Spit bursitis is an inflammation of a fluid-filled bursa sac that surrounds the upper part of the femur, called the greater trochanter. The spit bursa helps the connective tissue to glide smoothly over the joint at the outer point of the thigh, which is why it is also called hip bursitis when it becomes inflamed. This is a common cause of hip pain, which makes walking, running, and activity difficult. The fight against bursitis symptoms revolves around home care and treatment for trochanteric bursitis.Types of bursitis
change activities and exercises
1.Avoid injury from overuse. One of the main causes of trochanteric bursitis of the hip joint or any other large joint is the repetitive movements that stretch the tendons and inflame the underlying bursa sacs. This can happen with a lot of jogging, biking, climbing stairs, standing, especially on hard surfaces. Therefore, do not overdo it at work or while playing sports.
- Run-on softer surfaces (such as grass or a treadmill) if you are a runner. Reduce your mileage if you start to feel pain in your thigh.
- You may need to adjust your bike seat or get a better suspension if cycling causes hip pain.
- If you are standing for long periods of time, such as a cashier or something similar, place a rubberized or soft mat on the floor of your work area so that it acts as a shock absorber.
2.Practice good posture when treating trochanteric bursitis. Another major cause of trochanteric bursitis is poor posture. If you always lean on one side while standing, usually cross your legs while sitting, have scoliosis in the spine, suffer from hip or knee arthritis, have flat feet, or you have one leg less than the other, then you will be much more likely to develop trochanteric bursitis.
- Do not forget to stand and sit straight, as leaning on one side; you should put more pressure on the hip joints.
- When one leg is significantly shorter than the other (due to a leg injury, arthritis, or flat feet), it negatively affects how you walk, which leads to irritation of the hip joint.
- Shoe orthopedics (inserts) can support the arches of your legs and adjust your short leg, which reduces the risk of trochanteric bursitis.
3.Consider joining a yoga class. Exercising and stretching the muscles around the hip joints can help reduce pressure on the joints and associated bursa sacs. Gentle forms of yoga can improve trochanteric bursitis, increasing flexibility and reducing muscle tension around the hip joint.
- Before joining a yoga class, ask your doctor if movements are suitable for your bursitis. You may need to limit certain poses. A yoga instructor may also be familiar with what to focus on and what to avoid.
- Avoid “intense yoga” classes because they can be too energetic and higher temperatures can inflame your spit bursitis.
- Other soft exercises, such as Pilates and tai chi, can also improve the strength of the muscles and ligaments around the hips and reduce tension and inflammation caused by repetitive movements.
Treatment of trochanteric bursitis at home
- Apply cold therapy. Since bursitis is an inflammatory disease, applying ice (or something cold) over the affected area helps to reduce swelling and associated pain. Apply a bag of crushed ice or ice cubes to the area for approximately 15 minutes or until it feels numb. Reapply three to five times a day or as needed.
- If you do not have ice in your home, consider using a frozen bag of fruits or vegetables as a cold therapy.
- Always cover ice and frozen packets with a thin cloth to prevent frostbite on the skin.
- Take an anti-inflammatory medicine. In addition to cold therapy, another way to fight inflammation and pain of trochanteric bursitis is to take over-the-counter anti-inflammatory pills such as ibuprofen. The medicine is a short-term solution for bursitis and should not go beyond a few weeks to avoid side effects.
- Side effects of anti-inflammatory drugs include stomach irritation, diarrhea, skin rash, blurred vision, and decreased kidney function.
- Take anti-inflammatory drugs with food and ask your doctor about the appropriate dosage – do not go over the recommended daily dose.
- Use a cane. When working with spit bursitis, you may have to rely on supportive devices such as a walking stick. Temporary use of the cane will ease pressure on your thigh and help you fight inflammation and pain. Use a cane on the side when treating trochanteric bursitis to support as you walk and stand. Make sure your cane is correctly matched — you must fully extend your elbow when your cane supports your weight.
- If both thighs are inflamed with bursitis, which is quite unusual, consider using crutches or assistive walkers instead of a cane.
- A cane can be purchased at most pharmacies, as well as in medical stores. Contact your doctor or chiropractor for more information.
- Lose weight. Weight loss is not a short-term solution to cope with trochanteric bursitis, but it can be of great importance in the long run. Especially if your bursitis is chronic and continues to recur. Excessive body weight puts more pressure on the hip joints and increases the likelihood of developing arthritis and bone spurs – the main risk factors for hip bursitis.
- Any weight exercise (such as walking) tends to be very painful with bursitis, so think of swimming as an activity to lose weight, because your body is essentially weightless in water
- In addition to burning more calories with exercise, you should also consume fewer calories with a diet in order to have a better chance of losing weight.
- Eat more fresh vegetables, lean fish, low-fat dairy products and whole grains. Avoid processed foods. Drink more water and less soda and energy drinks.
Medication for trochanteric bursitis
- Talk to your doctor about steroid injections. If your trochanteric bursitis does not disappear within a few weeks and does not improve with home care, your doctor may recommend injecting corticosteroids directly into the thigh bursa to relieve inflammation and pain. Corticosteroid injections, such as triamcinolone, methylprednisolone or cortisone, are powerful anti-inflammatory drugs that act quickly.
- Injections are carried out in the doctor’s office, and often this is all that is required for quick relief, which can last for months or completely solve the problem.
- If trochanteric bursitis returns, another injection or two may be given, but it is recommended that a gap of several months be made between treatments to reduce the risk of side effects.
- Side effects of corticosteroid injections include potential weakening of the tendon and muscles, local infection, water retention, and weight gain, and a decrease in the function of the immune system.
- Get a referral to physiotherapy. If your doctor does not recommend steroid injections (or they do not help much), he will most likely give you a referral to a physiotherapist. He can teach you specific exercises to increase the strength of your hip joint and show you various stretch marks for increased flexibility. A physiotherapist can also use therapeutic ultrasound on the hip joint, which can alleviate symptoms and potentially reduce sore bursa.
- The physiotherapist will also pay special attention to stretching and strengthening muscle groups, as this is the main source of inflammation in bursitis of the spit.
- Physiotherapy is usually required three times a week for three to four weeks to have a significant effect on trochanteric bursitis.
- After you learn the exercises and stretching, you can continue them at home if they are effective.
- Consider surgery as a last resort. Sometimes with severe and stubborn cases of trochanteric bursitis, surgery may be required. Surgical treatment of trochanteric bursitis usually consists of open or arthroscopic processing (cleansing) of the bursa, lengthening a muscle group, treatment to prevent friction, and a large trochanter. Treatment for trochanteric bursitis
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