Hip bursitis is a common cause of outer hip pain, especially in adults over 40 and those who are physically active. While often treatable with non-surgical methods, persistent or complex cases may eventually require surgery.
In this guide, we cover what hip bursitis is, how to treat it, and when to consider more advanced intervention.
What is Hip Bursitis?
Hip bursitis is the inflammation of small fluid-filled sacs (called bursae) that cushion the hip joint and reduce friction between muscles, bones, and tendons. The inflamed bursa hip that can make everyday activities uncomfortable.
There are two main types:
- Trochanteric bursitis – affecting the outer point of the hip (greater trochanter)
- Iliopsoas bursitis – located near the inner hip/groin area
These bursae can become irritated due to injury, overuse, or underlying joint conditions, leading to pain and reduced mobility. You can read more about the different types of bursae in the hip at the HOAG Orthopaedic Institute.
What Causes Hip Bursitis?
Common causes that can lead to bursa inflammation hip include:
- Repetitive motion or overuse (such as running or climbing)
- Direct trauma or injury to the hip
- Poor biomechanics or posture
- Hip surgery or implants
- Inflammatory conditions like rheumatoid arthritis or gout
To research further into the mechanics of the hip you can dive into this Versus Arthritis resource on hip pain.
Symptoms of an Inflamed Bursa in the Hip
Not sure if you have bursitis in your hip? Here are some tell-tale signs:
- Pain on the outer part of the hip, especially when walking or lying on the side
- Swelling or tenderness over the affected area
- A burning sensation around the inflamed hip joint
- Pain that worsens with repetitive motion or pressure
If you've Googled "Why is the bursa in my hip swollen?" you're not alone. These symptoms are classic for a bursa inflammation hip episode.
It’s also worth noting these symptoms can overlap with other issues such as tendinitis or early-stage arthritis, so accurate diagnosis is key.
How is Hip Bursitis Diagnosed?
A diagnosis typically involves:
- A physical examination
- Patient history and lifestyle assessment
- Imaging tests such as ultrasound or MRI scans to rule out other causes
At Orthopaedic Innovation, we offer specialist-led assessments and on-site imaging to ensure prompt and precise diagnosis.
Treatment Options for Hip Bursitis
Conservative (Non-Surgical) Treatments
Most cases of hip bursitis respond well to non-operative care, such as:
- Activity modification and rest
- Anti-inflammatory medications like ibuprofen or naproxen
- Ice packs and heat therapy
- Physiotherapy to stretch tight muscles and strengthen surrounding tissues
- Shockwave therapy or ultrasound-guided treatment
- Corticosteroid injections to reduce inflammation quickly
When Does Hip Bursitis Need Surgery?
Surgery is considered when:
- Symptoms persist beyond 3–6 months of consistent treatment
- There are recurring flare-ups
- Imaging shows a thickened or scarred bursa
- Infection or severe impingement is present
Common surgical options:
- Bursectomy – removal of the inflamed bursa
- Endoscopic decompression – a minimally invasive approach
- Tendon repair or release – when tendons are involved
Learn about our minimally invasive Kley Rapid Hip approach
Can Hip Bursitis Lead to Hip Replacement Surgery?
Preventing Hip Bursitis
To reduce your risk:
- Warm up and cool down before/after exercise
- Strengthen hip stabilisers and core muscles
- Avoid repetitive stress on the hips
- Maintain healthy posture and weight
- Address gait abnormalities with professional support
After an assessment, we spend time with each patient generating a prehabilitation programme that can help with prevention and long-term joint health.
The Common Questions About Hip Bursitis
How long does hip bursitis take to heal?
Most mild cases improve within 4–6 weeks of rest and physiotherapy. Chronic cases may take several months.
Is walking good for hip bursitis?
Light walking can help if pain is mild, but excessive movement may aggravate symptoms. It’s best to follow a physiotherapist’s advice.
What sleeping position is best for hip bursitis?
Try sleeping on the non-affected side with a pillow between your knees to relieve pressure.
Does hip bursitis show up on X-ray?
Not always. Soft tissue like bursae are better visualised with ultrasound or MRI.
Can hip bursitis go away on its own?
Yes, mild cases often resolve with time, especially if aggravating factors are avoided.
Still Experiencing Hip Pain?
Now doing remote and local consultations, our surgeons at Orthopaedic Innovation specialise in early diagnosis and minimally invasive care for hip conditions like bursitis.
Contact us today for an assessment.
