Many people with pain in the buttock, hip, and leg are told they have hip bursitis.
But, many people who are told they have “hip bursitis” feel pain in areas other than the greater teochanteric bursa. It’s not just tender right behind the trochanter/out hip, they also have low back discomfort, a history of herniated discs, SI Joint pains, pain in the center of the buttock (Piriformis syndrome?) and even pain, numbness, or tingling that shoots down their leg (Sciatica?).
In this video I chat briefly about what Hip Bursitis IS and what it is NOT.
True Hip bursitis is pretty clear cut. Pain and tenderness (makes you “jump” when you press on it "jump sign") to the outer hip just behind the greater trochanter (point of the femur bone). Hence why the official medical diagnosis is greater trochanteric bursitis. It will be bothered by positions of pressure or compression- sitting with legs crossed, standing with hip dropped/weight shifted, running, prolonged walking, or lying on that side. That’s it. No central butt pain, no piriformis pain, no numbness tingling going down the leg.
The presence of anything else makes the diagnosis highly suspicious. Pain in the back, history of sciatica in that side, central buttock pain/Piriformis Syndrome, groin pain, SI joint area pain, numbness or tingling that goes down the leg, or “hip bursitis” pain on both sides suggests something else is going on.
It’s not uncommon to be told you have hip bursitis as well as Piriformis Syndrome, Sciatica, or a herniated disc. Basically, you’re diagnosed with everything because no know can understand what’s actually going on. So they give a catch all explanation and list of diagnosis for your condition.
The back can refer pain (send pain signals) To the outer portion of the hip.
The sciatic nerve travels just behind the greater trochanter end near the bursa… If it is inflamed it can give you what feels like hip her bursitis.
The piriformis muscle attaches directly to the greater trochanter- right near the area of the bursa.
So, keep in mind that while hip bursitis is fairly easy to diagnose alone- Many other problems - including sciatica, herniated discs, SI joint problems, piriformis syndrome, and gluteal tendinopathy can cause feelings of “hip bursitis” and pain the area.
So, rather than relying on a specific diagnosis- your best bet is to establish a movement pain relationship.
Meaning, if you have a specific movement or position that reproduces your outer hip pain -study that movement pain relationship-and figure out how to break it up.
Hope this helps... email charliejohnsondpt@gmail.com if you need help.
If you're located in the Philadelphia, Collegeville, Phoenixville, Royersford, Limerick, or King Of Prussia, PA area- and are looking for specialized physical therapy treatment for your lower back, piriformis, or sciatica pain- please visit:
www.calldrc.com to set up your free Painfree Planning Session.
During your 30 minute Pain-free Planning Session with Dr. Charlie, we will:
1.) Walk you through a 5 Point Symptom Inspection
2.) Uncover your Back 2 Normal Blindspot
3.) Lay out your Roadmap 2 Relief, so that you can get back to normal naturally.
Schedule your call today!
Or email me directly at charliejohnsondpt@gmail.com with questions!
Негізгі бет Hip Bursitis, Piriformis Syndrome, Sciatica, Herniated Disc, Or Something Else?
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