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Knee & Hip Problems Message Board
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Old 10-12-2008, 08:02 PM   #1
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mart15 HB User
Hip Bursitis

Hi all-

I'm pretty sure I have hip bursitis now and was wondering if anyone else has experience with this. I've had knee problems and multiple surgeries over the past 3 years and have been limping as of late. Recently fell and broke some bones in my foot and messed my knee up even further so have set a date for a TKR in 2 weeks. With all this going on the bursitis was just briefly discussed with my OS since I have more urgent problems at the moment. So it really doesn't surprise me that I have it considering. Anyway I have read cortisone shots into the hip helps but does anything less invasive help? Is this going to be a chronic problem forever or will things get better once I"m walking properly? I notice it mostly at night sleeping. If I lie on that hip I'll get a deep down burning pain and my hip down to my knee will go numb. Can't really say it hurts so much when walking because everything right now hurts! Any opionions?

Mart

 
Old 10-12-2008, 10:00 PM   #2
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katlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB Userkatlin09 HB User
Re: Hip Bursitis

Mart

Yes I would definitely say this is bursitis. I have it in both hips. It is caused by your gait being off from the knee pain and limping, or adjusting your walk for the knee pain. Laying on the hip at night is definitely the worst, you wake up with pain that is just over the top, and to try and move to aleve the pain is very hard. I've had cortisone injections, mainly because mine got very very bad, and it was hard to sit or bend. What I used before it got to that point were the thermacare heat wraps which you can get at any chain pharmacy. You can wear them under your pj's and they're great, they last all night long and keep heat on the hip. Also putting pillows up against you so you don't roll over on that hip is another trick I used to use. Unfortunately the only way to get it better is to get your knees better. I'm just 6 weeks from my last major knee surgery and in an immobilizing brace so i'm forced to sleep on my back, and that's helped the bursitis. But normally I'm a side sleeper. The other thing I would do was take Advil for the inflammation, but since you're having surgery in 2 weeks, you shouldn't do that, but afterwards it may help.

That's all I can think of, except that it's not permanent. Good luck on your surgery and let us know how it goes.

 
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Old 10-13-2008, 03:23 PM   #3
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Re: Hip Bursitis

About 9 months after TKA I started having hip pain. Everyone thought it was an adjustment to my gait. I went through every treatment for the hip over the next year. I started with anti inflammatory and glucosamine. My OS said the glucosamine worked for some and to try it for 6 weeks. If it didn't help just to stop taking it.

I was given Capsation (sp?? Hot Pepper cream) to rub on the hip during the day and I used my cryotherapy unit at night. It was my understanding that heat was helpful when you had it on your hip but ice gives more lasting effect.

I had my othodics posted to position my foot correctly and I did physical therapy for 6 weeks.

I had a cortisone injection and an intra-articular injection. Then they decided to do a CT scan and MRI. It showed sever osteoarthritis and labal tear. This didn't show on the x-ray.

My OS told me I had done everything and the only thing left was hip replacement. I went to another OS for a second opinion and he referred me to a well know specialist in hip arthroscopy.

The specialist to whom I was referred is probably the foremost authority on hip arthroscopy in the US. He wrote the book used in medical school on hip arthroscopy and has been doing them for about 20 years. Most of his patients are former professional athletes, coaches AND OS's . OS don't recommend hip arthroscopy because they don't think it is very effective. He wants OS to consider femorpalsty before doing total hips. It is more technically complicated than knees. I think it is not recommended because so few are actually done and the OS are not as experienced as he in the surgery.

Because I am only 58 he thought I would be a candidate for femorplasty. I haven't had any hip pain at night since the surgery. I have had some pain in the day when I over-do-it but when I rest it for a day it is back to normal. The recovery is longer than TKA. I have been in physical therapy for 12 weeks and will not be 100% until 9-12 months after the surgery. He wasn't sure how long the hip would last but thought I would be abel to have 1 more femoplasty. Said we would need to "wait and see" but he thought I might not ever need hip replacement.
__________________
L.Knee: Arthroscopy: '98, '04, '06; ACLrecon: '02; TKA:'06
R.Knee: Arthroscopy: '06; TKA indicated
R Hip: Arthroscopy '08;

Gymnastics is fun at 18 but not at 40.

Last edited by lthomas; 10-13-2008 at 03:27 PM.

 
Old 10-13-2008, 08:00 PM   #4
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mart15 HB User
Re: Hip Bursitis

I have never heard of femorplasty. I'll have to look it up. Is it the new hip resurfacing I have read about. Actually my boss's wife just had it done by the same dr who is doing my knee and she has had great results from the procedure. But one surgery at a time please!!! This will be my 4th knee surgery in 3 years. Too bad we didn't just start out with a TKR and I could have avoided all the other surgeries and hip problems. Oh well.....

 
Old 10-14-2008, 07:42 AM   #5
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lthomas HB User
Re: Hip Bursitis

Femuroplasty (I mispelled it in the prior post) is an arthroscopic surgery for resection of a cam lesion and impingement. I also had a labral repair and a partial synovectomy. It is something like plastic surgery. Like I said, it was a very technically demanding surgery. As with all arthritis you have damage to the cartilage but this surgery is to reduce the wear in the joint by removing the bone ridge that has developed on the femur. There is a an organization, The American Osteopathic Academy of Orthopedics, that is made up of Osteopathic Specialist and reports the advances in hip arthroscopy,
__________________
L.Knee: Arthroscopy: '98, '04, '06; ACLrecon: '02; TKA:'06
R.Knee: Arthroscopy: '06; TKA indicated
R Hip: Arthroscopy '08;

Gymnastics is fun at 18 but not at 40.

Last edited by lthomas; 10-14-2008 at 07:42 AM.

 
Old 11-21-2008, 07:46 AM   #6
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ChickyChat HB User
Re: Hip Bursitis

I had a hip bursectomy with IT band lengthening three days ago and I'm doing great so far. I would suggest that when you have the knee surgery, get cortisone shots in both hips while you are under. The shots for the bursitis don't go into the joint so they aren't in a spot that can harm the joint. I am the cortisone queen, having had 15 shots in each hip before surgery.
Good Luck!

 
Old 11-30-2008, 04:47 PM   #7
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ChickyChat HB User
Re: Hip Bursitis

Quote:
Originally Posted by ChickyChat View Post
I had a hip bursectomy with IT band lengthening three days ago and I'm doing great so far. I would suggest that when you have the knee surgery, get cortisone shots in both hips while you are under. The shots for the bursitis don't go into the joint so they aren't in a spot that can harm the joint. I am the cortisone queen, having had 15 shots in each hip before surgery.
Good Luck!
Wow, I must have still been out of it three days after surgery. It's been almost two weeks now and I don't even remember posting this! HA...
My Hip is totally pain free now! Thank GOD!

 
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