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    Old 02-02-2007, 02:13 PM   #1
    right hip pain
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    Trochanteric Bursitis

    Hello, this is my first post. I fell and broke my right hip almost 2 years ago and had a titanium hemi-arthroplasty (ball and stem). After surgery I recovered very quickly and had home health care (not a caregiver, just visiting PT, OT and nurse) for 4 weeks. My insurance company nursecall line suggested waiting 6 months to start "aggresive" PT.

    I seemed to be recovering very well, but all of a sudden 6 months after surgery I could not walk downhill without pain and weakness and feeling as if I were going to fall. My surgeon, whom I liked very much, left the area and the doctor who took over for him was very rude to me; I was able to contact my surgeon who said it sounded as if I had trochanteric bursitis and to get a cortisone shot from a doctor friend of his for the pain.

    I had two cortisone shots from that doctor, a few weeks apart, and one right in the bursa from my rheumatologist, which was excruciating, but it did nothing for the pain. I had physical therapy for 10 months and although that improved my balance, it did nothing for the pain. I cannot take narcotic pain meds because they cause digestive problems and obviously use of NSAIDs on a daily basis is bad for the gastrointestinal tract.

    I happen to have a doctor in Germany whom I saw for an unrelated condition a little over two years ago and she is an orthopedic specialist. I was there last summer and she spent a lot of time examining me and said she had never seen a worse case of trochanteric bursitis in her practice and her only suggestion was to get acupuncture for the pain.

    I have been getting acupuncture on a weekly basis for 6 months and although I feel better after a treatment, still have some pain all the time, except when I am lying down or sitting on a special pillow prescribed by my physical therapist. Anyone else have this problem and did anything other than pain drugs, cortisone shots or acupuncture help you?

     
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    Old 02-03-2007, 04:59 PM   #2
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    Re: Trochanteric Bursitis

    Activechick, the type of physical therapy I had was exactly that -- soft tissue manipulation to get rid of the scar tissue (I felt as if I had a canteloupe in my hip when I started). Then we did stretching and some exercises. But I still was in pain and my therapist wanted to work on my back and accidentally re-injured my shoulder (I had a partially torn rotator cuff) which is when I consulted my doctor in Germany and she recommended acupuncture.

     
    Old 02-06-2007, 03:56 PM   #3
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    Re: Trochanteric Bursitis

    Oh, man, I can't believe your PT reinjured you! I've had such good luck with my PTs. It sounds like the augmented soft-tissue stuff was actually working, is that true?

     
    Old 02-07-2007, 01:55 PM   #4
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    Re: Trochanteric Bursitis

    Yes, Activechick, she did; it was accidental. She wanted to work on my back (I have an old stress fracture of my right sacroiliac from 23 years ago) but I cannot lie on my stomach because it twists my neck and aggravates the rotator cuff injury. The soft tissue manipulation did, however, get rid of the "canteloupe" feeling in my hip; it is not hard and lumpy any more.

    I was Googling my problem again and found some sites that suggested ultrasound; my acupuncture doctor shares an office with a chiropractor, and I don't trust chiropractors so it's a bit awkward (he has an ultrasound machine) but I told her I wanted to ask my orthopedic doctor if it would be safe and his medical assistant said yes.

    Unfortunately when we tried it, it was excruciating; it felt as if the ultrasound was trying to pull the prosthesis out; I guess the sound waves vibrated the implant (I have uncemented titanium). So I just had an acupuncture treatment and I do feel better after them but am growing tired after almost 2 years of being in pain. I thank you for your answer but I was hoping to get other suggestions.

     
    Old 02-08-2007, 09:42 PM   #5
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    Re: Trochanteric Bursitis

    I damaged my bursa,but finally got to shots and it helped tremendously.
    I still have somewhat problems at times. I found at sitting and laying on my bad side if I tuck a corner of a pillow or bedcovers,whatever on the opposite side it helps. Try the side of a flat pillow too. I don't put the whole pillow just a edge of it.
    Hopes this helps.

     
    Old 02-17-2007, 09:30 AM   #6
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    Re: Trochanteric Bursitis

    Quote:
    Originally Posted by right hip pain View Post
    Hello, this is my first post. I fell and broke my right hip almost 2 years ago and had a titanium hemi-arthroplasty (ball and stem). After surgery I recovered very quickly and had home health care (not a caregiver, just visiting PT, OT and nurse) for 4 weeks. My insurance company nursecall line suggested waiting 6 months to start "aggresive" PT.

    I seemed to be recovering very well, but all of a sudden 6 months after surgery I could not walk downhill without pain and weakness and feeling as if I were going to fall. My surgeon, whom I liked very much, left the area and the doctor who took over for him was very rude to me; I was able to contact my surgeon who said it sounded as if I had trochanteric bursitis and to get a cortisone shot from a doctor friend of his for the pain.

    I had two cortisone shots from that doctor, a few weeks apart, and one right in the bursa from my rheumatologist, which was excruciating, but it did nothing for the pain. I had physical therapy for 10 months and although that improved my balance, it did nothing for the pain. I cannot take narcotic pain meds because they cause digestive problems and obviously use of NSAIDs on a daily basis is bad for the gastrointestinal tract.

    I happen to have a doctor in Germany whom I saw for an unrelated condition a little over two years ago and she is an orthopedic specialist. I was there last summer and she spent a lot of time examining me and said she had never seen a worse case of trochanteric bursitis in her practice and her only suggestion was to get acupuncture for the pain.

    I have been getting acupuncture on a weekly basis for 6 months and although I feel better after a treatment, still have some pain all the time, except when I am lying down or sitting on a special pillow prescribed by my physical therapist. Anyone else have this problem and did anything other than pain drugs, cortisone shots or acupuncture help you?

