Does this sound familiar?

• Aching hip pain when you wake up
• Hard to stand up if you've been sitting down for a while
• Hurts to walk up or down stairs
• Painful to sleep on your side
• Night time pain that can wake you up

These can be signs of hip bursitis, which is an inflammatory condition that can be a very common cause of hip pain.

What is Bursitis?
Bursitis is the name of a condition where the bursa in your joints become inflamed. Bursa are the fluid-filled sacs that help cushion joints and reduce friction as the joint moves. Healthy bursa are important in pain free movement.

When the bursa becomes inflamed it swells and becomes highly sensitive. The joint doesn't move easily, and the muscles surrounding it can become painful and tight trying to protect the joint.

Bursitis can cause acute pain that increases with physical activity. If the inflammation remains active for a long time, the pain can progress to a chronic state.

What causes hip bursitis?
The most common causes of bursitis are things like overuse or strain on the hip joint. This can happen through a high level of exercise or activity, or through repetitive unbalanced activities like holding a baby on one hip, or leaning your weight to one side to avoid pain in other areas like your lower back, knee or ankle.

Other causes can be less common things like infection or gout within the joint. People with autoimmune conditions like rheumatoid arthritis can be more vulnerable to developing this inflammatory condition.

How can we help?
Remedial massage and myotherapy can help relieve painful symptoms of hip bursitis. We can reduce muscle tension around the hip joint, and assess the other areas above and below the painful hip so that we can address any issues that are contributing to your bursa becoming irritated. Taping for stability and support can be very useful, and can help relieve pain for longer. We can give you a program of exercises to gradually strengthen  your hip without increasing the irritation.
Book a time with us to get the ball rolling.

Should I see a doctor?
If your hip pain has been ongoing for quite some time, it can be a good idea to check in with your doctor.
Your GP can advise you if a course of anti inflammatory medication will be helpful for you, or you can ask your pharmacist for an over the counter recommendation for symptom relief.
We're lucky to be located inside Together Medical Family Practice in Knoxfield, where you can get access to a fully Bulk Billed GP in the clinic with us and an understanding pharmacy team downstairs.

Have you recently been diagnosed with bursitis, but aren’t quite sure what that means? We’ve got you covered. Here are the basics you want to know about bursitis and what can be done about it.

What is bursitis?
Throughout your body, you have bursa – small fluid-filled sacs that prevent friction between your bones, tendons and muscles around your joints. Bursitis is when a bursa becomes irritated and inflamed.

Bursitis commonly occurs in the shoulder, elbow or hip. However, you can experience bursitis in any bursa.

The most common symptoms include pain, swelling and stiffness of the joint. Pain will often increase during the night time, and becomes worse when you move the joint.

What can cause bursitis?
There are many factors that can cause or contribute to bursitis. Some of the most common include:

• Injury of the joint
• Repeated pressure and overuse of the joint – this is commonly due to repetitive movements at work or during certain sports
• Chronic conditions such as rheumatoid arthritis, gout and diabetes
• Infection in a joint (e.g. after surgery)
• Age – bursitis is most common in adults aged 40+
• Being overweight – this can increase risk of hip and knee bursitis

How is bursitis diagnosed?
This depends on who you see. Any health professional will take a case history and do a physical examination.

If you seek help from your doctor, they may order imaging tests to rule out other problems that might be causing your symptoms, or they may order a test of the fluid from your bursa to see if there is an infection.

How is bursitis treated?
The focus of bursitis treatment depends on what caused the problem in the first place. But it’s likely that treating your bursitis will include:

• Avoiding activities and movements that make your pain worse
• Resting the area and raise it to reduce swelling
• Managing pain and inflammation

If the cause is an infection, your doctor may prescribe antibiotics to resolve the infection. A small percentage of people may be recommended surgery if other treatments have been unsuccessful.

How myotherapy can help with bursitis
When it comes to bursitis, there are a few steps that your myotherapist will take.

Firstly, we will assess the joint itself for swelling, inflammation, pain and movement. Once we know what we’re working with, we’ll put together a treatment plan to address the issues.

