A 32-year-old member asked:
How does your hip bursitis diagnosed?
5 doctor answers • 9 doctors weighed in
Dr. Robert Purchaseanswered
Orthopedic Surgery 25 years experience
History and exam: A doctor can usually diagnose hip bursitis by talking to you about your complaints and then examining your hip. The doctor may also get an x-ray. Hip bursitis usually causes pain on the outside of the hip that is worse when you lay on that side. On exam, there is usually tenderness over the boney prominence on the outside of the hip.
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6k viewsReviewed >2 years ago
Dr. John Goldmananswered
Rheumatology 57 years experience
Examination: The hip has many bursas, but the most common one is the trochanteric bursa. The physican examination can usually make the diagnosis but there are settings where the diagnosis is not clear. If the examination is not certain then imaging - x-ray, ultrasound, MRI may clarify the diagnosis. Therapy includes exercise, sometimes injections, sometimes medications. Correct diagnosis = correct rx.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
Dr. Paul Slawekanswered
Radiology 56 years experience
Clinical + MRI: Clinical findings, hx, physical examination are where to start. If still doubt them MRI is best.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
Dr. Robert Purchaseanswered
Orthopedic Surgery 25 years experience
Clinically: After obtaining a history (talking to the patient about their complaints) and performing a physical exam, the diagnosis of hip bursitis is usually quite obvious. There may be a role for obtaining x-rays to rule out other hip problems, such as arthritis. Mri's may be useful in patients who have failed to improve to look for other problems, eg gluteus medius tears.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years agoMerged
Dr. John Goldmananswered
Rheumatology 57 years experience
Examine the bursa: The hip has a greater and lesser trochanter. Most bursitis pain we see in the hip is around the greater trochanter. The hip bursa is on the ouside of the pelvis. With bursitis there is pain, inflamation and swelling. The bursa is painful to touch, lying on the side, with motion and resistance. Even though swelling is said to occur i rarely see swelling when i ultrasound a painful hip bursa.
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5.9k viewsAnswered >2 years agoMerged
Similar questions
A 43-year-old member asked:
What can I do if I have been diagnosed with bursitis in my hip?
1 doctor answer • 2 doctors weighed in
Dr. Frank Holmesanswered
Sports Medicine 25 years experience
Injection: Steroid injection, icing, nsaids, core and gluteus medius strengthening and correction of a leg length discrepancy if present.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
Last updated Nov 28, 2018
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