around the hip area. The tendons and muscles area tight, the pelvis begins to tilt, and the rest of the lower body goes out of alignment. This can affect the lower back, hip joints, knees and your gait which can result in lower body joint issues.
Hip Tendonitis - is a condition where you experience pain, swelling and inflammation from damage or micro-tearing of one or more of the tendons in your hip. The tendons in your hip connect muscle to bone and when these tendons are injured they usually cause pain and tenderness at the front, side and back of your hip, and even into your buttocks as well. If you have hip tendonitis, you could be suffering from different kinds of tendonitis including iliotibial band (IT band) tendonitis, gluteus medius tendonitis, or hip flexor tendonitis (iliacus tendonitis or iliopsoas tendonitis).
Snapping Hip Syndrome - Snapping hip syndrome is when you feel a snapping sensation or hear a popping sound in your hip when you walk, get up from a chair or swing you leg around. This feeling and/or sound is made by a tendon in your hip as it moves over a bony bump. Most of the time this is more annoying than painful. However long-term snapping/popping can lead to hip bursitis, a condition that is very painful.
Greater Trochanteric Pain Syndrome - (GTPS) causes chronic pain on the side of the hip. Symptoms of GTPS include constant pain in the side hip that travels along the whole side of the thigh to the knee and occasionally below the knee and/or buttock. If you have this condition you will probably feel very specific point tenderness on the side of the hip.
Hip Arthritis - Joint pain and can be described as a dull aching pain in the groin, outer thigh, or buttocks. You may feel more pain in the morning that could get worse as the day goes but generally lessens as you get more active. Doing anything vigorous can result in pain, stiffness and may limit your movements or make walking difficult. Arthritis means inflammation of a joint and there are a number of types of arthritis of the hip - including:
- Osteoarthritis - the inflammation happens as the smooth covering (articular cartilage) on the ends of bones wears away.
- Rheumatoid Arthritis - an immune system disease that usually affects multiple joints on both sides of the body at the same time.
- Ankylosing Spondylitis - a chronic inflammation of the spine and the point where the spine meets the pelvic bone (sacroiliac joint) that can also cause inflammation in other joints
- Systemic Lupus Erythematosus - an autoimmune disease in which the body harms its own healthy cells and tissues
Labral Tear - The labrum is the cartilage that surrounds the hip joint. If you have a tear in your labrum you may feel a catching sensation and pain in the hip joint, groin, stiffness and limited range of motion of your hip. Any changes or abnormalities in the physical structure of the hip can lead to a tear in the labrum cartilage.
Osteonecrosis - A disease that affects blood flow to an area of bone. This lack of blood flow to the bone in the hip joint causes the cells to die and the bone may eventually collapse. Osteonecrosis is a condition that develops in stages, general hip pain is usually felt first that may progress to a dull ache or throbbing pain in the groin or buttock area. If you have this condition you may also have more pain and find it difficult to stand and put weight on you hip. Moving your hip joint will also be painful. These stages can last anywhere from several months to over a year. Early diagnosis of this disease provides a much better outcome with consistent, proper treatment.
Fractured Hip - De-generative hip fractures are most common in elderly patients with osteoporosis. Treatment of broken hips requires surgery to either replace the broken portion or repair it with a metal plate and screws. Stress fractures of the hip are most common in athletes who participate in high-impact sports, such as long distance runners. Treatment is usually successful by avoiding the impact activities.
How Do You Treat Hip Bursitis?
What You Can Do!
The good news is that most cases of hip bursitis will heal with simple home conservative treatments and surgery is often not needed!
First you need to stop the activity that is causing your pain and rest your hip. Focus on treating the symptoms of your bursitis and any other soft tissue injuries you may have in your hip. Make sure to completely reduce inflammation, tenderness and swelling-induced pain first before switching to a goal of healing your bursitis injury.