A treatment plan for bursitis often includes:

• Massage, trigger point release and gentle mobilisation to reduce the load on the bursa
• Taping the joint into a more comfortable position to relieve pain and pressure
• Prescribing movements that stretch and/or strengthen the supporting muscles
• Working with your GP to continue management of your pain and inflammation

Another useful therapy that may be discussed is hydrotherapy – exercises and movements performed in warm water. This can reduce pressure on the joint, making therapeutic movements easier and less painful.

If you’re dealing with bursitis, the team at Simple Wellness Myotherapy are here to help. To book an appointment with one of our qualified myotherapists, click here.

What is bursitis?
Simply put, bursitis is the inflammation of the bursa. Bursa are the soft fluid-filled cushion sacs that protect the bones, tendons and muscles around the joints. When they are functioning properly, they make it easy for tendons and muscles to move smoothly at the joint. When these fluid-y sacs become inflamed, they get swollen and enlarged, which can make movement difficult due to the physical space the bursa now takes up in the joint. The inflammation process also increases sensitivity in the area, giving you that familiar feeling of pain and aching in the joint.
You have over 150 bursa throughout your body, so that is more than 150 places bursitis can occur. That being said, the most common bursitis I see is in the shoulder and hip joints. Less common locations include the toes, knees and elbows.
What can cause bursitis?
There are a number of factors that can cause or lead to bursitis. The most common are injuries, repeated pressure and overuse of a joint. But there are some chronic conditions that can lead to bursitis such as diabetes, rheumatoid arthritis and even an infection that reaches the bursa.
What are the signs and symptoms of bursitis?
The most common symptoms you’ll come across are:

• Pain in one area
• Swelling
• Warm or hot feeling around the area
• Pain that is worse when you move the area, especially getting moving after being still for some time
• Stiffness in the joint
• Increased pain at night

Because these symptoms are similar to other problems such as arthritis, it may need further investigation before you’re given a definite diagnosis of bursitis. Your doctor might send you for scans and X-rays to rule out other more serious conditions.
What is the medical treatment for bursitis?
Most of the time, doctors will refer you onto a musculoskeletal therapist such as a physiotherapist, osteopath or myotherapist (like me!)
In severe cases, they will do an injection of cortisone, an anti-inflammatory steroid, into the joint. Although this can make you feel better temporarily, it is a bit of a bandaid approach. If you don’t remove the cause of the bursitis, you’ll have to keep getting a giant needle into the joint – ouch! Cortisone injections aren’t a guaranteed fix, and can have a limited time of effect from very short term (days or weeks) to longer term relief (months or years). Some patients may not get any relief at all, even temporary. I always like to remind people who are considering the injection that my opinion is a biased one – I tend to only see the people who the cortisone shot hasn’t worked for, because if it works, they don’t need to come back for treatment for that same bursitis issue!
How can a myotherapist help with bursitis?
Wanting to avoid the big needle into the joint or just prefer to manage your condition naturally? A myotherapist like myself can work on the acute pain and address the causes behind the bursitis. There are plenty of ways that the different techniques of myotherapy can help, including::

• Finding a comfortable position for the joint, and taping it there to support the joint
• Reduce the strain on the affected joint by working on the surrounding muscles – using techniques including massage therapy, needling, cupping and trigger point release
• Find the root cause – sometimes, it might not be the affected joint that is the main problem. Bursitis can be caused or aggravated by any factor that puts strain onto a joint.
• Prescribe a handful of exercises to help strengthen the muscle groups that will help to bring your joint back to its pain free resting position

When working with someone with bursitis, I’ll also have a chat about their lifestyle. Often, different activities, habits or movements can contribute to bursitis. For example, one of my clients has had bursitis of the big toe. It turned out that when he is sitting, he unconsciously curls his big toe under his foot!
By working on the aggravating factors and finding ways to modify them, we can reduce the pain and inflammation over the long-term.
Is the pain of bursitis holding you back from the things you love to do? Book an appointment today and we’ll get you back on track to health