For Providers
University of Iowa Family Practice Handbook, Fourth Edition, Chapter 16
Orthopedics: Hip: Bursitis of the Hip
David C. Krupp, MD and Mark A. Graber, MD
Departments of Family Medicine and Emergency Medicine
University of Iowa Hospitals and Clinics and College of Medicine
Peer Review Status: Externally Peer Reviewed by Mosby
- Clinically. Bursitis of the hip largely involves the trochanteric
bursa. Patients present with a history of pain with walking, running, or climbing,
They may also complain of pain when lying on the affected side. There is tenderness
over the greater trochanter.
- Treatment. NSAIDs are frequently ineffective but are worth trying.
The most effective treatment is corticosteroid injection into the bursa. Pal-pate
the bursa and inject triamcinolone 40 mg with 5 cc of bupivacaine into the
tender area. Pain is usually relieved immediately but may recur until the
antiinflammatory takes effect.
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See related Provider Topics Bones, Joints and Muscles or Bursitis.
See related Patient Topics Bones, Joints and Muscles or Bursitis.
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