With bursitis injuries, you might feel the swollen and tender feeling for a long time and it will be hard to treat your condition because your bursa will be sensative to all other therapies outside of cold compression. When introducing other therapies make sure to first treat with cold compression to reduce any lingering affects of the inflammation and then an hour or so later give your bursa a soothing BFST® treatment to heal your bursa and the surrounding tissue.
When it comes to temperature therapy what's better to treat your hip bursitis - heat or cold?
Cold Compression Therapy with a Back/Hip Freezie Wrap®
RICE (Rest, Ice, Compression, Elevation) has been recommended for years by doctors, trainers, and other medical professionals to treat the pain and swelling, chronic pain from injury and after any re-injury. Bursitis injuries need rest and time for the tissue to heal.
Although RICE can help to treat these symptoms, ice and freezer gel packs reach temperatures so low they can cause cryoburn, an ice burn on your skin. The problem is, up until now there hasn't been any other option to treat painful conditions and injuries, so ice and blue gel packs (full of anti-freeze and chemicals) have been the only choice up until now.
Fortunately you no longer have to settle for these ice cold methods that are uncomfortably cold against your skin, provide short term relief, cause ice burns, numb your skin and underlying tissue beyond feeling so you don't even notice the ice burn until it's too late and pool around your injury putting the cold everywhere except for where you need it most.
A Back/Hip Freezie Wrap® allows you to treat your hip in an effective and convenient way. Our Freezie Wraps® will wrap around your hip keeping the cold right over your bursitis injury for the entire length of your treatment. Our food-grade, non-toxic gel packs can be chilled in the fridge or freezer to tailor the amount of cold that you need for your injury. It doesn't matter how you cool it down, because our gel packs are chock full of gel that's designed to cool down into millions of tiny snowflakes. This method of cooling means our gel packs aren't icy-cold and stay flexible even right out of the freezer! The cushioned gel will wrap around your shoulder and it won't budge for the entire treatment period. You'll no longer have to deal with annoying pooling around your shoulder or have to hold a hard block of ice on your injury!
Tailor your treatment to your own level of comfort - use a Back/Hip Freezie Wrap® out of the fridge OR freezer. It's important to treat yourself with whatever your body is comfortable with. So if that means you can't handle a lot of cold, then use your cold packs for 10 minutes out of the fridge instead. You'll stil get all the benefits of cold compression therapy but with a treatment that's tailored for your needs. It's as simple as that.
Cold Compression Therapy with a Freezie Wrap® works by stopping and slowing nerve and cell function in the area and reducing swelling that can block blood vessels.
This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood through the tissue and tissue cells begin to break-down. Without cold compression therapy cellular break-down and tissue damage continues as the cells don't get the oxygen they need to survive. By limiting the amount of damage done to your bursa, you also limit the amount of healing that needs to occur. This is a very important step to heal bursitis injuries faster and with less pain! This is why you need to treat your hip bursitis pain right after it's hurt, when you notice pain / swelling / inflammation, or directly after a re-injury. Applying a Back/Hip Freezie Wrap® right away will stop the damage immediately and unblock your blood vessels to let your body's natural blood flow in to start healing the tissue.
BFST® with a Back/Hip Inferno Wrap®
After the inflammation in your bursa has been reduced, providing extra blood flow and helping to heal your damaged bursa is recommended for complete healing.
Using Blood Flow Stimulation Therapy™ (BFST®), will help with your recovery and heal your damaged tissue more completely. BFST® increases the amount of blood that flows naturally to your bursa and soft tissue to nourish your injury, improving elasticity and speeding the healing process. This increased Blood Flow Stimulation Therapy™ to your bursa is greatly needed.
The only way to get BFST® is through use of a Back/Hip Inferno Wrap®. The Back/Hip Inferno Wrap® is the only treatment method that improves blood flow and circulation on a deep tissue level. Other methods of warming / heating tissue (hot water bottles, hot baths, etc) will only ever increase blood flow on a surface / skin level. These methods need a LOT of time to even reach your bursae on a deep tissue level. And even if you were to use them this long your skin would heat up to an uncomfortable level and may even burn you.