     
    Old 02-17-2007, 09:43 AM   #7
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    Re: Trochanteric Bursitis

    I have been suffering from bursitis for the last three months and mine has been caused by the soft tissue rubbing against the new hip. It was fine until I started walking five miles. I had a thrust plate prosthesis and the implant is attached to the bone by screws and a plate just below the level of the hip. My physiotherapist has given me an insole to throw the weight to the outside of the foot, but in my case it has not improved the pain. I have been told to strengthen the glutial muscles so that I use the correct muscles when walking. The physio said that the implant has changed the mechanics of my muscles and I'll be lucky if anything works. This is quite depressing as I had hoped to get back to hiking. Hope you have better luck.

     
    Old 03-06-2007, 11:41 AM   #8
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    Re: Trochanteric Bursitis

    I have the same problem and I am looking for help. I fell down the stairs 2 yrs ago and was diagnosed with chronic gluteus medius tendonitis in my right hip. I have had 3 shots of cortisone in the last year and the last one was the worst pain I ever felt. any suggestions???

     
    Old 03-06-2007, 09:57 PM   #9
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    Re: Trochanteric Bursitis

    Ah now here is somethign I can relate to. I have suffered with bursitis in my left leg/hip for over five years.
    My doc kind of blew me off in the begining. She left and I got a new doc. told this one on a scale of 1 to 10 my pain is a 25. So she finaly beleived me and sent me for an MRI. Yep there was the bursa all inflamed.

    So I went the physical therapy route. That worked for a while, but the relief never lasted long. Went for the cortisone (spelling?) shots. And they really did help. I could go for six months or so without needing another. Then after about two more years it got worse. Rhematologist sent me to a orthopidic. He just gave me a shot and said well you can move your leg and all so not much I can do. I was like yea I can move it but it hurts like hell.

    Well to make a long story kind of shorter, lol. The pain got so bad that this past year she gaev me the shot and within the next month it was like I never had gotten the shot. I was in pain 24/7. Sitting hurt, walking hurt, climbing stairs was a killer.
    So she said there was no more she can do, the shots are not supposed to be a life long thing. And sent me off to an orthopedic again.

    This time though it was a different one. And he said I have two choices, live with it. OR get the bursar removed. So I opted for the surgery. That was done on Jan 9.
    Now the bursitis pain is gone. But the leg is still very stiff, especially in the morning. Most of which is from the surgery itself. I am doing physical therapy to strenghten it back up.
    I am very happy with the results. And if I have the issue creep up on me with my right leg I would not hesitate to get it done again.

     
    Old 01-04-2008, 05:48 AM   #10
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    Wink Re: Trochanteric Bursitis

    Finally, someone who not only understands the pain I have but, unfortunately, has the same pain. After falling down cement stairs and breaking my left hip, I had a total hip replacement in 2004. A year later, I dislocated that hip. Boy, was that pain ten times worse than when I broke it. It was around that time that I noticed the extreme pain in the bursar area of my left hip. Physical therapists, and my surgeon were without any idea of the cause of it. To make matters worse, because my doctor did not acknowledge the pain, my attorney refused to believe I even had the pain. You can guess where that is heading, but I won't go there.

    After going for injections, visiting other surgeons, therapy, I made an appointment with my initial surgeon and insisted he look into the pain. He has just arranged for me to have a bone scan, MRI, blood work and an aspiration (which sounds too painful and I probably will pass on that one).

    While I do not have the results yet, I am very pleased to hear other people experiencing the same pain. Of course I am not happy they are having the pain, just happy to finally hear it is not in my head.

     
    Old 07-21-2009, 01:18 PM   #11
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    Re: Trochanteric Bursitis

    heyy ii know what ur all going threw becauseee ii am 15years old and ive had the operation on my hip to remove the bursa.. this is how it began....

    3yearsss ago ii was getting pains all down my right side of me,, ii was back and for to the doctors for ages,, until they said they think they had found out what it was, they took my appendix away,, ii rested for 6 weeks and ii never had no pain, buh as soon as i started walking again it was back, i was well upset because i throught that was the end of it, i was then told i had a stomach migrane,, and ii was put on a diet and everythinggg buhh it still didn go,, until they found out a nurse said to the doctor that it was my hip not my stomach,, so i was then refured too a consultant, and ii was told by the doctor if the needle they was gonna give me ( cortazone injection ) didnt work he want me refured to a child sakiatrist because he throught it was all in my head because i could pin point the place of pain, and that injection work for three months i finally had my life back,, buhh after three months the pain was back again so the doctor tryed another injection buhh this one didn work,, ii wass well sad becausee ii was going on holidayy,, ii was sent to physio classes i done one class and was stuck in bed for a week soo the phrepist refused to touch me again and sent me back to my consultant, they couldnt do nothing else for me exept an opertaion,, so ii took the chance of having not knowning if it was going to work or not,, ii was fine for the first 2 months after my op,, buhh coming up too 3 monthss now,, ii was sent to hospital because they throught i had a abcuss or infection where i had my operation, but it wasn that they said i done to much because nothing showed up in my bloods, now a week on with being told that its still the same,, its hot and red,, and veryy sore too touchh,, ii have been told to stick ice packs on it for the swelling to go down, buh its not workingg,, ii am going to see my consultant on tuesdayy to find out whats going on...
    ii have now seen my cusltant today and he sending me for a MRI scan,, because he is not happy with my leg,, i have photos of what my leg loooks like,, and it is awful could u pleasee helpp me have u got any tips,,

     
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