Recommended treatments may include:
Rest and activity modification- When hip bursitis stems from injury or overuse, rest and other remedies to relieve inflammation are usually successful. People with hip bursitis should avoid activities that will aggravate and inflame the bursa.
Ice- Applying ice or a cold pack to the sore hip can help reduce local pain and swelling. This treatment is recommended after any exercise or activity that may inflame the hip bursa.
Non-steroidal anti-inflammatory drugs, or NSAIDs- Anti-inflammatory medications can reduce swelling and inflammation and relieve any pain associated with hip bursitis.
Aspiration to drain the hip bursa- If the hip bursa is significantly swollen, the physician may recommend aspirating, or draining, the bursa using a needle. A cortisone injection may be given following the aspiration.
Corticosteroid injection- If symptoms are not successfully treated with rest, NSAIDs, and/or physical therapy, a corticosteroid injection may be recommended. Because the affected bursa lies deep beneath the skin, the doctor may use ultrasound to accurately place the injection into the bursa.
Physical therapy- To help treat current bursitis and prevent future flare-ups a doctor may prescribe physical therapy. The goals of physical therapy may include strengthening the quadriceps and gluteal muscles and stretching the iliotibial band. Athletes may learn proper running and jumping form.
Weight loss- If excess weight is a possible underlying cause of hip bursitis, then losing weight can be part of a successful treatment plan.