Does this sound familiar?
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.
If you have pain, there’s a good chance you’ve used or been prescribed pain relievers. There is a lot of stigma around the use of pain relievers because of issues such as addiction or long-term health effects.
In my opinion, it’s ok to use pain relievers if you are experiencing pain, as long as its not the only pain relief strategy you're using - I like to see that you know why you have pain, and that you're making changes to any of the factors you can to reduce ongoing pain in conjunction with taking medication. Pain relievers can play an important part in injury recovery and pain management, particularly for those who experience chronic pain.
What are pain relievers, and what do they do?
Pain relievers are any form of medication that do exactly what the name says – relieve pain.
Different pain relievers work on different parts of the body to produce different pain-relieving effects. Some pain relievers such as ibuprofen stop damaged cells from producing inflammatory compounds, which can slow down the pain message. Others, like paracetamol, work directly on the brain to reduce how your brain perceives the danger signals.
You’ll often see pain relievers referred to as ‘pain-killers’. I avoid this term, because ‘painkiller’ implies that it totally and permanently eliminates your pain. But pain-relievers are a tool that reduce pain for a period of time. They can’t ‘fix’ your pain, but they can make you feel better for a little while, so you can continue to actively work on recovery through rehabilitation and treatment.
Pain relievers are part of your treatment plan
You can get all of the massage and myotherapy treatments, but sometimes, pain strikes when you aren’t able to book in a session. That is where pain relievers can come into play.
Often, pain relief is needed to allow you to get to sleep and stay asleep for at least a few hours. Sleep is when the body does its most healing, so good sleep is critical to long-term pain reduction. Research has also found that sleep deprivation can make you more sensitive to pain.
So if pain is keeping you awake, using pain relief may be the better option, rather than ‘toughing it out’ and lying awake.
The only thing I don’t recommend is relying on pain relievers as your only method of pain relief. Pain relievers by nature are temporary – they don’t fix the root cause.
Whether your pain is caused by physical damage, a sensitised nervous system, inflammation or something else, the only ‘fix’ is a plan that addresses the underlying issue. If you’ve experienced pain for longer than a week or two, it’s time to seek professional help.
If you’re using pain relievers long-term, speak to your GP
Pain relievers, like any other kind of medication, can have long-term health consequences and side effects. Even over the counter medications can be problematic long-term – that’s why they put oodles of warnings inside!
If you are needing to use pain relievers for more than a few weeks and it hasn’t been prescribed by your GP, make an appointment. They might be able to recommend a more effective prescription for your specific type of pain or offer you the safest option if you do require long term medication. At the very least, they know you are taking it and can monitor you, so they can spot any side effects in the early stages.
If you don't have a regular GP, come and meet Dr Wajib Dib at Together Medical on Ferntree Gully Rd in Knoxfield. Our treatment room is inside the Together Medical practice, and Dr Dib is a fully Bulk Billed GP with an interest in musculoskeletal health.
You can also ask for advice on medications from the Pharmacist at Knoxfield Pharmacy. We have a staircase with direct access into the pharmacy from our clinic reception.
Massage and myotherapy can play a supportive role in the healing journey if you’re experiencing chronic pain. At Simple Wellness Myotherapy, chronic pain is our passion. To book in an appointment, head to our booking page here.
Mel is a Myotherapist based in Ferntree Gully.