The best source of heat treatment is from a product where you don't even feel that much heat. When you don't feel the heat, it means the therapy is working in your deep soft tissue which is really where you need it. It's kind of like how your heart works in your body. You can't "feel" your heart pumping blood all around your body to your arms and legs. You can't even hear your own heartbeat without listening very closely. This is exactly how deep tissue BFST® works too! You're not supposed to "feel" a lot of heat because the heat isn't treating your skin, it's treating your damaged bursa by increasing the blood flow right in your soft tissue. Over time with consistent treatments you'll even notice that the warmth you feel from BFST® will decrease. This is a sign that you've successfully increased blood flow right at the source of your pain and your body is doing everything it can to speed up the healing process.
The Back/Hip Inferno Wrap® is the only product available anywhere that offers BFST® AND a thin, flexible Energy Web® (heating element) that conforms around your hip.
This Energy Web® also provides consistent, uniform heat all around your hip to increase blood flow in the entire joint.
Our Back/Hip Inferno Wrap® is made from medical-grade material - this should be as important to you as it is to us! Other products that are sold in stores are considered "consumer goods" meaning the material only needs to be as good as a sweater that you wear. Clothing articles like this don't need to meet high standards of production or materials and may include materials that irritate your skin.
Since our wraps are medical-grade products registered with the FDA, they are of a higher quality and need to meet way more standards for manufacturing (ISO 10993 - biocompatibility testing). This makes our wraps the safest product for heating treatment. Our manufacturer has spent years perfecting the wrap design to make sure you get the treatment you deserve!
Our Hip Bursitis Therapy Formula
is Proven to Work!
It may seem hard to believe, but our Back/Hip Freezie Wrap® and Back/Hip Inferno Wrap® home therapy products will assist you in recovering from your hip bursitis by maximizing blood flow where it's needed most and reducing your swelling and inflammation induced pain.
Here at AidMyBursa we pride ourselves in helping you with your healing and recovery process. Everyone at AidMyBursa has tested and used the products, finding solutions to conditions that do not fit into the norm. This dedication to our customers and our products goes hand-in-hand with our guarantees to you as a customer:
- Guarantee #1 - Use your products diligently for up to 60 days and you will experience a significant reduction in pain. If not, we encourage you to send back the items for a 100% refund.
- Guarantee #2 - You will not be left in the dark after purchasing any product form us. AidMyBursa Advisers and Product Specialists are available 7 days a week by toll free phone 1.866.237.9608 or email to answer your questions or concerns.
- Guarantee #3 - Your order is guaranteed to be shipped within 24 hours on every business day.
- Guarantee #4 - All purchases receive a one year, full replacement warranty with guaranteed, prompt service.
- Guarantee #5 - You could save hundreds of dollars and possibly more, by utilizing our products, and getting back to work sooner.
Continue the healing process by resting your hip. Limit the activities that may be aggravate your hip. Without proper rest and limitation on activities, being active as if your hip is healthy can lead to re-injury. To get back to doing the things you love you need to give your body proper care and attention. Why risk having to limit or give up your favorite weekend activity, your exercise routine, or even your job due to a bursitis injury?
Prevention and Promotion of Lifelong Health
If you want to avoid re-injury, or manage pain and increase circulation for lifelong health benefits, a Back/Hip Freezie Wrap® and Back/Hip Inferno Wrap®, will provide exceptional results. Why spend time in pain, off from work, and missing out on your active lifestyle when you can be proactive about your injury and the health of your body? Talk to your doctor about incorporating a regular routine of using a Shoulder Freezie Wrap® and Blood Flow Stimulation Therapy™ into your everyday health regimen.
Call one of our AidMyBursa Advisers at no cost or obligation to address any lingering questions you have about using heat or cold for your hip injury - toll free 1-866-237-9608
Learn More About SUPERIOR Bursitis Treatments
Learn more about how the Back/Hip Freezie Wrap® is designed to be the most effective cold compression wrap on the market today.
Learn more about how the Back/Hip Inferno Wrap® helps with the healing process.